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Diabetes - Type I and II are very different


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#1 calmcookie

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Posted 31 May 2006 - 03:28 AM

Type one diabetes .... sometimes called "Juvenile" or "young onset" or "Insulin Dependant Diabetes" is very different from type 2 diabetes... which is sometimes called "adult onset" or "obesity related" or "insulin resistance syndrome." Trouble, these days, is that even children are getting what's known as "adult onset" diabetes. There's even a term for it - MODY (Maturity onset diabetes in the young). This is caused by childhood obesity. It's unfortunate that these two disorders are grouped under the same name. They are very different disorders. An endocrinologist I once worked with said "they are as different as day and night." For example - Type one typically occurs when the pancreas cannot secrete any insulin ... so the person must have insulin injections to survive. Type 2 diabetics often have high levels of circulating insulin ... but the insulin is not able to function properly, because there's excess fat surrounding the cells (insulin resistance). Type 2 diabetics tend to be overweight, whereas anyone with untreated Type one, would be extremely underweight. Type 2 diabetes can often, literally be "cured" with adequate weight loss .... and many type 2's can get off medication if they start moving toward a healthier body weight (but don't quit any medication without professional supervision and / or without carefully monitoring blood sugar levels). There is no "cure" for Type 1 diabetes ... except for the possibility of pancreatic transplant (replace the organ that is no longer working). Why am I writing this? Just to open a few thoughts about "diabetes." Even if you don't have either type 1 or type 2 diabetes ... the concepts can assist anyone to live a healthier / longer life. From time to time I'll post more about this disorder (if there is any interest). Best to all, C.C.

Edited by calmcookie, 31 May 2006 - 03:29 AM.


#2 maineman

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Posted 31 May 2006 - 06:07 AM

MODY is NOT associated with obesity. This condition occurs among caucasian teenagers and is due to a gene defect. It accounts for 2 to 5 percent of cases. It is a specific disorder.
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#3 calmcookie

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Posted 31 May 2006 - 06:55 AM

Mainman, Since we both seem unable to have a reasonable exchange, I respectfully request that you stay out of my threads. And I will agree to stay out of your posts. I believe it is the only way for both of us to peacefully co-exist in this forum. I stand by what I say ... based on my experience and work with several endocrinologists. THERE ARE MANY DIFFERENT TYPES OF MODY ... with many different causes ... some are genetic. You will not find these with a simple google search. If you wish to disagree ... please do it in a separate post. I wish you well, but have no desire to have any further direct communication with you. Thank you, C.C.

Edited by calmcookie, 31 May 2006 - 07:05 AM.


#4 hiker

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Posted 31 May 2006 - 07:05 AM

CC /Corinne, This is "free" exchange...posters are free to post in any thread. That is why it is a thread...by initiating a thread, you are inviting others to participate...that is the purpose of posting in a public forum. If you demand control over who responds to your public invitation, I suggest you examine your intent...not direct others about their intent. I say this out of my own experience, and do not assume it applies to the perception of you or others...simply my observation. Peace, Steve oh sweet life how it is without strife let us not bring other than life and love to those with life

Edited by hiker, 31 May 2006 - 07:09 AM.


#5 calmcookie

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Posted 31 May 2006 - 07:17 AM

CC /Corinne,

This is "free" exchange...posters are free to post in any thread. That is why it is a thread...by initiating a thread, you are inviting others to participate...that is the purpose of posting in a public forum.

If you demand control over who responds to your public invitation, I suggest you examine your intent...not direct others about their intent.

I say this out of my own experience, and do not assume it applies to the perception of you or others...simply my observation.

Peace, Steve

oh sweet life
how it is without strife
let us not bring other than life
and love to those with life



I accept what you say Steve, but does "free exchange" allow for personal insults ... because that
is what has happened whenever I "debate" with Mainman. He just becomes angry and then makes personal
attacks. So I have learned not to discuss anything with him ... I find it "futile" because I think he believes
he is always correct and that there are no other possibilities.

I just don't think we are able to have a reasonable debate without him making a personal attack. And if someone disagrees with something ... there are also WAYS to say it that are not offensive.

C.C.

Edited by calmcookie, 31 May 2006 - 07:25 AM.


#6 hiker

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Posted 31 May 2006 - 07:23 AM

Corinne - I only know one thing: turning the other cheek is what is required in human interaction...acceptance, not resistance, keeps us in the light. Maineman is a valued contributor on many fronts, just like you. He is to be appreciated, just like you. We are all good. We all are responsible to ourselves, and integrity and choice at this board is "free" for all to see. Make choices carefully because character is exposed.

#7 calmcookie

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Posted 31 May 2006 - 07:34 AM

Corinne - I only know one thing:

turning the other cheek is what is required in human interaction...acceptance, not resistance, keeps us in the light.

Maineman is a valued contributor on many fronts, just like you. He is to be appreciated, just like you.

We are all good. We all are responsible to ourselves, and integrity and choice at this board is "free" for all to see. Make choices carefully because character is exposed.



Yes Steve, character is exposed. My intentions here are, and always have been, sincere. I am not opposed to any debate ... only opposed to personal attacks.
I am not the one who diagnosed another poster as having a mental disorder ... how
professional is that?

Oh ... and Hiker-
"you do NOT only know one thing" :) But far be it for me to nitpick on a detail and
miss the main point of your message. That would be an ego thing - and I agree with the
Dwyer quote you mentioned. I'm outta here ... off to Brussels Grand Place for lunch.

Edited by calmcookie, 31 May 2006 - 07:38 AM.


#8 maineman

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Posted 31 May 2006 - 12:12 PM

For what its worth:

I am an Internal Medicine Physician. I am Board Certified in Internal Medicine. I graduated from a good college and an excellent medical school. I completed 3 years of Internal Medicine Residency at a major teaching hospital. I have been in private practice, solo, for over 2 decades.

