Several times replies to this post have mentioned that with type 2, there are horrible complications if it's not taken care of properly. And does the reverse hold true? If someone insisted he/she took care of the diabetes properly for years,but is suffering kidney failure, heart disease and strokes, is that still a sign we can judge that person as not really having a good history of care? What if Paula Deen admits next that she also has heart disease?
That's a good point as there are a lot of people without diabetes who have heart disease, kidney disease, strokes and other stuff. I think the neuropathy, retinopathy and amputations are skewed wildly towards people with both kinds of diabetes. I would think that it may tend a bit more towards T2 b/c of the peculiar manner in which the medical industry lets people sail along in the 140 range, where they can do damage, without coaching patients on attacking it aggressively?
Well, it seems to me that docs are sort of forced into watching T1s very carefully, because you can get into deep trouble really quickly. Plus there is definitely a social bias, from which docs are not immune, toward young, slender, attractive people and away from obese, older, and "unattractive". They are perceived as being uncooperative, but when you talk to obese people, most of them have hit their heads against the wall trying until they can't see through the blood. It's just that the simple admonition to lose weight and exercise is NOT very effective. And T2 meds are no picnic, either, so there is no easy way out, and both patients and docs get frustrated and give up.
I just read an article that said that if T2s are given good education in weekly sessions in the beginning, they meet goals far better than those whose docs say "see you in 6 months". That points to a definite onus on the medical profession, IMHO.
Picklebird, complications are a game of craps for both types. No one really knows why some people get complications and other don't -- all they know is that if you keep your A1c low and your BGs stable, you lower the odds. But it will always be a gamble. Ya pays yer money and takes yer chances -- and all you can do is try to make sure you have the best chances possible. Wish it weren't so.
When I weighed 275 lbs, I scoped out the docs "glamour pics" on the website @ the clinic and picked the heavier ones to go see. I give him a lot of credibility for 1) helping me a lot w/ my BG, despite "just" being a GP and 2) always saying "well, just like me, you need to lose weight, your're not quite morbidly obese, but you're close". I didn't really solicit a lot of help from him when I started to turn things around. I think that he probably thought I was nuts for sticking with R/NPH until 2008 but, once I saw the A1C going in the wrong direction and said "I want a pump" it was off to the Indian endo, figuring correctly that she would be easier to get in to see than the middle-aged white guy, "head of endocrinology". I can add how I choose doctors to my weird habits!
WOW AR! I had not idea that you had lost so much weight. You've been the active healthy eating guy here in my eyes -- I never even consdiered that this was a change from other behavior. Good for you!
Thanks! It wasn't so much "other behavior" as "more carbs"? I guess the exercise is there too. I think that's more to feel stronger and more balanced than it is to lose weight but the weight is certainly nice. It's much easier to run at 180 lbs than 235!