Type 1 diabetes

Type 1 diabetes is an autoimmune disease - the person's body has destroyed his/her own insulin-producing beta cells in the pancreas.

People with Diabetes Type 1 are unable to produce insulin. Most patients with Diabetes Type 1 developed the condition before the age of 40. Approximately 15% of all people with diabetes have Type 1.

Type 1 diabetes is fatal unless the patient regularly takes exogenous insulin. Some patients have had their beta cells replaced through a pancreas transplant and have managed to produce their own insulin again.

Type 1 diabetes is also known as juvenile diabetes or childhood diabetes. Although a large number of diabetes Type 1 patients become so during childhood, it can also develop after the age of 18. Developing Type 1 after the age of 40 is extremely rare.

Type 1, unlike Type 2, is not preventable. The majority of people who develop Type 1 are of normal weight and are otherwise healthy during onset. Exercise and diet cannot reverse Type 1. Quite simply, the person has lost his/her insulin-producing beta cells. Several clinical trials have attempted to find ways of preventing or slowing down the progress of Type 1, but so far with no proven success.

A C-peptide assay is a lab test that can tell whether somebody has Type 1 or Type 2. As external insulin has no C-peptide a lack of it would indicate Type 1. The test is only effective when ALL the endogenous insulin has left the body - this can take several months.



What is Type 1 Diabetes?
http://www.youtube.com/watch?v=_OOWhuC_9Lw




Type 2 diabetes

A person with diabetes type 2 either:

Does not produce enough insulin. Or
Suffers from 'insulin resistance'. This means that the insulin is not working properly.
The majority of people with Type 2 have developed the condition because they are overweight. Type 2 generally appears later on in life, compared to Type 1. Type 2 is the most common form of diabetes.

In the case of insulin resistance, the body is producing the insulin, but insulin sensitivity is reduced and it does not do the job as well as it should do. The glucose is not entering the body's cells properly, causing two problems:

A build-up of glucose in the blood.
The cells are not getting the glucose they need for energy and growth.
In the early stages of Type 2 insulin sensitivity is the main abnormality - also there are elevated levels of insulin in the blood. There are medications which can improve insulin sensitivity and reduce glucose production by the liver.

As the disease progresses the production of insulin is undermined, and the patient will often need to be given replacement insulin.

Many experts say that central obesity - fat concentrated around the waist in relation to abdominal organs - may make individuals more predisposed to develop Type 2 diabetes.

Central obesity does not include subcutaneous fat - fat under the skin. The fat around your waist - abdominal fat - secretes a group of hormones called adipokines. It is thought that adipokines may impair glucose tolerance.

The majority of people who develop diabetes Type 2 were overweight during the onset, while 55% of all Type 2 patients were obese during onset.


It is not uncommon for people to achieve long-term satisfactory glucose control by doing more exercise, bringing down their bodyweight and cutting down on their dietary intake of carbohydrates.

However, despite these measures, the tendency towards insulin resistance will continue, so the patient must persist with his/her increased physical activity, monitored diet and bodyweight.

If the diabetes mellitus continues the patient will usually be prescribed orally administered anti-diabetic drugs. As a person with Type 2 does produce his/her own insulin, a combination of oral medicines will usually improve insulin production, regulate the release of glucose by the liver, and treat insulin resistance to some extent.

If the beta cells become further impaired the patient will eventually need insulin therapy in order to regulate glucose levels.


What is Type 2 Diabetes?
http://www.youtube.com/watch?v=nBJN7DH83HA



This post has been edited by greenlife: Apr 30 2012, 04:15 PM

Okay... So this is a discussion thread regarding IDDM?

many unaware they have diabetes very late...




This post has been edited by greenlife: Apr 30 2012, 04:11 PM

Thanks for sharing TS.

I love chocs and ice cream but got to sacrifice now that my sugar is high.

I was losing weight when I took glucophage. Now that I have switched to another medication I have gained some weight.

Diabetes Types 1 and 2 are chronic medical conditions - this means that they are persistent and perpetual. Gestational Diabetes usually resolves itself after the birth of the child.

Symptoms of Diabetes

People can often have diabetes and be completely unaware. The main reason for this is that the symptoms, when seen on their own, seem harmless. However, the earlier diabetes is diagnosed the greater the chances are that serious complications, which can result from having diabetes, can be avoided.

