Blood sugar higher since starting cpap.

[jnk...]

NOT easier than Type 2 by any stretch of the imagination.

I agree with you 100%, but I assumed that the poster meant "easier" from the medical perspective of 'figuring out what needs to be done about it' rather than "easy" for the patient to manage the day-to-day particulars of hitting target ranges.

[nicholasjh1]

To be frank, type 2 is a completely different animal... Well controlled Type 1 does not necessarily have any metabolic syndrome... and thus no insulin resistance... So while the consequences of poor insulin management can be much worse with type 1, overall type 1 is easier to control unless that type 1 specimen also develops metabolic syndrome (and insulin resistance)

Boy, until you've walked in another person's shoes . . .

Type 2 is a LIFESTYLE disease primarily, and lifestyle can reverse (not cure) it if implemented before it progresses to latter stages where the complications are severe and beta cells can no longer produce insulin. There's no reversing Type I, it's an autoimmune disease and even with the best lifestyle possible it will never be reversed (there is promising vaccine research, but it's not available yet). And many factors besides lifestyle can make Type I difficult to manage--imagine spiking a fever from a flu and having your blood glucose soar and need to triple your insulin dose. Have you looked at how much insulin and its analogs cost these days??? Do you understand how hard it is to calculate the precise insulin dose needed at any given time to avoid highs and lows? In no way is it easier to manage--if you think insulin makes it easier you need to do some more research about what taking exogenous insulin does to your body. Many people with Type I develop insulin resistance as a result of the long-term use of high doses of insulin, so they get the joy of dealing with symptoms of both types of diabetes. Overall Type I is NOT easier than Type 2 by any stretch of the imagination.

All i can tell you is that every Type 1 I've met has no issues controlling their sugar, every type 2 constantly has to adjust insulin levels, gets neuropathy etc... Though I suppose I just don't meet the dead Type 1's that can't figure out the insulin levels. Sure there are the lucky Type 2's that managed to control it through exercise etc, but there is just 1 state for type 1's. my point is that you obviously don't understand the difficulties of a type 2. You can't walk in their shoes so you have no idea if type 1 is harder. That's a funny projection you made about me though.

[Janknitz]

I agree with you 100%, but I assumed that the poster meant "easier" from the medical perspective of 'figuring out what needs to be done about it' rather than "easy" for the patient to manage the day-to-day particulars of hitting target ranges.

Evidently NOT, see the post above.

Someone who clearly doesn't know what he doesn't know.

[jnk...]

I agree with you 100%, but I assumed that the poster meant "easier" from the medical perspective of 'figuring out what needs to be done about it' rather than "easy" for the patient to manage the day-to-day particulars of hitting target ranges.

Evidently NOT, see the post above.

Someone who clearly doesn't know what he doesn't know.

I tried to give the poster a graceful out. I failed. Poster didn't want it.

BTW, if you have a minute, I have a question: Do you have a personal opinion on a rule of thumb for what A1c someone would need to be below in order to be relatively "safe" managing type 2 without drugs and without daily BG testing? I ask because my A1c has for the last year ranged between 5.9 and 6.4 as I've used IF and keto after coming off Metformin. Is staying in the pre range good enough? Or do I really need to find a way to get below 5.7 and stay there? Or is your position that all of this a totally meaningless question without regular direct glucose testing? I am only asking for your personal take, not any party lines or official positions, and I take full responsibility for what I choose to do.

[chunkyfrog]

Diabetes SUCKS, no matter what flavor you have.
Pretty much convinced Medicare wants us to DIE.

[palerider]

Diabetes SUCKS, no matter what flavor you have.
Pretty much convinced Medicare wants us to DIE.

All health insurance everywhere wants us to die..

Life insurance is the only ones that wants us to live forever

[jnk...]

I want everyone to live forever, and I'm not life insurance.

[palerider]

I want everyone to live forever, and I'm not life insurance.

it's gonna get mighty crowded unless you start handing out a lot of condoms.

[jnk...]

Eh. The more the merrier. The earth is big--almost as big as Texas.

[Janknitz]

BTW, if you have a minute, I have a question: Do you have a personal opinion on a rule of thumb for what A1c someone would need to be below in order to be relatively "safe" managing type 2 without drugs and without daily BG testing? I ask because my A1c has for the last year ranged between 5.9 and 6.4 as I've used IF and keto after coming off Metformin. Is staying in the pre range good enough? Or do I really need to find a way to get below 5.7 and stay there? Or is your position that all of this a totally meaningless question without regular direct glucose testing? I am only asking for your personal take, not any party lines or official positions, and I take full responsibility for what I choose to do.

