Even the Joslin Diabetes Center agrees
that insulin probably is not avoidable. They lean heavily on the
statement that diabetes is a progressive disease. I do agree with
their statement that the longer you have type 2 diabetes, the more
likely your pancreas will deteriorate and you will need to be on
insulin.
This may happen even if you take
excellent care of yourself. This is where in their discussion they
drop the ball when they could have used their blog for further
education on the use of insulin. Most people use insulin as the
medication of last resort and they should consider using it earlier.
Even knowing this, I will promote
people that are able to catch their diabetes early and use exercise
and diet to avoid all medications. Even people that have diabetes
are able to change their lifestyles and get off medications. Some
are able to do this for a few years and others are capable of staying
off medications for several decades. This is because they are able
to slow or even halt the progression of diabetes for an unknown
length of time. This length of time depends on their bodies and
their ability to follow a strict management regimen. It will also
depend on how their pancreas has been previously damaged.
Remember that diabetes and the use of
insulin is not a death sentence. This is a myth promoted by
physicians to have their patients adhere to the oral medications as a
way of managing diabetes. In truth, insulin can be an aid for your
pancreas and lengthen its useful life. Yes, you need to be more
careful and if you are capable of an exercise regimen, you will need
to regulate your insulin use very carefully to prevent hypoglycemia.
This is a good reason to investigate
insulin early to educate yourself about using insulin, the advantages
and the disadvantages. Knowing the myths and the facts about insulin
is important. Being knowledgeable in listening to people promoting
the myths even if you know better is more important than getting into
arguments.
The second blog by Joslin is a little
more complicated. It is technically correct; however, I have seen
and been taught different terminology. This is often the case when
talking about diabetes. One group uses one set of terms and another
group uses another set of terms. Sometimes it is the difference
between physicians and patients, while at other times one group of
physicians use different terms not used by another group of
physicians.
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