Here is a list of the most common diabetes symptoms:

Frequent urination
Have you been going to the bathroom to urinate more often recently? Do you notice that you spend most of the day going to the toilet? When there is too much glucose (sugar) in your blood you will urinate more often. If your insulin is ineffective, or not there at all, your kidneys cannot filter the glucose back into the blood. The kidneys will take water from your blood in order to dilute the glucose - which in turn fills up your bladder.

Disproportionate thirst
If you are urinating more than usual, you will need to replace that lost liquid. You will be drinking more than usual. Have you been drinking more than usual lately?

Intense hunger
As the insulin in your blood is not working properly, or is not there at all, and your cells are not getting their energy, your body may react by trying to find more energy - food. You will become hungry.

Weight gain
This might be the result of the above symptom (intense hunger).

Unusual weight loss
This is more common among people with Diabetes Type 1. As your body is not making insulin it will seek out another energy source (the cells aren't getting glucose). Muscle tissue and fat will be broken down for energy. As Type 1 is of a more sudden onset and Type 2 is much more gradual, weight loss is more noticeable with Type 1.

Increased fatigue
If your insulin is not working properly, or is not there at all, glucose will not be entering your cells and providing them with energy. This will make you feel tired and listless.

Irritability
Irritability can be due to your lack of energy.

Blurred vision
This can be caused by tissue being pulled from your eye lenses. This affects your eyes' ability to focus. With proper treatment this can be treated. There are severe cases where blindness or prolonged vision problems can occur.

Cuts and bruises don't heal properly or quickly
Do you find cuts and bruises take a much longer time than usual to heal? When there is more sugar (glucose) in your body, its ability to heal can be undermined.

More skin and/or yeast infections
When there is more sugar in your body, its ability to recover from infections is affected. Women with diabetes find it especially difficult to recover from bladder and vaginal infections.

Itchy skin
A feeling of itchiness on your skin is sometimes a symptom of diabetes.

Gums are red and/or swollen - Gums pull away from teeth
If your gums are tender, red and/or swollen this could be a sign of diabetes. Your teeth could become loose as the gums pull away from them.

Frequent gum disease/infection
As well as the previous gum symptoms, you may experience more frequent gum disease and/or gum infections.

Sexual dysfunction among men
If you are over 50 and experience frequent or constant sexual dysfunction (erectile dysfunction), it could be a symptom of diabetes.

Numbness or tingling, especially in your feet and hands
If there is too much sugar in your body your nerves could become damaged, as could the tiny blood vessels that feed those nerves. You may experience tingling and/or numbness in your hands and feet.




This post has been edited by greenlife: May 1 2012, 10:53 AM

Thanks for sharing

What is insulin?
Insulin is a hormone. It makes our body's cells absorb glucose from the blood. The glucose is stored in the liver and muscle as glycogen and stops the body from using fat as a source of energy.

When there is very little insulin in the blood, or none at all, glucose is not taken up by most body cells. When this happens our body uses fat as a source of energy. Insulin is also a control signal to other body systems, such as amino acid uptake by body cells. Insulin is not identical in all animals - their levels of strength vary.

Porcine insulin, insulin from a pig, is the most similar to human insulin. Humans can receive animal insulin. However, genetic engineering has allowed us to synthetically produce 'human' insulin.

This post has been edited by greenlife: May 2 2012, 09:10 AM

how about some highlights on Diabetes Insipidus?

so wat happen if discover very late?

will i die if i have diabetes? sorry if sound silly but i cant seem to be brave to understand all diabetes related article now

and will i suffer like those i saw on k-drama?

anyways i do not feel anything weird with my body,just feel abit thirsty and have to drink alot

decrease daily sugar intake. Warm plain water for every meal. Eat less rice.

dont trouble ur kids with ur medical problems when u get old.

start a healthy lifestyle NOW.

This post has been edited by hariz.zaki2: May 3 2012, 02:10 AM

Most people don't die with Diabetes as the primary reason but on the complications of this disease. you can google the complications. =)

The EVGN/EMVBM Meeting report also provides a putative molecular explanation that may contribute to the outcome of "PROactive", a broad clinical study that very recently demonstrated that pioglitazone significantly reduced the combined risk of heart attacks, strokes and death by 16% in high-risk patients with type 2 diabetes.

guys can anyone enlighten me on this please

why need to reduce rice intake? what it got to do with the disease?

im not a sweet food person,very seldom craving over cakes/chocs but the more i go through the symptoms the more i feel uncomfortable now

It is absolutely different from Diabetes Mellitus.

