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Is There An Advantage To Trying To Wean Off Medication And Treat With Diet/exercise Alone?

Is There An Advantage To Trying To Wean Off Medication And Treat With Diet/exercise Alone?

Valid question and one that in particular the newly diagnosed may ask.

There can be a few reasons why a Type 2 would want to treat "without meds".

Perhaps it's the feeling to taking control of their own destiny, or just utter hate of Big Pharma (or little pharma); worries about side effects for meds, whatever.

But if you are even considering going down the path to "sans medication" you should really be aware of what you are proposing that you are going to get into.

Control of your blood… read more

A DiabetesTeam Member said:

@A DiabetesTeam Member we do have some of the meal services in Canada but every one of their offerings is just loaded with carbs.

I have never seen the (skinny line) advertised and doesn't appear to be available (up here).

The meals available to me come in between 74 and 94 carbs (all their dinners) which is just way beyond what any of us could handle per portion.

I did find the "skinnytaste" stuff on the US site and simply looking at the three meals for "week 1" - it's kinda mixed results.

SKINNYTASTE HOME CHEF MEAL KITS
Week 1 (Jan 3)

Mahi-Mahi Florentine with Herb-roasted Fingerling Potatoes (39 carbs/serving)

Jumbo Turkey Meatball Bake with Broccoli and Peppers (21 carbs/serving)

Chicken with Mushroom-Shallot Sauce and Wild Rice (43 carbs/serving)

Yes, they are "way lower carb" then the "full strength stuff", but looking at them the first one (fish) would be really pushing it at 39 carbs (and the potato has massive glycemic load and is probably the source of almost all the carbs).

The Turkey meatballs - super friendly.

The last with the wild rice - would have to scrape off half the rice from the serving because at 43 carbs that is "blow up the Unmedicated" range.

So even the "friendly option" wouldn't work for most "unmedicated". That is exactly the point I was making about using medication to eat a little more normally.

The skinny line which for Joe/Jane average would be a "massive reduction" in the normal (crap) that they eat.

It would be quite tolerable for the (average Type 2 if there is such a thing) who could use Meds to get their carb threshold into the 40 to 50 range.

But certainly talking to members here that are unmedicated, we all seem to be almost unanimous in the "sub-30 carb range".

There is a couple of very limited meal combinations that I can tolerate 40 carbs, but that is really not typical - some down as low as 27 carbs (particularly ones where the carbs are starches), takes me close to the top of my range - and I have "pretty decent" function - over 85% of insulin production.

Like everything we choose to eat, it simply is a matter of finding your "carb number". And if you then can get one of these "meals in a kit", which are a great idea, that can "fit your number" it could really help an individual manage.

But all my blabbing here just reinforces what I said above - if you want to do it without meds, it's a lot of work - and you don't get any help from the (food industry) - garbage carbs are cheap - starches bulk up food offerings and most of the dishes, even the "healthy choices" (advertised) are loaded with potato, rice and pasta.

edited, originally posted 5 months ago
A DiabetesTeam Member said:

@A DiabetesTeam Member yes there is a test that a specialist can order (at least in Canada needs to be a specialist) called a C-Peptide test.

When the pancreas produces insulin this C-Peptide stuff is also produced at an equivalent rate (can't remember if it's a hormone or an enzyme or whatever) but anyhow a test can measure a C-Peptide level and that will give you a value equated to your percentage of insulin production (based on some average baseline).

In my case it was done (kinda at my request but the Doc agreed) after I lost 60 pounds and saw NO change in my average blood sugar levels (and A1C).

Weight is a huge component "in almost all Type 2's" as a cause of insulin resistance.

So the "very sound theory" is, lose weight, improve your insulin resistance, better blood sugar control (and I believe the method myself, it just did "zippo" for me).

I discussed it with my specialist - asked if he could think of "why it did nothing for me" and his comment was "well maybe you are more deficient then resistant. So I said, can I do the test.

It was just that easy. And the C-Peptide number is compared to a chart that gives you a percentage of insulin production - my (one and only test) came in at 85% of (whatever they consider) normal production - so lot's of insulin but whatever then is causing my "resistance" was not (weight related) - leaving a few "genetic factors" (since I have no thyroid, pituitary or adrenal gland issues which really mess things up).

(and could explain my "family curse" if the pack of us have some genetic flaw that is causing insulin resistance ???)

It is typically done more (often) with Type 2 Bolus insulin users to help the Doc figure out "how to dose"

But from a diagnostic angle, if you were say 30 pounds overweight and knew you had decent insulin production that would be a pretty good indicator that if you dumped that 30 pounds you would "almost certainly" see better blood sugar numbers (unless you have my curse)

edited, originally posted 5 months ago
A DiabetesTeam Member said:

Into this diabetes diagnosis three months now and with my initial diagnosis my Dr said try diet and exercise first. We’ll today my A1C is now 6.0 down from 7.1. For me Changing my eating and exercising was how I wanted to go. Yes it takes a lot of time, I weigh or measure everything and record it. I try not to eat things with added sugar, I will do keto with a tweak here and there to lower fat content. Overall I feel better, my weight is down 20 lbs and hopefully will go down another 15. For me the extra work is worth it. I will say I’m an all or nothing kind of person. I can’t do half way, sometimes it’s a good thing like now sometimes it annoys the heck out of people. If you really want to change you need to give it your all there is no compromise when it comes to beating the beast, but the payoff is so worth it.

posted 5 months ago
A DiabetesTeam Member said:

As soon as I was diagnosed with Type 2, I was put on Metformin. What a disaster!!!! Non-stop diarrhea. I’ve been able to control my A1C with diet, exercise and some weight loss. .

posted 5 months ago
A DiabetesTeam Member said:

GrahamLamb; I think in my case the Ozempic I am taking is stronger than the Victoza I was taking. That is the reason the doctor had taken two metformin off me; hoping the Ozempic would carry me to the next A1C test. I pray it does; because I seen no results with the weight loss either. But hey I am still looking at it as a reward heh heh. I have your curse too; a history full of people who were too sweet! You are very thoughtful; thank you for the articles and inspiration!

posted 5 months ago
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