The Natural Philosopher wrote:
> Mike Easter wrote:
>> Alister wrote:
>>> my HbA1c at diagnosis was 107
>>> with metformin & small doses of insulin my recent results were
>>> 37,36,37 &
>>> the docs are complaining I am too low :-)
>>
>> With such good dietary behavior, maybe you can get rid of that insulin.
>>
> If it's type II you shouldn't be on insulin anyway.

That's a pretty high HbA1c, presuming it is mmol/mol, that's about the
same as 12% by the old scheme.  6.5% gets you the diagnosis.

> I was under the impressions that metformin was for type II and insulin
> for type I

Some people are inclined to be insulin resistant, which includes both
endogenous and exogenous.  The metformin helps mitigate that.  There are
various factors which influence the resistance and metformin isn't the
only mitigator.  Reducing body fat helps as does exercise.

So, the diabetic, incl type 2, may have some deficiency of insulin
output and some insulin resistance.

The whole idea behind all of the strategies is optimizing control for
the individual patient.



--
Mike Easter

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