Its a medical condition where our body failed to produce an hormone that retain fluid from our body, making us passing water way beyond normal.

ahh ok i failed my science class obviously

so to cut down rice intake its not easy i guess

what food best to replace this? food that can provide energy to last for half a day at least?

All In One: A Diabetes Drug, An Anticancer Drug And An Antiocclusive Drug

Thiazolidinediones (also called glitazones), drugs used to treat insulin-resistance in patients with type 2 diabetes, inhibit vascular cell proliferation by activating a known cancer suppressor gene: p16. This result, which could lead to the development of selective and non-invasive therapies for post-bypass surgery, was shown today during the Second Annual European Vascular Genomics (EVGN – evgn) Conference.

No cure for diabetes.

Yerp.

Generally there is no curative treatment for Diabetes Mellitus. Only supportive treatment.

Rice > carbohydrates > excess > stored as lipid > leading to obesity > cell developed resistant to insulin > Non Insulin Dependent Diabetes Mellitus (NIDDM) a.k.a Type 2 Diabetes Mellitus.

Rice contain complex sugar, it is much branched and different from its monomer - which is glucose.

medical journal reports on PPARs

http://ajpendo.physiology.org/content/288/2/E287.full

Like the role of vitamins in 20th century, PPARs (Peroxisome Proliferators Activated Receptors) will represent the most important biomedical molecules in the 21st century.

PPARγ-mediated insulin sensitization: the importance of fat versus muscle

Peroxisome proliferator-activated receptor-γ (PPARγ) is a nuclear hormone receptor that functions as a transcriptional regulator in a variety of tissues. PPARγ activation, e.g., through binding of the synthetic glitazones or thiazolidinediones (TZD), results in a marked improvement in type 2 diabetic patients of insulin and glucose parameters resulting from an improvement of whole body insulin sensitivity. The role of different metabolic tissues (fat, skeletal muscle, liver) in mediating PPARγ function in glucose and insulin homeostasis is still unclear. Recently, the function of PPARγ in adipose tissue and skeletal muscle has been intensively characterized by using targeted deletion of PPARγ in those tissues. In those studies, adipose PPARγ has been identified as an essential mediator for the maintainance of whole body insulin sensitivity. Two major mechanisms have been described. 1) Adipose PPARγ protects nonadipose tissue against excessive lipid overload and maintains normal organ function (liver, skeletal muscle); and 2) adipose PPARγ guarantees a balanced and adequate production of secretion from adipose tissue of adipocytokines such as adiponectin and leptin, which are important mediators of insulin action in peripheral tissues. In contrast to studies in adipose-specific PPARγ-deficient mice, the data in muscle-specific PPARγ−/− mice demonstrate that whole body insulin sensitivity is, at least in part, relying on an intact PPARγ system in skeletal muscle. Finally, these early and elegant studies using tissue-specific PPARγ knockout mouse models pinpoint adipose tissue as the major target of TZD-mediated improvement of hyperlipidemia and insulin sensitization.

peroxisome proliferator-activated receptor-γ (PPARγ) belongs to the family of PPARs, which also includes the isoforms PPARα and PPARδ. The PPARγ gene gives rise to at least three mRNAs, PPARγ1, PPARγ2, and PPARγ3, that differ at their 5′ end as a consequence of alternate promoter usage and splicing.

Its great to read this information. This post is very useful to make people aware with regards to this matter. My dad has this condition and I'm glad that you have explained it here clearly. Thanks

http://www.medscape.org/viewarticle/514729
Targeting Insulin Resistance: PPARs, Type 2 Diabetes, and Cardiovascular Risk

Introduction
Insulin resistance (IR) is widely recognized as a core physiologic defect contributing to the development of both type 2 diabetes and cardiovascular disease (CVD).The majority of individuals with type 2 diabetes are known to be insulin-resistant, and this IR, when coupled with an inadequate pancreatic beta-cell response, results in hyperglycemia.[1] Both clinical and epidemiologic data support the association between IR and an increase in CVD risk. IR is associated with the development of a cluster of characteristic CVD risk factors, including hypertension; an atherogenic dyslipidemia (characterized by low high-density lipoprotein cholesterol [HDL-C], increased triglycerides, and an increase in the prevalence of small, dense low-density lipoprotein [LDL] particles); and a proinflammatory, prothrombotic vascular environment, all of which likely contribute to the increase in CVD risk observed.

