So it’s been a year since I was first diagnosed with Diabetes Mellitus Type 2. I figure this is a good time to refresh what this series is all about. The most obvious question is, what is the difference between Type 1 and Type 2? A Type 1 diabetic has a basically impaired pancreas; it is unable to produce insulin, which is used to regulate the metabolism of carbohydrates and fats. Without insulin, glucose gets accumulated in the bloodstream which makes it toxic. Type 1 diabetics need insulin from an external source, otherwise they will die. [Wikipedia]
Type 2 diabetics, on the other hand, are insulin resistant. Cells in the body are unable to use insulin effectively, leading to high blood sugar. The pancreas produces even more insulin as a response, which leads to high blood insulin levels. Initially Type 2 diabetics don’t need external insulin, but might need to eventually if the blood sugar levels are not managed properly. [Wikipedia] This is what I have, and so far I am able to manage it adequately that I don’t need to take insulin yet (and hopefully will not ever need to!). I of course went in for my quarterly check up and blood tests, and here are the latest results.
Unfortunately my latest results did not show as great an improvement as the previous quarters, which means I have reached a plateau. In fact, my FBS (fasting blood sugar) and Triglycerides are slowly creeping up, which are bad. My liver ultrasound showed no worsening or improving of my liver situation; it is still fatty. My doctor says that my current maintenance medicine is already at the maximum he’s willing to prescribe. He did not really change my medications except to add a midday pill that contains a very small amount of what my other meds have. I’m also supposed to increase my exercise even more.
I’m beginning to feel the effects of the plateau. I have already been sick twice since 2016 started, which is not really a good sign. It’s also harder to throw off simple things like colds, and takes me longer to recover. My doctor says this is a direct impact of the Type 2 Diabetes, since it is an auto-immune disease. I really need to be more careful and make sure I am well protected. I’m generally watchful of what I eat, and I don’t really eat a lot of sugary stuff. What I need to improve is the intake of carbohydrates, which is what I find more challenging.