Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

Taking my diabetes treatment into my own hands

martin.janiczek.cz

Post reply on HN
Print view View original

211–220 of 372 posts

Re: Taking my diabetes treatment into my own hands

#211

Post by Fauntleroy »

throw10920 wrote: post #185
jklinger410 wrote: post #137

What I've learned that, as an adult in 2024 in the United States, you cannot take for granted: - That your medical professionals are acting in your best interest - That your insurance company is acting in your best interest - That your medical professional knows what they are talking about - That things that are legal to put in your body will not cause irreparable harm to you - That the legal level of pollutants in t…

This is naked political activism that clearly breaks the HN guidelines and offers zero informational content, intellectual gratification, or other value to me or anyone else here. Please don't put stuff like this on HN. https://news.ycombinator.com/newsguidelines.html

Can you please elaborate on what the political activism in the above comment is?

Re: Taking my diabetes treatment into my own hands

#212

Post by nradov »

nextos wrote: post #199
beauzero wrote: post #190

Earlier quoted context omitted.

Just anecdotal. Was T2 and getting kidney stones every two or three months (cause not related but treatment was). Cut out oxalates which restricted diet. Monitored sugar 3-5 times daily. Switched to carnivore diet + onions and mushrooms and went on Metformin. All at the same time. Did this for 2.5 months with no additional exercise. This dropped me down below T2 level. Went off Metformin and am maintaining with same…

Check the work of David Unwin from NHS, who has reversed T2D in many patients using dietary interventions: https://www.diabetes.co.uk/blog/2015/08/dr-david-unwin-publi... This publication is a good starting point to his approach. Early time-restricted eating of low sugar and low starch meals is the key: https://nutrition.bmj.com/content/bmjnph/early/2023/01/02/bm...

Other researchers have also achieved T2D remission in many patients through nutritional ketosis (carbohydrate restriction).

https://doi.org/10.1007/s13300-018-0373-9

Re: Taking my diabetes treatment into my own hands

#213

Post by mjaniczek »

qwerty456127 wrote: post #204

Why does hypoglycemia happen in people with diabetes? Healthy people can stay active for weeks without food and for many years almost without dietary carbs (on just fats and proteins - see carnivore and keto diets). How comes gluconeogenesis from triglyceride glycerol and from amino acid fails to cover the essential glucose needs?

I suspect it happens because of your externally provided insulin (as in, you caused your hypoglycemia by injecting too much).

IDK if hypoglycemias happen naturally in T1Ds in situations where they don't in healthy people. I assume that eg. when exercising too much etc., even a healthy person would get a hypoglycemia?

Re: Taking my diabetes treatment into my own hands

#214

Post by KittenInABox »

mft_ wrote: post #67
wwilim wrote: post #28

Earlier quoted context omitted.

See, that's the thing. I've had T1D for 26 years now and I have stubbornly refused to accept that it's not a smart idea to eat anything I want. I am not going to give up hash browns until I lose a leg.

Interesting; as a non-diabetic, there are lots of (nice) things I don't eat regularly (pretty rarely in reality) for general health reasons. Hash browns aren't a particular thing for me, but they'd definitely be on my 'not regularly' list (deep fried, comparatively simple carbs, lots of salt, etc.) Genuine question, not trying to 'gotcha': do you think your stubbornness in this regard was somehow accentuated by havin…

It's just a response to the constant frustration of feeling limited, especially by something arbitrary. If I got told randomly that now every single family gathering, social event, date, drink with the boys, exercise routine, and road trip must circle around a chronic health condition that I must make conscious decisions around every day all day for the rest of my life, it makes total sense for me to occasionally go "fuck it".

Re: Taking my diabetes treatment into my own hands

#215

Post by nradov »

KittenInABox wrote: post #210
p_j_w wrote: post #187

Earlier quoted context omitted.

>Annual checkups are a weight check, blood pressure, a few questions, maybe a blood panel if you're lucky This isn't my experience. Every time I've gone in for an annual check, the doctor has either suggested that I get or asked if I would like a blood panel. Maybe you should try another doctor.

In my experience, a blood panel doesn't cover everything typically. My A1C, Insulin, and fasting Glucose levels are all within normal range, but actually I have insulin resistance, likely genetic that wouldn't appear in my general panel for at least two or three more decades. This is common in people whose family history includes poverty or subsistence farming. I'm glad I have the resources to address this while I'm…

Why would a genetic tendency towards insulin resistance be correlated with a family history of poverty or subsistence farming? Is there any research on that? Which specific genes are involved? Which tests were used to diagnose your insulin resistance?