Given the accepted role of IR in the pathogenesis of diabetes and CVD, therapies that improve insulin action are used commonly for the management of hyperglycemia in diabetes. Moreover, there is significant interest in diabetes therapies that may limit CVD risk. Specifically, the impact of peroxisome proliferator activating receptor (PPAR)-gamma agonists, such as the thiazolidinediones (TZDs) on both diabetes control and CVD risk, has been widely discussed. These PPAR activators are well known to improve glucose control -- in great part by improving insulin action in the periphery -- and may improve a number of CVD risk factors, including hypertension, dyslipidemia, and the vascular, hemodynamic, and hemostatic abnormalities that are common in those with diabetes.

This post has been edited by greenlife: May 4 2012, 09:20 PM

Thanks for more of this info. It really helps.

Diabetes is NO MORE Silent Killer, Crypto PPARS
http://forum.lowyat.net/topic/2261881

this is the impact of peroxisome proliferator activating receptor (PPAR)-gamma agonists, such as the thiazolidinediones (TZDs) on both diabetes control and CVD risk, has been widely discussed...
now can get in this crypto product....

stop your one liner replies...................

Hi Naznaz95, before you check for diabetes or any other illnesses, always check to make sure that your medical card is having sufficient limit.

Because the next thing you'll need (if the tests are positive) would be treatments/medications. Its like going for a routine car maintenance, but without having the standby cash to pay should the 'mechanic' says that the valve is blocked and it needs major overhauling.

Go to any nearest klinik kesihatan. Screening process is Rm1. Subsequent treatment also Rm1. See DR + consultation + medications + blood investigations = Rm1.

change to protein-base food like chicken, meat, fish

take carb during breakfast and lunch as normal (1 plate i mean for normal)

take only small portion carb during dinner

take ur dinner before 8

do not take any junk food/carbonate drink

and dont forget exercise 30min/3 times/weekly

i think i have diabetes la.. i'm going to doctor tonight because i have the symptoms.. like headache after eating carbs or sweet food, urinate frequently and always feels thirsty.. haih i'm not even 18 and i don't usually eat sweet food.. maybe it's genetic

edited

i just went to the doctor and he said i'm fine.. my blood glucose level is 5.6(aftermeal) which is normal..i'm maybe allergic to some artificial sweetener that cause the headache and frequent urinating.. so guys if you really show the symptoms you have to go to doctor to confirm whether you are a diabetic or not.. you really can't determine just from reading the symptoms..

This post has been edited by anggaPra: May 18 2012, 03:05 PM

Diabetes is rising alarmingly in Malaysia, reaching edemic
proportions. Some 18% of the population is diabetic, up
from less than 1% nearly 50 years ago.


http://thestar.com.my/news/story.asp?file=...950&sec=central


" .... in 2008 nearly 17% of the general population of Malaysia had diabetes mellitus. "

http://www.medicalnewstoday.com/releases/118179.php


This was in 2004 :

" In my previous Editorial, prevalence was noted to be only 0.650% in 1960
and in the early 1980s, 2-4%. We has made much ‘progress’ since then:
surveys in the mid-1990s showed a prevalence of about 8-12% while a
recent report of our study undertaken in 1998 showed a prevalence of
diabetes amongst rural and semi—urban populations of 14.0% (range 7.1%
to 20.3%). We are now six ears since our last survey; it may not be
unreasonable to estimate a current prevalence in the range of 16— 18%.
Assuming just 40% of the population (estimated at 25 million) are 30 years
and above, we should have at least 1.6 million adult diabetics in this country now. "

" Worse still, Type 2 diabetes is seen as no longer a disease of middle or old age
— children as young as 10 years old suffering from diabetes (both Type 1 and
Type 2) are not an uncommon sight nowadays. "


http://myais.fsktm.um.edu.my/6088/


In 2007 :

