Type 2 Diabetes: Insulin as a First Resort

Here is a trend that could quickly go mainstream in the treatment of many type 2s: Insulin may become a first- rather than a last-resort drug. Traditionally the initial treatment for type 2 is a sulfonylurea and metformin. In most cases, this combination offers good control from increased insulin production (sulfonylurea) and decrease in liver-produced glucose (metformin). Inevitably, though, the drugs’ effectiveness begins to taper

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Life With Type 2 Diabetes: Too Good to Be True

I’m not sure whether what I’m about to describe is a blessing or a curse. But it’s something I run into with almost everybody I know, myself included: the inability to see our luck or good fortune as clearly as others see it. I just got back from walking my doofus boxer Baxter, a route that often takes me past my neighbor Paul’s house. I’ve

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Life With Type 2: Science Catches Up to Our Experiences

Scientists will tell you that they don’t consider anecdotes-personal stories about something-to be evidence that establishes a fact. Say you have 10 people swear they’ve been abducted by aliens, and all of their descriptions of the kidnapers match. That still wouldn’t be enough for scientists to declare that aliens are real. It would take other types of evidence, not just word of mouth, for the

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Diabetes Health Type 2: Mr. Taubes Upsets The Carbo Cart

Gary Taubes has fascinated me from the moment I first learned about him shortly after I was diagnosed with type 2 in 2003. I soon realized that in some quarters he was seen as a sort of anti-Christ, a menacing liar whose goal was to unravel years of hard work and expert advice from professionals in the field of nutrition and inflammatory diseases. Taubes’ sin?

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Diabetes Health Type 2: Our Vast Numbers Are Our Advantage

I’ve never met anybody who is happy to have diabetes. They may be happy about having successfully adjusted their lives to it. Or grateful that there’s a broad range of drugs to help them deal with it, but no joy about the disease itself. Some of those drugs can be expensive, at least from the point of view of someone who has diabetes. If you

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Life With Type 2: Oh, Happy Surprises!

The other day, sitting in the shade and scratching my dog’s ears, I thought about some of the surprising developments over the past few in treating and managing type 2 diabetes. By surprising, I mean unexpected, unanticipated, serendipitous things that came out of research labs and hospitals from studies that started focused on one outcome but later were found to have some happy side effects.

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Diabetes Health Type 2: The Hypoglycemia That Isn’t There

In the past few years, endocrinologists have recommended easing up on tightly controlled type 2 patients, especially among older people. Much of that advice is an outcome of the ACCORD study from the early 2000s which showed—to the chagrin of almost everybody who either treats or has diabetes—that too tight control over blood glucose levels increased the chance of cardiovascular problems.* For many of us

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