I consider trading an enjoyable hobby and probably spend too much time studying and trading. That's how I stumble across TTHQ. I have no vested interest in responding to any posts. I read, I absorb, I choose to comment or not.

From the day I started responding to some of the posts regarding medical topics I was struck by the venom of the responses. If I challenged some of the unorthodox views there were some who jumped down my throat. I was told that all doctors were ignorant dupes who were suckers to big pharmaceutical companies. I was told that my thinking was "wrong" and narrow minded. I was told that scientific study was flawed and useless. I was criticized on behalf of all doctors. I was told that while stitching someone up in the emergency room was okay, all other medicine was toxic and evil. And so on.

When I replied to some posts and tried to explain medicine as I practice it, I was made fun of for being "too technical" or it was assumed by the critics that I was "purposely" using "big terms" in order to intimidate others. I was told that this was what "doctors do". I was told that doctors only want to run tests and poison you.

When I quoted medical journals and studies these responses were dismissed out of hand in like manner for being "demeaning", "useless" etc. etc.

So be it. What I find most interesting is the defensive nature of those respondents. I have no desire to cat fight. I only chose to respond to issues that I felt either would be interesting to share or to clarify. Yet I've been name called, yelled at, derided and lumped together in an overtly adolescent fashion.

Those who criticize my responses here have no idea how I practice medicine. I am considered a superb diagnostician. I still make house calls and sit with my patients in the hospital and nursing homes. I spend inordinate amount of time with my patients. I try to give them the best possible care they deserve and more.

I do not cherry pick people for patients who only eat vegetarian food, do yoga, and exercise every day. I treat anyone who needs the care and attention of an Internist.

I am the most UN closed minded person you will ever meet. I read everything. I study everything. I keep an open mind. I critically try to understand all aspects of medicine. Why in God's name would I withold any treatments from my patients if it were in their best interest? These people are my friends and my neighbors. But I will never give them false advice or phony treatments, either, whether "standard" or "alternative". In my book a diagnosis is correct or its not. A test is either necessary or its not. A treatment plan is either appropriate or its not. Regardless of the problem I have a duty, ethically and morally to answer truthfully. Whether that "truth" is what a person wants to hear or not.

I am held to a very high standard, whether those who deride medicine believe it or not. If I give you false information, even if I like the way it sounds, the patient has the right to sue me for medical malpractice. If an "alternative" health care provider suggests something there is no standard, as there is no rigorous testing, no peer group challenge, no medical reveiw board, no annual educational requirements, no annual licensing, etc. etc. A "feel good" response, a testimonial or two, an esoteric reference in a trade journal and voila, there you have it. And it appears from the responses I've gotten here that when someone does challenge those assumptions they are told to take a hike and find their own "thread".

Anyway, there it is. My guess is that those here who only see black will continue to only see black, regardless. So it goes.

I am not the enemy.

maineman
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#9 TTHQ Staff

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Posted 31 May 2006 - 02:07 PM

I, for one, appreciate all posts here, whether they are about *alternative* methods or those practiced by licensed practicioners. After all, everything that is now AMA was once a historically alternative method, no?

That being said, this board is not a place to take put your animosities nor personal disagreements on general medical advice. Much like the FF Board, no one here is to be assumed to be giving nor soliciting specific medical or psychological advice. Unless the person responding to you in a thread is your personal physician, internist, doctor, psychologist, psychiatrist, or veterinarian-- it is to be taken with a grain of salt (not a medical recommedation). Therefore, any and all statements must be taken generally.

Medicine and health issues are not mathematical.
In practice, 2+2 does not equal 4 for everyone.
Sometimes it's a lot more like theoretical calculus.

This board is a place to relax, learn, and get yourself healthy and stress-free.
Arguing accomplishes none of the above.

There is an *ignore* feature. Either use it, or respond behind the scenes via PM. Personal attacks are NOT PERMITTED. This applies to everyone equally.

Thank you.

#10 OptionTrading

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Posted 08 June 2006 - 01:15 AM

Type one diabetes .... sometimes called "Juvenile" or "young onset" or "Insulin Dependant
Diabetes" is very different from type 2 diabetes... which is sometimes called "adult onset" or "obesity
related" or "insulin resistance syndrome." Trouble, these days, is that even children are getting
what's known as "adult onset" diabetes. There's even a term for it - MODY (Maturity onset
diabetes in the young). This is caused by childhood obesity.

It's unfortunate that these two disorders are grouped under the same name. They are very
different disorders. An endocrinologist I once worked with said "they are as different as day
and night." For example -

Type one typically occurs when the pancreas cannot secrete any insulin ... so the person
must have insulin injections to survive. Type 2 diabetics often have high levels of circulating
insulin ... but the insulin is not able to function properly, because there's excess fat surrounding
the cells (insulin resistance). Type 2 diabetics tend to be overweight, whereas anyone with untreated Type one, would be extremely underweight.

Type 2 diabetes can often, literally be "cured" with adequate weight loss .... and many type 2's can
get off medication if they start moving toward a healthier body weight (but don't quit any medication
without professional supervision and / or without carefully monitoring blood sugar
levels). There is no "cure" for Type 1 diabetes ... except for the possibility of pancreatic transplant
(replace the organ that is no longer working).

Why am I writing this? Just to open a few thoughts about "diabetes." Even if you don't have either
type 1 or type 2 diabetes ... the concepts can assist anyone to live a healthier / longer life.

From time to time I'll post more about this disorder (if there is any interest).

Best to all, C.C.


I know several people with diabetes, all having got it for various reasons.

Thanks for this info, its a great starting point for people who are not sure about the disease.