" I have seen children as young as seven coming in with this type of diabetes.
This was rare five years ago. "

http://www.diabetes.org.my/article.php?aid=152



" 54% of the adult population is either obese or overweight,
compared to only 24.1% 10 years ago. As a result 7 out of 10
Malaysian adults suffer from chronic diseases. "

http://www.consumer.org.my/index.php/healt...s-are-diabetics


" The Chinese must be doing something right as there was only a two
per cent increase from 25.6 per cent to 27.6 per cenI. "

http://www.diabetes.org.my/article.php?aid=941



" There is growing evidence that High Fructose Corn Syrup (HFCS),
a cheap substitute for sugar used in processed foods and drinks
may facilitate insulin resistance, and eventually lead to Type 2 diabetes. "

http://www.consumer.org.my/index.php/healt...s-are-diabetics



The situation looks even worse in the Arab countries,
especially the UAE. 35% of kids under 14 there are diabetic.

http://www.redorbit.com/news/health/167962...ates/index.html

NCDs rising at alarming rate.

http://www.nst.com.my/latest/ncds-rising-a...ng-rate-1.83483

Hi Zeliard,

The medical card is not only for the diabetes. The point is that medical insurance especially health card needs to be obtained before any illness creeps in. Diabetes is subjected to a 4 month waiting period. But unless there is specific need to go into details on this, I shall not want to turn this thread into insurance thread.

It is also true about what you've mentioned. People who needs long term medication, it is best to get it from KK.

Apologize for the intrusion.

halo

i age 30 can i buy insuran and how much ya

i got diabetis 170cm 53kg

Once you are confirmed diebetic, no insurer will give you or sell u any medical insurance. There are so many insurance co approached me even when I was in the 20's and after medical checkup and hearing I have diebetic, none of them wanted to give meany medical insurance. Life insurance yes but with loading@&$&@

Since ts no longer active since mid last year, I think I should add another type of diebetic that is less well known I.e type 1.5. Yes it might look like a joke but it's indeed new term since early 90s. Another name is Latent autoimmune diabetes. This mostly on ppl that earlier detected as type 2 but slowly, the oral drugs that they took or even the limited insulin the type 2 can produce slowly getting worse and developing condition like type 1. Read more here

http://en.wikipedia.org/wiki/Latent_autoimmune_diabetes

I am probably this type by now. Well need further confirmation and testing by doc for sure haha

If diabetic, usually offer Life coverage and Accidental Death coverage only, and that also need to pay higher premium than normal people. Critical Illness and Permanent Disability usually declined.

But if overall profile is good, u can appeal for CC or TPD coverage, perhaps can give but with higher premium.

have you try victoza?

this for type 2 diabetis only rite?

Meant for type 2 treatment but clinical trials show that it helps Type 1 too.

How to try wheni' m on govt hospital prescription. I don't even think they gonna give me levemir which is better than insulataed

Darn found out this is not for type 1 and can cause tyroid tumor
http://www.victoza.com/

Actually the thyroid tumor does happen to diabetes patient regardless of whether taking victoza or not. No conclusive study to show that Victoza actually promotes thyroid tumor. Victoza is design for type 2 but they have done clinical trial for type 1 and its improve BG control and promotes weight loss. the same effect for type 2 patient.

Its off label in malaysia right now and only endocrinologist can prescribe the medicine. I'm on clinical trials by KKM to see the effect of victoza on Malaysia patient. I hope the government of Malaysia can sponsor victoza for patient in Government hospital cause it does help a lot.

My previous hb1ac (in july 2012) was 11 before starting victoza, my current hb1ac is 5.1 (march 2013).

Previously I went to university hospital they prescribe me lantus, doesn't help at all, and lantus promotes weight gain. So I went a get second opinion at Gleneagles. I'm happy with my current weight and current health.

Already stop taking lipitor, micardis, casprin, levemir, diamicron xr, only on victoza 1.8 and metformin 1.5 g.

