Type 2 Diabetes

 

My Objective

          I was over weight and obese with obvious belly fat. My fasting glucose levels were higher than normal, every now and then, but no doctor sent me for a check-up to see whether I am diabetic until recently my cardiologist said it is good to check for diabetes. My fasting glucose was 7.9 and after 2 hours of sugar drink became 17.3 mmol/L. The normal fasting level is 3.0 - 6.0 and after 2 hours should not exceed 3.9 - 11.0 mmol/L He told me that I was not pre-diabetic but have been having Type 2 Diabetes for some time already.

         I can only assume that most doctors are not fully aware of Type 2 Diabetes or they do not see it as their responsibility to warn the patient about it. They are very up-to-date with their own specialization.

         The reason why I went to the internet to learn more about Type 2 Diabetes was because 2 of my university colleagues were blinded by the disease, one has his leg amputated and another is on kidney dialysis. Type 2 Diabetes is a very serious long-term disease.

         From what I have learnt anyone who is obese with belly fat and over weight should check for Type 2 Diabetes. It is such a simple test---Take the glucose test and drink the sugar water, wait for 2 hours and test for glucose level again. It is good to make sure that one does not have Type 2 Diabetes.

 

Introduction

Nowadays, Type 2 Diabetes and obesity have reached an epidemic proportion in the world with 60 - 70% of the developed world population being affected.

The food we eat are carbohydrates, proteins and fats. They are converted into glucose or sugar. Glucose or sugar is a main source of energy for the body cells. 

Type 2 diabetes is a condition that affects the way our body metabolizes sugar (glucose).

With type 2 diabetes, our body either resists the effective functioning of insulin — a hormone that regulates the movement of glucose into our cells — or doesn't produce enough insulin to maintain normal glucose level.

 In other words, Type 2 diabetes develops when the body becomes resistant to insulin or when the pancreas is unable to produce enough insulin. Exactly why this happens is unknown.

 

The pancreas secretes insulin

The pancreas secretes insulin into the bloodstream.

The flow of insulin enables sugar to enter into the cells.

Insulin lowers the amount of sugar in our bloodstream.

Insulin is a hormone that comes from the pancreas. When we eat frequently, by snacking, our pancreas keeps producing insulin. Frequent eating produces more insulin, the more insulin that is produced the more fat that is stored; the more stored fat, the more obese, particularly around the belly.

In type 2 diabetes, instead of moving the sugar into our cells, the sugar builds up in our bloodstream. As blood sugar levels increase, the insulin-producing beta cells in the pancreas release more insulin but eventually these cells in the pancreas become impaired and can't make enough insulin to meet the body's demands.

 

The liver stores and makes glucose

         Glucose comes from two major sources: food and our liver.

          Our liver stores and turns sugar into glucose.

         When our glucose levels are low, such as when we haven't eaten in a while, the liver breaks down the stored glycogen into glucose to keep our glucose level within a normal range.

         If we don’t eat, our body will simply “eat” its own glucose and stored fat for energy.

 

Complications of Type 2 Diabetes

Type 2 diabetes can be easy to ignore, especially in the early stages when we are feeling fine. But diabetes affects many major organs, including our heart, blood vessels, nerves, eyes and kidneys. Controlling our blood sugar level can help prevent many complications.

Although long-term complications of diabetes develop gradually, they can eventually be disabling or even life-threatening. Some of the potential complications of type 2 diabetes include:

 

Current Treatments for Type 2 Diabetes

1. Bariatric surgery - to reduce the size of your stomach to a small pouch.

There are 4 types of minimally invasive bariatric surgery:

 

2. Liposuction Surgery

Where fat cells are sucked out of the body by a cannula connected to a suction device. Liposuction's main purpose is to remove fats via suction.

 

3. Medicines

 

4. Changes in lifestyle include:

         Lifestyle changes can slow or stop the progression or cure Type 2 Diabetes.

 

5. Eat Less and Intermittent fasting

          I am obese and have Type 2 Diabetes but I am not in favor of surgery or medicine. Therefore, I decided to try to lose weight and cut down my belly fat by eating less and with intermittent fasting. I am doing this after I went to the Internet and read and listened to the following:

Dr Jason Fung on Intermittent Fasting

Dr Jason Fung How to Reverse Type 2 Diabetes

Dr Michael Mosley on Type 2 Diabetes from YouTube

Dr Dean Ornish on Reversing Chronic Disease with Lifestyle

Dr Neal Barnard on New Approach to Type 2 Diabetes from YouTube

Dr Aseem Malholtra on Dietary Changes and Heart Disease from YouTube

Dr Nadia Mir Ali on Optima Diet for Humans from YouTube

Dr Mark Hyman with Functional Medicine

Dr Danielle Berlardo on Nutrition Round

Dr Eric Berg on Myth about Blood Sugar and Diabetes from YouTube

Dr Roy Taylor on Type 2 Diabetes from YouTube

 

My Weight Loss Results

On 4/9/19, I saw the diabetic and dietician nurses. My weight was 73.2 kg and I started to eat less and according to the dietician planned diet.

On 24/9/19 I saw the diabetes doctor at SGH and my weight was 71.3 kg.

On 17/10/19, I started to do intermittent fasting by not taking breakfast.  My weight on the morning of 18/10/19 was 68.9 kg a loss of 4.3 kg for the planned diet of 44 days.

On 25/10/19 my weight came down to 65.2 kg. In 7 days and with a 18:6 hours fast, my weight went down by 3.7 kg.

I use Accu-Chek to prick my finger for blood sample to monitor and LibreLink patch to monitor my glucose level continuously for 24 hours for 2 weeks every now and then. My glucose level was within the normal range of 4 – 10 mmol/L.

 

Written on 25 October 2019