As a follow up to my last blog post, I wanted to dedicate one to what the sensible use of insulin would be with type 2 diabetics. This is not a matter of mere opinion by the way, it is based upon both science and common sense. Conventional approaches to diabetes sorely lack both though, especially the common sense part. We are not permitted to think for ourselves here, but we must.
If you read my series on the site about the work of Dr. Roger Unger, the pioneer in diabetes research, and I wouldn’t even say a pioneer here as it could be argued that Dr. Unger has advanced our understanding of type 2 diabetes more than all other researchers combined, his work has clearly shown that insulin excess is what is behind type 2 diabetes, by elevating glucagon levels which is the hormone that raises our blood sugar excessively.
So in a nutshell, too much insulin ends up producing too much glucagon, glucagon basically has the liver thinking that we are starving all the time and it then pumps large amounts of excess glucose into our blood, and the higher glucagon levels go, the more it pumps.
Now glucagon levels are supposed to be kept in check by insulin, but in the presence of excess insulin, the alpha cells which secrete glucagon become insulin resistant, and how this happens is that the excess insulin causes toxicity throughout the body, and especially in the alpha cells, which become damaged as a result, and then go haywire.
So we can temporarily slow down this excess glucagon by increasing insulin levels, and this is why injecting insulin or taking drugs that increase it will reduce blood sugar for a time, but this increases the level of damage from excess insulin and you end up worse off for it. This is what they call progression of the disease.
So more and more insulin is needed, and it works less and less effectively, and all the while the disease of diabetes is getting worse and worse, but no one is even paying attention to that as all people look at here is short term blood sugar management. This is why short term management of a symptom, the high blood sugar in this case, is a terrible and even dangerous idea, as we just end up getting sicker and paying a bigger and bigger price over time.
It is actually incredible that we use insulin therapy at all to treat type 2 diabetes, as we know that the disease itself results from an excess of insulin over a very long period of time. Eventually insulin resistance develops and worsens, leading to diabetes. We are poisoned by excess insulin over time in other words, why in hell would we want to ever accelerate this progression on purpose? That’s exactly what we do though with conventional diabetes treatment.
Dr. Unger strongly believes that we should never give insulin to a type 2 diabetic, although I do want to say that there may be cases in very late stages where insulin may actually be low, not high, and in that case we may want to normalize it.
The goal of any non insane hormone management is to balance hormonal levels, to look to normalize them, and we don’t want a hormone to be too high or too low. So if it is too low, then it wouldn’t be a bad idea to normalize it, bring it up a bit in this case.
That’s not what we do though, we just shoot people full of insulin with no regard to physiological levels, with no regard to the damage that we are doing with this retarded approach, and even with no regard to one’s levels prior to the treatment. So whether you need it or not doesn’t matter, and the appropriate dosage doesn’t matter either. We’re just dosed to levels which bring down blood sugar.
This all has nothing to do with risks of hypos by the way, hypos are a concern but this isn’t the big problem with excess insulin, an even more menacing issue is the toxicity that this causes over time. Hypoglycemia is an acute state, lipotoxicity and insulin resistance are chronic states which become manifest over time, so it’s easy to overlook those and just shoot for blood sugar lowering.
It is never a good idea to blindly dose hormones though, and we know this clearly, although with diabetes this normal level of concern gets thrown out the window in favor of short term blood sugar management. That’s a terrible idea though and has no basis whatsoever in sound practice.
Those in favor of this will just cite the fact that it does lower their blood sugar for now, but when you bring up the fact that this makes them worse over time, well then they just say well that’s diabetes. So in other words they are saying that they have accepted the fact that they will get worse and worse, and that’s one thing, but our approaches surely affect outcomes, and especially those that clearly affect it negatively, which excess insulin does, without any doubt whatsoever.
So studies are done, people are shown to benefit short term, isn’t this all wonderful? What about longer term though? Well the picture is bleak but what do you want anyway? Well some of us want a brighter future with diabetes and if we’re going to get it then we won’t get there without paying enough attention to long term outcomes.
All pharmaceutical interventions fail miserably, not just insulin therapy, and the reason is that they do not address the underlying condition at all. Our disease is primarily insulin resistance, what do you think will happen over time if we just look to increase insulin resistance?
What we really need to do if we’re looking at insulin is to first determine where we are at, and in most cases we actually will be found to have too much insulin, in which case we now have to lower it, not raise it, if we want to even have a chance of getting even a little better, and not worse. Too much insulin causes insulin resistance, just like too much of any hormone will produce this. Too much is not good, not the treatment goal, unless we’ve lost our minds.
We have though. It’s time to try to get our minds back, one patient at a time.