Nice result there congratz.. My previous Hb1ac was also ~ 11 (hehe lost the Blood test liao ). Anyway, my FBS reading since I started insulatard since 2 wks ago avg 4.2 to 5.8 depending on what I took the night b4. Super happy with the reading. I never ever dream of reaching this level

However once I touch breakfast, my random BS after 2 hrs shoot up to ~ 9 and once I touch lunch, 2hrs later avg ~ 14 and for Dinner, also ~ 14-16. Meaning all the drugs that I took almost useless dy.. (On 1.7g metformin & 320mg dimicron (glicazide)

By this Friday, most probably I will discuss wth my Doctor for another dose of Insulatard (Works wonder to me) on mid Morning after food By then, I probably continue my Metformin at 1.5g and no more dimicron liao

Probably you can ask doctor on whether you can be introduce to Levemir since Levemir doesn't promote weight gain the way Insultard does. Also probably can adjust your diet plan to include more vegetables and less carbohydrate. I did that and my post prandial Blood Glucose would be around 5.5 to 6.1. The highest I hit now is 7.4 if I take more carbo.

Yeah I was thinking of asking the doctor to give me Levemir earlier. However since insulatard works so well on me and beyond my expectation, I don't think to change this night insulin. However I probably asking what Morning insulin that they going to prescribe me.. I don't really like the idea of rapid acting insulin that required me jabbing on each meal

Very nice result you got there...I should have change to insulin years ago..haizzz.. now only thinking after my eye got into complication i.e confirmed glaucoma

You can ask doctor about novomix.

Hmnn can try but I doubt Govt hospital willing to dispense newer & expensive insulin like levemir

Probably can ask the doctor if they have any sponsorship program supplied by novo nordisk.

We're still using insulatard and actrapid. All basic stuff.

Gee. I never knee there were quite a few members with T2DM. I've had a patient came in with severe MI but was detected way late. High cardiac tissue death. His cardiac enzymes were elevated. He wasn't aware DM masks the symptoms of myocardial infarction. Chest pain in this case was a very late sign. Too bad he passed away soon after.

Basic but if works no problem. Instead of rapid insulin, I'm thinking asking the Doc to give me additional Morning insulatard too. Is this OK? Right now on 8 ut of night insulatard and FBS ranging from 4.2 to 6. However 2 hrs after light breakfast, avg BS=9 and 2 hrs after lunch ~ 14 & 2 hrs after Dinner from 13-16. Taking 1700mg Metformin slow release (Morning & nite) + Glicazide 320gm (max dose) Morning & Nite now.

Wei... no. Insulatard is slow acting. It's supposed to last through the night. Which means it's still working WHILE you take the other tds doses of Actrapid. It's gonna screw with your blood sugar and you don't want a hypoglycaemic attack. If you're already on Actrapid, you might need to adjust the dosage. How's your HbA1c?

Not yetonactrapid. Still on the above drugs i mentioned earlier. Trying to reuce oral drugsandgoing onminsulin. I try not to takeactrapid. Troublesome esp every meal also need to jab

Yeah... but prob is... OHA isn't really doing much for your blood sugar man. Have you combined it with lifestyle control also?

Have to admit my exercise getting leser nowadays. Only weekend 15km cycling & 2-3 days once light exercise b4 dinner.. My diet is the same year in year out but not really carb less diet ..Lunch time..normal normal hawker wantan mee/ kueh teow soup or even 3/4 rice chapfan. but I love eating fruits after each meal.. normally a pc of guava after lunch & apple/ pear after dinner. For dinner, I normally take brown rice .

My late grandfather has diabetes, and this is a reminder to me, I think..or not?

wah u use 1.5g oni ar
gov klinik give me 500mg must eat 4 tablet every day

btw i type 1 diabetic

I can't take >1500mg/day otherwise sure lousai very sever stomachache ...Hmnnn type 1 mostly insulin why u on metformin?

docter give i take lor she say try 1 week 1st next week gonna meet her again for some test

The BCG vaccine reverses Type 1.

http://www.plosone.org/article/info%3Adoi%...al.pone.0041756



Denise Faustman has her own site.

http://www.faustmanlab.org/





This post has been edited by Tham: Mar 21 2013, 04:51 AM

Hmnn probably you 1st time detected? and thus the Doc trying 1st on medicine to test whether working on you kua?

yup 1st time detect haiz

If you type 1 diabetes, doctor should start you on the insulin right? since type1 diabetes is lack of insulin


btw I'm meeting the doctor today, let me see if I can ask is there any sponsorship program or clinical trial that can include outside patient.

I believe losing weight is the best and only way to control your diabetes.

i type 2 ler

felling really tired shi@t this sickness or malas not sure

This post has been edited by battosai: Mar 21 2013, 10:23 AM

How old are you?

I read your first posting, you wrote type 1 hehe.

