Sensilun

how long can you muscle insulin resistance before it caused damage to the pancreas?

silly, ‘how long is a piece of string’ question but humour me anyway – one of the pissheads in the corner bar=pub (learning to speak american) has told me that he has experienced inability to read and has stinging under the toes ( this last in response to a prompt)
don’t want to make a fool of myself by telling him to book tests, but i have another friend crippled by frozen shoulders and calves from excess drinking

I am not at all certain what your question is. A ‘frozen shoulder’ in medical terms is adhesive capsulitis. It has nothing to do with alcohol consumption. Inability to read is rather vague. It is true that a diabetic with poor control of their glucose may experience blurred vision and eventually retinopathy (damage to the back of the eye) leading to loss of vision. Hyperglycemia has been linked to cataract formation as well. The ‘inability to read’ is again rather vague. Most visual problems are refractive errors which require glasses. If the inability to read was abrupt in onset with eventual complete resolution this requires an examination of the retina of the eye. Potential problems would be a retinal tear or detachment and retinal artery occlusion among other possibilities. ‘Stinging under the toes’ is also too vague to offer a serious opinion. Again diabetics with poor control may develop nerve damage known as neuropathy. Neuropathy may present as numbness, tingling, or pain and any variation of these may be seen at various times in the course of the disease process. Insulin resistance associated with type 2 diabetes does not cause damage to the pancreas directly. Instead insulin resistance causes the pancreas to produce more insulin in order to over-come this resistance. Eventually this added burden to the beta (insulin producing) cells of the pancreas eventually ‘burns’ them out and the diabetic must take insulin in order to manage their glucose levels. Insulin resistance is seen with cells other than muscle cells but the latter are of a greater concern. This is because the muscles are the cells which consume most of the glucose in the circulation. I rather enjoy British English and there are actually Pubs in the US. The medical care available in the UK is far superior to that which you will find in the US although the latter is considerably more expensive. If I may be of further assistance please let me know. I answer health-care questions free of charge as a public service. My email address is listed with my profile. I wish you the very best of health and in all things may God bless.

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What is a Glucose Tolerance Test like?

I’m haveing one tomorrow and i’m nervous. I want to know the truth, whatever it may be. I’m having a two hour glucose tolerance test to check for insulin resistance, my doctor thinks i have it. Also, does Insulin resistance mean i have to give myself insulin injections?

GTT is pretty simple. The drink they give you is sweet – to me it tasted like full strength cordial (wikipedia tells me its called squash in the US). You have to stick around without moving for the 2hours so take a book or a newspaper. And if you have only have one good vein like I have, make sure you put lots of pressure on the site so it doesnt bruise.

Insulin resistance means the problem isn’t with your pancreas but with your cells. Insulin injection would not help (unless your pancreas has ‘brunt’ out and stop producing insulin, but that would be evident from a fasting test). If you are insulin resistant, most likely you will be put on medication such as metformin which increases insulin sensitivity and given a referral to a dietitian or diabetes educator.

So its all pretty simple and nothing to worry about. If you catch diabetes early you will avoid complications in the future.

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Does propranolol lead to insulin resistance?

I am worried about stopping propranolol (my bp is rarely below 190/110) and GP has recently had dose increased to 120mg per day. However, my weight is out of control and I suffer badly from blood sugar problems (which means I need to eat every 3 hours or I get panicky and sweaty) I have gained almost 5 stone over 8 years – can someone out there please give me some advice. I have been tested for thyroid and diabetes which came back as normal. I do struggle with dieting but even on bad days I rarely eat more than 2000 cals.

I am also on hrt following a TAH and my gp has just given me olestra with the result that I have actually gained another 2lbs despite eating only 30g of fat per day. What is going on?

Please be aware there are a large number of people on this site telling people to try acai berry please be aware of this in the first place As far as I am aware propranolol does not lead to insulin resistance. The only thing I can suggest is try looking at the GI. This measures how quickly the carbohydrates in the food are broken down and absorbed into the blood as glucose. Some diabetics have found that be watching the GI content of food that they gain better blood glucose control and lose weight, therefore you may find that this system works for you (see the web site below for more information)

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two months late and neg test!!!! ( last period sept 28th)?

I have taken home tests and two doctors pee tests, all negative. I had my pap smear done sat and explained to the gyno, whati thought it was….she prescribed me provera ( to start period) and ordered a throid test and insulin resistance test. Test for those will be on the 21st…..not taking any medications including birthcontrol…..any ideas? apart from stress?

If you are over or underweight, you can skip periods.

Have you ever heard of Polycystic Ovarian Syndrome? That can also cause you to miss your periods and have extremely long cycles.

Going to the doctor was a good idea. You should ask them to check your hormone levels as well as your thyroid and blood sugar levels.

Good luck!

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Do I have insulin resistance?

Someone just told me that they think that I "clearly" have insulin resistance. I would like the opinion of others on this. I took the Glucose Tolerance Test for pregnant women (i.e., I had to drink 100 ml of glucose and then have my blood drawn every hour). My fasting number was perfectly normal (73). One hour after drinking that stuff, my blood sugar was 136. I understand that was a really good number as well, because normal is under 180. But then, inexplicably, my blood sugar kept RISING instead of going down. By the end of the GTT (i.e., 3 hours after drinking all that glucose) my reading was 170.

From what I’ve read about insulin resistance, people that have it will have their blood sugar spike and stay high, leading ultimately to some sort of a crash several hours later. In my case, my body did just fine processing the large glucose load… at least at first… and THEN my blood sugar started to rise to weird levels. Am I missing something? (I’m not afraid to be told that I am; that’s why I’m asking)

My blood sugar readings are always in the normal range (generally in the 70s and 80s), although I have gotten some numbers in the 60s, 90s, and sometimes (but rarely) in the 100s.

I am not overweight (unless you want to call being pregnant overweight); I exercise regularly; and with some exceptions I generally eat healthy. My entire life I’ve never been able to eat much in the way of sweets because they make me feel sick.
p.s. My doctor thinks my GTT test results were because my body had a stress reaction to having that much sugar at one time. That’s why I brought up the fact that I’ve never been able to eat much in the way of sweets. My doctor doesn’t think I have diabetes, and she doesn’t seem to think I will get it in the future unless I totally get crazy with my weight and diet and gain like 300 lbs. I trust my doctor completely, and tend to think she is telling me accurate information. But the "someone" that told me I am insulin resistant thinks my doctor is crazy and I need to find a new one… that’s why I am asking for other input.

The 170 is concerning, and it is really best to consult your doctor on such issues especially given that you’re pregnant. If you’re really worried about this, ask for a referral to an endocrinologist who specializes in gestational diabetes. They would be better able to figure out what your chances are, if any, of developing diabetes at any point.

As a side note – eating sugar or sweets does not cause diabetes. Sugar has absolutely nothing to do with the development of diabetes, so steering clear of sugary snacks does not mean that you are in the clear when it comes to the potential of developing type two diabetes. Continue doing what you’re doing – eat healthy, exercise (I’m sure there are some exercises you can do while you’re pregnant!) and look into this!

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