Stooo wrote:Canary wrote:
BIB - surely you're not laying the blame squarely on the shoulders of the patient alone? It isn't your style to generalise like this. Has someone nicked your PW? Yes some patients are incompetent, and some youngsters rebel. But what about diabetics who are brittle, or those who have a degree of insulin resistance? Such difficult cases tax the finest minds amongst the medical profession and they still cannot find a solution, sadly.
I'm going by personal experience. Insulin resistance hasn't been proved and the brittle symptoms appear to be the result of poor management. Like most people I tend to get opinionated when the subject matter is close to home.
T2 tend to be insulin resistant, so they produce a lot of insulin, but it's not going anywhere , eventually the pancreas wears out so they may need insulin or a drug that stimulates insulin production.
T1 can also become insulin resistant over time, so we do have “double diabetics”
Brittle diabetic is a bit more confusing, it's sort of a medical short hand for “you are fucked if you don't sort your shite out”, but a small subset of T1 find good blood sugar control impossible for some unknown reason