I got type 2 when I was 23 back in 2003 now already 10 years and Alhamdulillah improving. I also have ups and down. I was hospital in 2007 for having neglected to take any medication and was diagnose with bacteria infection (cellulitis) which stiffen the joints.

in 2012, I made up my mind to start control the disease.

My doctor you may want to refer yourself to hukm. They supply levemir. Get a gp to refer u to hukm

HUKM too far from me-lah.. Puchong to Cheras...no way man ..Atleast University Hospital still near. Anyway, HUKM similar to University is not Govt but semi. So the charges are not cheap. University Hospital per visit - GP - RM5 & Specialist = RM15 and drugs - 1 mth supply -RM20 and if special drugs - RM50/mth....Well, Total still cheaper than private but not free for sure

Yeah. Since University Hospital is not funded by KKM.

By the way my visit with the doctor just now conclude with the reduction of my victoza to 1.2 from 1.8 unit dos and 1 g of glucophage from previously 1.5 g. he said that my body right now is in non diabetic since my hba1c is on normal area. 5.0. Need to keep exercising and watch my diet.

Damn jealous ..Anyway congratz for such a good result... I am dreaming of getting this

man man la. need to exercise regularly and watch diet. dont eat fried wantan too much.

Pterocarpus marsupium, the Indian Kino tree, is apparently the only herb shown
to be capable of regenerating the islet cells in the pancreas.


http://en.wikipedia.org/wiki/Pterocarpus_marsupium

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2275761/


http://www.encognitive.com/files/Role%20of...0A%20Review.pdf


http://www.ijcsr.co.in/Documents/Volumes/V...20110102(4).pdf

Just came back from govt clinic. After looking at my random bs, agreed that I'm more on type 1 now furthermore since 18 yrs old. She maintained my night insulatard 8 ut and actrapid every meal also at 8 ut each. She stopped me on glicazide but maintaining my 1500mg metformin

My hba1c result last wk was 9.7% Hope to reduce to 6.5 in nxt 2-3mth

Oh btw, reason she maintained the metformin is for the purpose of reducing cancer risk of diebetic as according to her, new studies show that metformin can reduce the risk of cancer...hmnnnn

This post has been edited by stimix: Mar 22 2013, 02:03 PM

wow a government doctor who actually reads medical journal.

yeah recently studies shown that metformin reduce the risk of cancer and metformin actually helps in suppressing your appetite

Ok 1st day report card after the doc prescribed me both intermediate & short acting insulin yesterday.

Well, yesterday was Abit yo yo. B4 came back home, I hv taken my last glicazide 160mg just b4 my late breakfast ~9:50am. After breakfast and reached home, I started jabbing 4 ut of actrapid just to stabilized my bs level. During lunch, I took 6 ut. ( my actual prescribed ut is 8 ut) the bad thing was by 4.30 pm I started to sweat even though inside aircon environment and the time I reached home ~ 6pm, I checked my bs and the reading was 4.2. To avoid hunger, I actually took the leftover popcorn b4 I jabbed only 6 ut + 750mg metformin. My dinner was heavy with normal rice + pear & mango. And 9pm my reading was 11.2 damnit lucky this morning my reading was 5.2.

Now strictly following doc's prescription. Hopefully getting better although my breakfast just now now really healthy. 3 slices of White bread!

substitute white bread with Gardenia Breakthru. Did wonder to my bloodsugar when I was on Carbohydrate.

Surprisingly ok bcos my ytay 2hr after that 3 slices of white bread=5.1 anyway my normal bread massimo wheat germ haha. Last wk can't find massimo so got gardenia white only

Ytay lunch was bad. Full of carbo ninja joe porky rice set. So 2 hr after lunch result -8.6 and dinner also carbo rich hokien mee but surprisingly result was good at 5.7. With the last basal insulin jab during mid nite, my fsb moment ago stabilized at 5.6

Ok just taken a slice of bread for my 15km bike ride after this post

good postprandial blood glucose.

I just had laksa and ais kacang. blood sugar at 7.5 after 1 hr.

My Endocrinologist said the best time to check blood glucose is after 30 minutes to 1 hour of taking simple carbohydrate like rice, bread, sweet drinks.

Phew. My worse experience of hypo this afternoon. After my last posting, took 1 slice of bread and went for 16km bicycle ride and thereafter continue washing my car b4 jabbing 8 ut of actrapid and 2 slices of breads.

