Doctor insights on:
Skip Breakfast Reverse Insulin Resistance Syndrome
Glycemia:basal=85,post-prandial=70(tremors+dizziness),random=95.Basal insulin=38(normal <27). Why insulin decreases after meals?Insulinoma?diabetes?
Diabetes: See your physician to get a definitive diaganosis ...Read more
Insulin resistance is a state in which a given concentration of insulin produces a less-than-expected lowering of blood sugar. This results from obesity and often causes higher blood sugar levels. The early stage of Insulin resistance, known as impaired fasting glucose (IFG) or prediabetes, is potentially reversible with significant weight loss (at least 7 percent). However, without weight loss, Type 2 Diabetes generally results, often causing severe damage to arteries and ...Read more
Muscle wasting, eating plenty,insulin resist. pancreatic beta cell dysfunction fructosamine and post prandial high, insulin level @2 what does it mean?
I'm on metformin, lantus (insulin glargine) n novolog. Can i replace the lantus (insulin glargine) n novolog w byetta to help w weight gain n still get the same sugar control?
Only with supervisio: Please contact your health care professional about making changes in your diabetic therapy. Byetta can be helpful in controlling diabetes, but may not solve your weight gain problem. That should be controlled, under supervision, with diet and exercise. ...Read moreSee 1 more doctor answer
Basal glucose =81 mg/dl but insuline =38 mU/ml (insuline/glucose > 0,3 ). Symptoms of ipoglycemia... How to exclude an insulinoma? Ultrasound?thanks!
Hypoglycemia: To diagnose insulinoma, you need to demonstrate inappropriately high insulin/C-peptide when your glucose is low. A glu of 81 is not low, it is normal. You have symptoms of hypo, but these symptoms are often from something else. Insulinoma is rare. Do not start getting CT/ultrasound etc until you establish the biochemical diagnosis first. An Endocrinologist can help you. ...Read more
Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.
Lantus (insulin glargine) dose: Hi. I applaud you for your healthy lifestyle and dedication to tight diabetes control. Finding the right Lantus (insulin glargine) dose can be trickier than people think, especially for an active type 1. I was on Lantus (insulin glargine) for about 6 years before going on CGM in 2006. CGM is THE perfect way to find the right Lantus (insulin glargine) dose, but not everyone uses CGM yet. Do you? My guess is no, or you'd have dialed in the right Lant dose ...Read moreSee 1 more doctor answer
Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3 , A1c 9.7 cannot do more excercise due to arthralgia and oa chages ?
WEIGHT LOSS CRUCIAL: WEIGHT LOSS IS CRUCIAL : I recommend a gluten free diet &WHOLEAPPROACH.COM/GUTBLISS.COM. If you have any sleep issues I would recommend as sleep study, there is a high overlap of sleep apnea and diabetes. Also I use Topamax (topiramate) in the evening for my diabetic patients it help with sleep/weight loss & improves insulin receptor sensitivity. ...Read moreSee 2 more doctor answers
Insulin 64 after high carbs and glucose 54 & hypokalemia. I'm hypokalemic PP diagnosed but wonder if congenital hyperinsulin can cause low potassium?
Insulin and carbs: Rachel, I wish I could help you but your comments are unclear. What do you mean by "insulin 64" and glucose 54? Have you been told that you have "congenital hyper-insulin"? In that case your doctor would have referred you to a surgeon. If you can, please give me some more information. ...Read more
Symptoms of ipoglycemia.Ogtt curve's "flat".Glycemia doesn't grow after 1-3 hours of glucose-juice.High basal insulin.Enough to suspect MODY diabetes?
Diabetes Diagnosis?: Need HbA1c. and family Hx. Such as do you have a twin or sib with MODY? ...Read more
You are correct: Insulin resistance refers to the body needing higher level of Insulin to keep the sugar level down to normal or close to normal. Hyperinsulism = body has higher level of Insulin in circulation at virtually all time. So, the terms are of same meaning, at least with regard to diabetes/Insulin resistant state. If u have concern, consult doc. Good luck. ...Read more
What is the ideal breakfast for someone with pcos / insulin resistance? Something to promote weight loss/low carb?
Breakfast: The important thing is not to skip breakfast. Low glycemic diet is important. Omega 3 rather than omega 6, trans fats and saturated fats are important. Fruit, veggies and protein should be an important part of any meal. Also, a morning and afternoon snack with a bit less less food at your meals, ie spread the calories around can also help. ...Read moreSee 3 more doctor answers
I'm morbidly obese at 496 pounds and I have insulin resistance. Where do I start to reverse both the insulin resistance and the morbid obesity?
Lantus (insulin glargine): I am assuming that your insulin injections have been started not long ago. Injections should not cause weight gain but there is a more important issue. Type 2 diabetes can and should be corrected such that you no longer have diabetes. Insulin injections should not cause weight gain. With that in mind, talk to your doctor about diabetes and also have a dietitian help you with your weight. ...Read more
Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.
Diabetic after whipples. 250mg metformin 3 times a day. Diabetes under control but losing weight after cutting down on carbs.want weight gain?
It will be difficult: I'm glad that you're able to control your inevitable diabetes after a Whipples with only a low dose of Metformin. Metformin is also one of the best anti-cancer medications there is--so I encourage you to continue to take it. You'll just need to increase your caloric intake--mostly fat and protein. Appetite enhancers include the antihistamine Periactin (cyproheptadine hydrochloride) (best taken at night), and the cannabinols. ...Read more
Absolute deficiency: Insulin resistance is seen in obesity or being overweight is associated with Insulin resistance state . Insulin basically enhance anabolism( versus catabolic hormones ) and utilization of glucose from all the sources ( fat , carbohydrate and , protein). Severe weight loss is an indicator of Insulin deficiency. This Insulin deficiency should be absolute as in type i or Insulin dependent diabetes. ...Read more
When one takes a drug, such as heroin or alcohol, repeatedly, 'tolerance' develops because more of the drug is needed to give the same effect on the body/brain; e.g. Liver enzymes r stimulated to metabolize the drug faster and faster. There may be a strong genetic predisposition to addiction, some studies suggesting that 1 of 10 people will become dependent on alcohol or some ...Read more
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