One of the Diabetes group’s I’m in has a nice, colorful chart I can message you or email if you pm me hows that your best chance of escaping Diabetes complications is to stay below an A1C of 5.4 and even better if you can stay in the 4’s. Your doctor probably won’t agree and will want you higher because they don’t believe that diabetic people CAN achieve normal blood sugars and instead think someone that low must be experiencing a lot of hypos. The ADA recommends an A1C in the range of 6-7, they have to sell lots of drugs and diabetes paraphernalia for their corporate sponsors.

[ChicagoGranny]

[Goofproof]

Thanks for the .jpg, I agree with the numbers, too bad I'm two up in the RED, I try to keep foot pain levels down, above 7.5 it strikes hard. I know I should do better, but the rewards aren't worth the payment for going on a food free diet. Not being able to move freely to burn fuel is a bummer. I'd like to get to 7.0, but the loss isn't worth the gain. If my sugar goes under 150 I get weak and feel poorly, at 130 I feel the crash coming on. It's important to realize how your body reacts, with Diabetes no two are the same and it varies day to day, sometimes hour to hour. Jim

[Janknitz]

Thanks for the .jpg, I agree with the numbers, too bad I'm two up in the RED, I try to keep foot pain levels down, above 7.5 it strikes hard. I know I should do better, but the rewards aren't worth the payment for going on a food free diet. Not being able to move freely to burn fuel is a bummer. I'd like to get to 7.0, but the loss isn't worth the gain. If my sugar goes under 150 I get weak and feel poorly, at 130 I feel the crash coming on. It's important to realize how your body reacts, with Diabetes no two are the same and it varies day to day, sometimes hour to hour. Jim

Oy, Jim!!!!

I listen to a podcast called "2 Keto Dudes" for motivation. These guys have reversed their diabetes with a keto diet and they have a saying when they are craving something carby-- "Toes are better than _________." (Fill in the blank with the carb of your choice--they usually say "French fries").

Keto is not a "no food diet" although intermittent fasting can help it along (not required, and you can call it "intermittent fasting" if you simply delay your first meal of the day by an hour or two ).

Can you imagine a day without foot pain? It IS achievable. Yes, it takes some adjustment and it's very HARD. But so is pain, amputation, blindness, kidney failure, heart attack, stroke, dementia, etc. Do you really want to choose those for your hard?

Also, some good reading here: http://diabetesupdate.blogspot.com/2007 ... hypos.html and here: https://www.bloodsugar101.com/what-is-a ... lood-sugar

[jnk...]

Thanks for all your help and all you do, Janknitz!

[Goofproof]

Jim (Background)

Most days breakfast (Noon), Is Coffee or Tea 1 slice of wheat toast, with butter and jelly (TBS) Honey in the drink, 60 units of insulin, N and hot loaded mixed. Dinner 5 P.M., My downfall Normal sized, with pie or cake, insulin 80 units, 30 N, 50 hot. Snacks until bed 1 A.M. then Chili 1 cup, 60 units insulin 30 N, 30 hot. I use Ky Windage to Guestmate the ratio of N to Hot (Fast), depending on my test numbers prior to injection. I keep a second test unit by my bed, and Hershey Fuel by the bed, I tend to wake up if my sugar drops under 125 in bed, usually at 4 or 5 A.M., if it goes wrong. It seems to go low in my sleep, then high again as the hot insulin wears off. Some night it goes well others not.

When working I ate and burned 5,000 cals a day or more, no insulin taken

Pain not too bad as long as I keep the sugar under 250, and A1C under 7.7, when eyes get too bad I cut back on intake, when sugar goes down eyes get better, I use Reader to read 225 to 300, eyes vary every few hours.

The main problem I can't burn off fuel, two heart attacks over 30 years, first one never got treated, laid down in the snow at -5F for 15 minutes, went into shop drank my coffee, went back outside finished my work. basically ignored it. (cold air triggered). Second one silent, waited 3 days went to the ER, put in two stents, sent me home to see if I'd die, I didn't so they did a quad by-pass, went home with a 35% heart working. Never recovered I was better off before the Quad. I could walk 2 blocks before, 40 feet after the quad. The Quad showed me Sleep Apnea, it took 20 minutes to tube me in the OR, but I probably had it 10 years before, the signs were there back then.

Now too much damage to worry about, Heart Problems, hips worn out, knees bad, hernia, Second De-Fib installed, now they want to put in a new heart valve, and ugly too. So much wrong we just fight the battles we face daily and deal with life as it comes, no one repair is going to make life better. Getting Old isn't for the Faint of Heart. Jim