I am asking this question of every diabetes expert I come across online. I am 49, and I have Type-II Diabetes, diagnosed three years ago with an A1C of 6.7, and shortly after treatment with metformin, the A1C was at 6.1. For the past two years, after the addition of Pioglitazone, my A1C has been consistently below 6.0. I also have taken--as part of the protocol for diabetes--lisinopril 10 mg and Pravastatin 40 mg. My blood pressure was only mildly elevated and my lipid profile was normal, but those two medications are part of the diabetes protocol to prevent some of the long-term effects of diabetes. I also have been taking maintenance medications for other conditions--inhaled corticosteroids and nasal steroids for asthma, SSRI's for anxiety, Meloxicam for D.I.S.H. (which has caused severe spinal stenosis in my lumbar spine), and occasional anti-diarrheals for IBS symptoms. I have an IUD, which contains a form of progesterone which had previously caused high blood pressure and increased symptoms of PCOS when I used it as a young woman (supposedly, the progesterone does not go systemic, but I did, in fact, develop elevated blood pressure and weight gain after insertion of the IUD). I also take daily Vitamin B complex and Vitamin D, as well as a probiotic. Recently, I discontinued the lisinopril and the SSRI's and began treatment with Minipress, which seems to take care of both blood pressure and anxiety issues, although there may be some elevation of blood sugars. I discontinued the statin for a trial period to see if my leg cramps would subside, (and because of the development of a rectus abdominis sheath hematoma with about 1 liter volume) but after two weeks, I began taking the statin again. I was taking low-dose aspirin therapy but discontinued this as well. Since I have a family history of colon cancer, I have had regular scopes since the age of 30, and lately developed polyps which were benign when removed. My colon shows signs of chronic low-grade inflammation consistent with IBS diagnosis, and also diverticula which have developed infections several times over the years. I had a systemic klebsiella pneumonia infection in my bladder, my lungs, and my blood two years ago. Afterward, the klebsiella antibodies caused a substanial flare of the D.I.S.H., which took about two months and two courses of steroids to resolve. During that time, I also was developing melanoma, which was found 6 months after the klebsiella infection. During the hospitalization for the hematoma, the internal medicine doctor noticed a history of hematuria over the past two years of perhaps 20 urine samples--small amounts of red blood cells or hemoglobin--and I will be shortly seeing a urologist to determine the issue. In the meanwhile, I visited a rheumatologist who performed a number of tests for blood inflammatory factors, and found nothing but an elevated CRP, which I will also be following up on by seeing an ENT and an allergist. I have not really been compliant with the meal plan, because when I was a teen, I developed a mild eating disorder for a few years, and although I completely recovered, I don't like to obsess too much about what I eat. Instead, I cook my own meals, use whole grains and the My Plate suggestions as much as possible, and mindful eating, and I take a walk or a swim every day, the briskness of which varies depending upon how I feel. I have had one bout with invasive melanoma, but no associated chemotherapy after surgical resection of the site and sentinel lymph nodes. Also during this time, (and before I developed diabetes), I have occasionally been treated with oral and injected prednisone or cortisone for autoimmune diseases (asthma, D.I.S.H. flares). I have always recalled feeling significantly healthier during these courses of steroid treatment, and after I developed diabetes, I noticed my fasting glucose--which has been the most stubborn to bring down--will DECREASE (rather than increase, which is a more common reaction to glucocorticoids). In the past three years, I've been treated about a dozen times with steroids, and each time, I notice this decrease in not only fasting sugars, but all other sugars taken throughout the day. This effect disappears once my course of steroids is repeated. Do you have any explanation for this? Any direction you can point me in for better overnight control of sugars, which hover around an average of 115? Thank you in advance.