Re: Taking my diabetes treatment into my own hands

#216

Post by kshacker »

nradov wrote: post #212
nextos wrote: post #199

Earlier quoted context omitted.

Check the work of David Unwin from NHS, who has reversed T2D in many patients using dietary interventions: https://www.diabetes.co.uk/blog/2015/08/dr-david-unwin-publi... This publication is a good starting point to his approach. Early time-restricted eating of low sugar and low starch meals is the key: https://nutrition.bmj.com/content/bmjnph/early/2023/01/02/bm...

Other researchers have also achieved T2D remission in many patients through nutritional ketosis (carbohydrate restriction). https://doi.org/10.1007/s13300-018-0373-9

And here I am following a WFPB diet with high carbs and reversing my A1C + some other markers.

My philosophy is that many diets work, you just can not have a cocktail. Our body is not a hybrid car. It takes time to switch/

Choose what you can live with - high carb, low carb, keto - and stay focused.

Re: Taking my diabetes treatment into my own hands

#217

Post by DavideNL »

qwerty456127 wrote: post #204

Why does hypoglycemia happen in people with diabetes? Healthy people can stay active for weeks without food and for many years almost without dietary carbs (on just fats and proteins - see carnivore and keto diets). How comes gluconeogenesis from triglyceride glycerol and from amino acid fails to cover the essential glucose needs?

I think it’s simple: because they injected too much insuline at some point before the hypoglycemia;

Which obviously “never” happens to non-diabetics, because the pancreas regulates this automatically, adjusting to circumstances as required.

Re: Taking my diabetes treatment into my own hands

#218

Post by dleink »

apwell23 wrote: post #138
carimura wrote: post #119

Earlier quoted context omitted.

In the US, my experience has largely been that it's not healthcare, it's sickcare. Wait until sick, get treated. Annual checkups are a weight check, blood pressure, a few questions, maybe a blood panel if you're lucky, and then a "you look great see you next year", aka, come back when you're sick. I spent the last few years seeking proactive healthcare and the "system" is very much stacked against you. If you're fort…

> broader blood panels, body scans (eg. Prenuvo), VO2 max, metals tests, mold tests, genetic tests, GI tests, etc etc. Do you really need VO2 max test to tell you that you get out breath climbing a set of stairs? What genetic tests are you even talking about( brca ? ). Is there any actual proof that "catching cancer early" has any long term impact on survival ? ppl can go waste their money if they really want for ent…

Are you asking if early detection of cancer results in better outcomes? Yes, the data unequivocally supports that diagnosing cancer before it spreads leads to lower mortality.

Re: Taking my diabetes treatment into my own hands

#219

Post by [deleted] »

nradov wrote: post #215
KittenInABox wrote: post #210

Earlier quoted context omitted.

In my experience, a blood panel doesn't cover everything typically. My A1C, Insulin, and fasting Glucose levels are all within normal range, but actually I have insulin resistance, likely genetic that wouldn't appear in my general panel for at least two or three more decades. This is common in people whose family history includes poverty or subsistence farming. I'm glad I have the resources to address this while I'm…

Why would a genetic tendency towards insulin resistance be correlated with a family history of poverty or subsistence farming? Is there any research on that? Which specific genes are involved? Which tests were used to diagnose your insulin resistance?

[deleted]

Re: Taking my diabetes treatment into my own hands

#220

Post by dleink »

s1artibartfast wrote: post #203
jklinger410 wrote: post #189

Earlier quoted context omitted.

> I think the problem is that you were raised to think that a "good and just" world is one where there is no risk, no variability, and limited self-reliance. I think that children are generally raised to not believe there is "risk" associated with listening to experts. This means specialists like Doctors but also politicians and military officials. The idea that there could be a grift set up to take advantage of peop…

I almost completely agree, and think we mainly disagree on the nuances. >The idea that there could be a grift set up to take advantage of people in the medical space, for instance, which is highly regulated and supposed to be for the benefit of people first and for generating capital second, is not intuitive to children. The first thing I wanted to touch on is the idea of grift. Just because some has their interests…

The quality of the American medical system has deteriorated to such a point that if the Doctors are not the grifters they may at least be culpable for enabling the grift.
Post reply on HN