Went to the curve ~11 am and by 12pm, I started sweating inside cool aircon environment and by 12.15pm, hand shaking and feel hunger. Lucky found the fruitl stall nearby and just ate a pc of papaya...only feeling Abit better 15min later b4 looking for my lunch. Yet to check my bs level till now hehe.

In future, if I went for bike ride, I should hv reduced 2 ut of insulin. Scary

This post has been edited by stimix: Mar 25 2013, 11:32 AM

Or bring some snack with you. One bottle of 250ml milo can help with hypoglycemia.

Yeah...Should start keeping stock of sweet/ glucose tablet liao.. - Yesterday 2 hrs after dinner result - 6.4 (Wantan mee + apple & mango for dessert) and this Morning 6.3...hmnnnnn.. ...really funny result.. Expecting <6 this Morning wth the result a night earlier

This post has been edited by stimix: Mar 25 2013, 11:40 AM

Usually the morning will depend on what you eat and did last night.

not enough sleep/ less quality sleep will bring the sugar high. stress also contribute to high sugar.

This post has been edited by samuraikacang: Mar 25 2013, 12:05 PM

we found the root cause of all human suffering: DISEASE!

After a week on 100% insulin jab i.e 8 ut Insulatard b4 bed and 8ut of Actrapid on every meals during day time.. My results seems to be yoyo Certain days..I'm getting good result of ~ 4.8-5.6 FSB and also reasonable 2hrs BS reading of ~ 6.8 to 8.8

But during last week, I got 2 incident of Hypo..i.e last Sunday afternoon as mentioned earlier and 2 nights ago when I woke up middle of the night and feeling so cold & hand shaking. I straight away took the reading and it was 3.9! And on certain day..my random hrs after meals reading wer horrible..ranging from 11 to the high of 18 damn

I suspect all those high readings were due to the timing I took the reading & also more carbo food I took..for eg.. the reading of 18 was ~ 3.5hrs after lunch and ~4 hrs after insulin. and I took one big canto fried ying yong that day

Hopefully my 2nd week will be better as I started increasing to 9 ut MYSELF from Today

Medical journal on incretin type drug i.e victoza.

http://diabetes.diabetesjournals.org/conte...7d-651738e22e43

summary: finding show potential of tumor arising from the usage of incretin type medication

anyone using victoza, byetta or anything incretin should discuss with your doctor.

I stop using Victoza since two weeks ago. No changes in appetite, blood sugar or weight.

Hmnnn Why? I thought you are on clinical trial .So now you on what drugs since u said everything OK?

BTW, I visited my Doc on last Friday. She asked me to maintain my day insulin at 8 ut instead of 9 that I administered myself .. My reason, certain time esp breakfast & Lunch result >8 and few times >10. but there are many occasions of result below 5 too and she told me she rather me to be ~ 6-8 rather than below 5!...so go back to 8ut

just on metformin 750mg. morning results between 4.8 - 5.2 and after food between 6.4 - 7.5

Wah.. Your diebetic probably still in infancy..Metformin totally failed me years ago before I added in - glicamide & thereafter to Glicazide

However I still on metformin bcos the Doc said it is a cancer prevention drug

This post has been edited by stimix: Apr 8 2013, 07:19 AM

I had diabetes since 2003 so basically 10 years already. Doctor said since I'm losing weight the condition has reversed. Currently the body no longer diabetic. Technically they said (i have two doctors on my diabetic) cure but since diabetes has no cure they just remind me to keep up whatever i did with the diet and exercise.

So nice of you and most probably you're confirmed type 2 with obesity and now going normal weight already? For me.. > 20 yrs ago. and my weight is also lesser than what I initially weighted when 1st diagnosed. I was 76kg and now avg 68kg. However far from the reading when I managed to reduced my weight to 58kg within 2 yrs after 1st diagnosed

However at current lifestyle not easy although possible to go back to 58kg - At this 58kg.. my reading avg 6-8 only for fasting compare to b4 insulin of 11-12. Atleast with insulin, I am maintaining my reading of 5-8 right now

for elder people, diabetes is a progressive disease. my dad also have diabetes, he is 65 yo. so having a blood sugar at 8 in the morning is already good.

my case is different since i'm a young diabetic.