Laura Burgett What you’re asking about is why your blood sugar decreases while on steroids ? Hypoglycemia could be due to hyperinsulinism (and you mentioned you have PECOS), or chronic liver disease (such as those who drink regularly). Somehow the steroids are controlling your autoimmune background, and thus are knocking out whatever caused you to have hyperglycemia. It sounds that your hyperglycemia is autoimmune in nature, so pls check your GAD and insulin antibodies, liver (LFTs, ultrasound, Fibroscan test if there is fatty liver), and stop alcohol if you drink. Am Board Certified Internist
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies. Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies. Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
Destroу Diabeееtes - In Just 3 Steps => twitter.com/aa553651fdb95b460/status/804558352671973376 Update on Diabetes Тhеrapу Compliсаtiоns Whаt tо Usее When
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies. Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies. Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies. Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
We're spending too much time and energy treating the symptoms of T2DM. Cause and effect; hyperglycemia is the effect, the cause is hyperinsulinemia. Constant high level of insulin in the body leads to insulin resistance which leads to T2DM and all the complications such as heart disease, etc. Constant high insulin and glucose levels in the blood stream causes inflammation in the vascular system. The ACCORD and ADVANCE studies showed that tight glycemic control didn't help one bit with complications of T2DM. When studies are showing that conventional therapies do not help, we need to start looking at different culprits or causes; hyperglycemia is not it but rather a marker for disease. The only way to deal with T2DM is by controlling insulin requirement by the body. A pharmacology intervention, over time, will only add to the insult. T2DM is a dietary problem and only a dietary intervention can control T2DM.
You sure it's not also an autoimmune problem? Insulin resistance and adiposity are directly modulated by the immune system. Read my above missive and ode to the Rube Goldberg machine that my body has become. :)
Obesity is the cause of all ills, and it develops from 2 things we do: eating more than we need, and not moving enough. Lean people never develop diabetes unless they develop T1DM . Quit and Move are the key to treat it. Internist
Fantastic presentation, especially focusing on not just DM and treatments but also cardiovascular risks, thank you very much
I am asking this question of every diabetes expert I come across online. I am 49, and I have Type-II Diabetes, diagnosed three years ago with an A1C of 6.7, and shortly after treatment with metformin, the A1C was at 6.1. For the past two years, after the addition of Pioglitazone, my A1C has been consistently below 6.0. I also have taken--as part of the protocol for diabetes--lisinopril 10 mg and Pravastatin 40 mg. My blood pressure was only mildly elevated and my lipid profile was normal, but those two medications are part of the diabetes protocol to prevent some of the long-term effects of diabetes.
I also have been taking maintenance medications for other conditions--inhaled corticosteroids and nasal steroids for asthma, SSRI's for anxiety, Meloxicam for D.I.S.H. (which has caused severe spinal stenosis in my lumbar spine), and occasional anti-diarrheals for IBS symptoms. I have an IUD, which contains a form of progesterone which had previously caused high blood pressure and increased symptoms of PCOS when I used it as a young woman (supposedly, the progesterone does not go systemic, but I did, in fact, develop elevated blood pressure and weight gain after insertion of the IUD). I also take daily Vitamin B complex and Vitamin D, as well as a probiotic.
Recently, I discontinued the lisinopril and the SSRI's and began treatment with Minipress, which seems to take care of both blood pressure and anxiety issues, although there may be some elevation of blood sugars. I discontinued the statin for a trial period to see if my leg cramps would subside, (and because of the development of a rectus abdominis sheath hematoma with about 1 liter volume) but after two weeks, I began taking the statin again. I was taking low-dose aspirin therapy but discontinued this as well. Since I have a family history of colon cancer, I have had regular scopes since the age of 30, and lately developed polyps which were benign when removed. My colon shows signs of chronic low-grade inflammation consistent with IBS diagnosis, and also diverticula which have developed infections several times over the years. I had a systemic klebsiella pneumonia infection in my bladder, my lungs, and my blood two years ago. Afterward, the klebsiella antibodies caused a substanial flare of the D.I.S.H., which took about two months and two courses of steroids to resolve. During that time, I also was developing melanoma, which was found 6 months after the klebsiella infection.
During the hospitalization for the hematoma, the internal medicine doctor noticed a history of hematuria over the past two years of perhaps 20 urine samples--small amounts of red blood cells or hemoglobin--and I will be shortly seeing a urologist to determine the issue. In the meanwhile, I visited a rheumatologist who performed a number of tests for blood inflammatory factors, and found nothing but an elevated CRP, which I will also be following up on by seeing an ENT and an allergist.
