Don't forget insulin and Metformin. Instead of pushing for people to lose weight they push these medications, which in the end insures the progression of Type 2 diabetes until you burn out your pancreas and need insulin to survive.
They can tell you to work out and eat right just the same, but they ultimately have no control on patient compliance. Insulin and metformin are prescribed to keep diabetics from going DKA or developing acute organ failure and then hospitalized which is exponentially more expensive to treat. When patients don't eat right nor take insulin or any prescribed meds for that matter, chalk that up to personal responsibility and Darwinism.
Yes. If you really delve into it you will find that if you are on Metformin- you are not at the disease progression stage in which you will get DKA. For most people, this is the time to turn it around with diet and exercise. If you are on insulin (which forces glucose into cells that already are too full of glucose) you still might be able to turn it around with diet, fasting and exercise. Fasting has shown that your pancreas can change cells into beta cells that produce insulin. But if you are on insulin, you will need to carefully manage this approach with a doctor and most doctors from my observations are not interested in alternative approaches to managing diabetes. You can put diabetes into remission. But it requires a different way of thinking and that thinking does not put money into the pocket of big Pharma or the FDA. Just look at the FDA healthy plate recommendations and see the flaws. IMHO too many carbs.
I like your motivation. You remind me of 3rd year med students full of idealism ready to change the world. Meanwhile, I just admitted 3 patients for dka that were only on metformin just this week. They're always new diagnosed diabetics with A1c 10+ that refuse to start insulin because they think they can fix themselves with life changes
No. Just changed my world. You are either an ER doctor or presenting yourself as one. You will admit patients who are ill and not for the most part see those who are not. Those who are managing their diabetes are not presenting themselves to your ER or office for admission. So those people who "fix themselves" are not on your radar.
Is metformin like tylenol in that it only temporarily address's a side effect of human response (like pain from inflamation or stablizing blood sugar from bodies inability to process glucose) and not actually doing anything that by taking it would put you on a path to type 2 diabetes recovery? My dad isnt overweight but has bad eating habitsm i see he takes metformin for his type 2.
Metformin makes your body more sensitive to the insulin it already produces to lower blood sugar. Yes it's a temporizing measure like all medicine, but it takes tremendous willpower to resist excess carbohydrates or calories for that matter.
Don't forget insulin and Metformin. Instead of pushing for people to lose weight they push these medications, which in the end insures the progression of Type 2 diabetes until you burn out your pancreas and need insulin to survive.
Great point!
They can tell you to work out and eat right just the same, but they ultimately have no control on patient compliance. Insulin and metformin are prescribed to keep diabetics from going DKA or developing acute organ failure and then hospitalized which is exponentially more expensive to treat. When patients don't eat right nor take insulin or any prescribed meds for that matter, chalk that up to personal responsibility and Darwinism.
Yes. If you really delve into it you will find that if you are on Metformin- you are not at the disease progression stage in which you will get DKA. For most people, this is the time to turn it around with diet and exercise. If you are on insulin (which forces glucose into cells that already are too full of glucose) you still might be able to turn it around with diet, fasting and exercise. Fasting has shown that your pancreas can change cells into beta cells that produce insulin. But if you are on insulin, you will need to carefully manage this approach with a doctor and most doctors from my observations are not interested in alternative approaches to managing diabetes. You can put diabetes into remission. But it requires a different way of thinking and that thinking does not put money into the pocket of big Pharma or the FDA. Just look at the FDA healthy plate recommendations and see the flaws. IMHO too many carbs.
I like your motivation. You remind me of 3rd year med students full of idealism ready to change the world. Meanwhile, I just admitted 3 patients for dka that were only on metformin just this week. They're always new diagnosed diabetics with A1c 10+ that refuse to start insulin because they think they can fix themselves with life changes
No. Just changed my world. You are either an ER doctor or presenting yourself as one. You will admit patients who are ill and not for the most part see those who are not. Those who are managing their diabetes are not presenting themselves to your ER or office for admission. So those people who "fix themselves" are not on your radar.
Is metformin like tylenol in that it only temporarily address's a side effect of human response (like pain from inflamation or stablizing blood sugar from bodies inability to process glucose) and not actually doing anything that by taking it would put you on a path to type 2 diabetes recovery? My dad isnt overweight but has bad eating habitsm i see he takes metformin for his type 2.
Start here.
https://drjasonfung.medium.com/the-diabetes-payroll-291649d0e0d2
What your dad can do is treat the underlying cause. He can reduce his blood sugar naturally through diet, fasting, exercise.
Metformin makes your body more sensitive to the insulin it already produces to lower blood sugar. Yes it's a temporizing measure like all medicine, but it takes tremendous willpower to resist excess carbohydrates or calories for that matter.