PCOS Messages for November, 2001: Re: Difference between IR and Diabetes???

Re: Difference between IR and Diabetes???

From: Renee (anonymous@obgyn.net)
Tue, 06 Nov 2001 20:34:43 -0800

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Maybe in reply to: alvaro's: "Difference between IR and Diabetes???"

I'll try again. Maybe someone else can help too.

We need to do two things. Make insulin and get it into the cells. The pills help with using it. If we're not making it (due to type 1 diabetes, or type 2 with worn out pancreas), then we need the shots of insulin.

I think that your question is that if the oral agent worked in the first place, then why would the pancreas wear out at all. Is that a correct interpretation? Well, no med is perfect (don't we all know that). Medical management isn't perfect; not every doctor monitors things as closely as they should, and modifies treatment as often and extensively as the might need to. (We all know that too.) It's not detected as early as it should be. (Again, we understand that.) So, the pancreas is working hard for a period of time before it's controlled. Lastly, people usually aren't as vigillant as they should be when it comes to their self-management, such as eating exactly the right foods, checking blood sugar as often as necessary, proper actvity level, etc. (Again, we know that too.)

So, if everything was done perfectly, the pancreas shouldn't wear out.

Does this make sense now? Renee

Kristy Sokoloski wrote: >
> Renee,
>
> Part of it makes sense but the last part confuses me. Here's
> the part that confuses me: "Eventually, it might wear out, and
> stop producing insulin. That's when type 2 diabetics need to
> take insulin as well as their oral agents. They need to add
> insulin because they're not making enough, and they can't
> utilize it appropriately, so they take pills".
>
> I understand about the pancreas not making the insulin b/c it's
> worn out (possibly) but it's the rest of this part of your
> message that confuses me. If the Type 2 Diabetic has to take
> insulin as well as their oral agents b/c of the non-production
> of insulin then what do you mean by "They need to add insulin
> b/c they're not making enough, and they can't utilize it
> appropriately, so they take pills"? This sounds confusing to me
> b/c what if the oral agents that the Type 2 Diabetic is taking
> doesn't work at doing what it's supposed to do (put them on
> insulin like they did my mother).
>
> Like I said, I understand the first part but the other part
> confuses me.
>
> Can anyone else help me make some additional sense of what she's
> trying to tell me here?
>
> =====
> Kristy :)
>
> http://www.geocities.com/sokokl/kristyspersonalpage.html
>
> Hoping to be a nurse soon but for now just a Medical Secretary who does a lot of learning from reading on the Net, books, my dr(s), as well as sharing my own personal experiences.
>
> Find a job, post your resume.
> http://careers.yahoo.com
>

-- Renee Cordrey, MSPT, MPH, CWS

---

Don't follow in the footsteps of the masters. Seek what they sought. --Zen saying

Next message: Renee: "Re: Fatigue and what to do about it."
Previous message: anonymous: "OK..please tell me your husband or 'honey' stories again!!! (encouragment needed)"
Maybe in reply to: alvaro's: "Difference between IR and Diabetes???"

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