I have not really been compliant with the meal plan, because when I was a teen, I developed a mild eating disorder for a few years, and although I completely recovered, I don't like to obsess too much about what I eat. Instead, I cook my own meals, use whole grains and the My Plate suggestions as much as possible, and mindful eating, and I take a walk or a swim every day, the briskness of which varies depending upon how I feel. I have had one bout with invasive melanoma, but no associated chemotherapy after surgical resection of the site and sentinel lymph nodes.
Also during this time, (and before I developed diabetes), I have occasionally been treated with oral and injected prednisone or cortisone for autoimmune diseases (asthma, D.I.S.H. flares). I have always recalled feeling significantly healthier during these courses of steroid treatment, and after I developed diabetes, I noticed my fasting glucose--which has been the most stubborn to bring down--will DECREASE (rather than increase, which is a more common reaction to glucocorticoids). In the past three years, I've been treated about a dozen times with steroids, and each time, I notice this decrease in not only fasting sugars, but all other sugars taken throughout the day.
This effect disappears once my course of steroids is repeated. Do you have any explanation for this? Any direction you can point me in for better overnight control of sugars, which hover around an average of 115? Thank you in advance.
Laura Burgett
What you’re asking about is why your blood sugar decreases while on steroids ? Hypoglycemia could be due to hyperinsulinism (and you mentioned you have PECOS), or chronic liver disease (such as those who drink regularly). Somehow the steroids are controlling your autoimmune background, and thus are knocking out whatever caused you to have hyperglycemia. It sounds that your hyperglycemia is autoimmune in nature, so pls check your GAD and insulin antibodies, liver (LFTs, ultrasound, Fibroscan test if there is fatty liver), and stop alcohol if you drink.
Am Board Certified Internist
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies.
Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
Thank you. Really good lecture
great lecture. Awe full speakerso hard to listen to him for one hour.
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies.
Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
Real good thanks
Thank you. Great sum up of DM. Wonderful!!!!!!!
how can I get the script of this lecture, had a hard time following the good Doctor, So if I can read it will be very helpful
Unfortunately we don't have one, This was recorded live.
Destroу Diabeееtes - In Just 3 Steps => twitter.com/aa553651fdb95b460/status/804558352671973376 Update on Diabetes Тhеrapу Compliсаtiоns Whаt tо Usее When
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies.
Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
I just figured out how to read the transcript of the lecture if anyone interested send a note and I will reply
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies.
Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
Most of all what was said in this video is now obsolete in the end of 2019 !!!!
I'm Sultan Reem From Tajikistan (Central Asia) I'm So Happy Sharing My Testimony To The Entire Universe On How @herbalist_oduntun completely healed me from diabetes, I Couldn't Keep Calm Spending Allot Of Money On Medical Treatment So I Tried Natural Remedies.
Right Now I'm Feeling Blessed Sharing My Testimony, Who Knows Someone Meant Also Need His Help
We're spending too much time and energy treating the symptoms of T2DM. Cause and effect; hyperglycemia is the effect, the cause is hyperinsulinemia. Constant high level of insulin in the body leads to insulin resistance which leads to T2DM and all the complications such as heart disease, etc. Constant high insulin and glucose levels in the blood stream causes inflammation in the vascular system.
The ACCORD and ADVANCE studies showed that tight glycemic control didn't help one bit with complications of T2DM. When studies are showing that conventional therapies do not help, we need to start looking at different culprits or causes; hyperglycemia is not it but rather a marker for disease.
The only way to deal with T2DM is by controlling insulin requirement by the body. A pharmacology intervention, over time, will only add to the insult. T2DM is a dietary problem and only a dietary intervention can control T2DM.
You sure it's not also an autoimmune problem? Insulin resistance and adiposity are directly modulated by the immune system. Read my above missive and ode to the Rube Goldberg machine that my body has become. :)
Obesity is the cause of all ills, and it develops from 2 things we do: eating more than we need, and not moving enough. Lean people never develop diabetes unless they develop T1DM . Quit and Move are the key to treat it.
Internist
Excellent for RN uncontrolled BS