About Diabetes: I Hate to Tell You… But I Have to!
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Dennis Pollock, of Beat Diabetes, shares insights about diabetes you don't always hear.
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Thanks Dennis for this helpful information.
About infections and diabetes. Is this why when going for surgery they need your A1c to be under a certain number?
I’m no Dennis, but, Ai tells me: Surgeons aim for blood sugar below 200 mg/dL before an operation because high glucose suppresses the immune system and increases the body’s inflammatory response. Maintaining lower levels helps prevent surgical site infections, promotes better collagen production, and significantly speeds up wound healing.
The hormone insulin when high inhibits the liver and muscle from releasing stored energy(Glycogen) and stops the liver from converting fat to glucose (Gluconeogenisis). So when your carb intake is constant, so insulin remains high, your body will not utilize stored fat as fuel, it can only take the excess of carbohydrate in the blood, convert and accumulate it as more fat around the liver and tissue.
I have type 2 diabetes for 9 years.
Can i still put it in remission and halt progression?
@j-gzaYes!
Greetings from Ethiopia. That was really very exemplary. Thank you, Dennis.
👍👍
Dennis, thanks for all you do. I have a question that I cannot figure out, hope you can shed some light on it. Old guy here, will be 76 next month, was pre-d in early 2024, went on strict low-carb diet — which I am still on — and got A1C into low-mid 5s.
My doc never heard of HOMA-IR and I don’t think he understands insulin resistance either. He insisted the other day that I didn’t need a fasting insulin test — “What are you going to do with that information?” — because he knew I was insulin resistant. But I finally got him to test fasting glucose and insulin. My insulin was 5 and glucose was 87, giving me a HOMA-IR of 1.1 which is excellent, so he was wrong about me being insulin resistant.
Here’s the kicker, my A1C was 5.7. Aside from maybe my red blood cells living too long or other similar things that can throw that number off, can you explain this? I did ask AI and got some good points, but would love to hear your comments. TIA!
I know you want Dennis’ answer and that you already researched this. But maybe my Ai search will help Dennis, and anyone else, understand HOMA-IR .
“A HOMA-IR test measures your body’s insulin resistance using both fasting insulin and fasting glucose. Since the body often overproduces insulin to keep blood sugar normal for years before pre-diabetes develops, evaluating your score helps identify metabolic issues a decade earlier than glucose-only tests.
“To discuss ordering this test with your doctor, you can use these:
<> Explain the Early Warning Concept: Mention that you want to catch potential metabolic dysfunction early, as the pancreas compensates by pumping out excess insulin to keep your sugar at 5.7.
<> Highlight Clinical Risk Factors: Share any relevant symptoms or conditions that justify measuring your Insulin Resistance (HOMA-IR) Test, such as: *Central abdominal weight gain
*Difficulty losing weight despite diet and exercise
*A family history of Type 2 diabetes Conditions like PCOS or fatty liver
*Request the Right Labs: Specify that the test requires a single, fasting blood draw to check both fasting insulin and fasting glucose.
Yes, the HOMA-IR test can detect insulin resistance years, potentially even a decade, before standard tests show a problem.
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I have never taken insulin. But I have always eaten a low carb diet. Recently I had to stop eating red meat because I have developed proteinuria. I am now 80 years old. I don’t know what is going to happen next.
Insulin is just a regulatory hormone. The body has hundreds of them. Just because you make yourself sick and insulin keeps doing what it always does, but it is doing it within a broken system doesn’t mean that insulin is the villain.
…and of course, high glucose is a huge problem, as it glycates every protein it touches.