Suggestions to help reverse severe sarcopenia in older type 2 diabetic
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My father (69 yo) was diagnosed type 2 diabetic after struggling for a year with severe weight loss, ravenous appetite, thirst and frequent urination. He finally went to a doc and had super high blood sugar and A1c. It seems like he’s aged 10 years in the past couple years dealing with this.
He’s been on metformin for a year and it’s hardly done anything to his blood sugar. He’s mostly done his best to manage it by reducing his carb intake and following the typical diabetes managing ideas.
His blood sugar is highest in the AM. More than after meals. Which tells me stress hormones are driving this. His blood sugar rarely goes below 200 and it’s been like this for a year now. He’s withering away and it’s scaring him. Docs aren’t doing Jack ofc.
He recently quit smoking finally after getting hit with a gnarly flu. He still drinks coffee all day while eating minimal carbs, which is likely cranking his stress hormones. I’ve explained it to him. He’s even entertained a Denise Minger talk on high carb low fat for diabetes. But he thinks actually trying that for himself would be crazy.
I take thyroid myself but he would not be open to trying something that out of the box. But it could possibly help him. He’s definitely hypo.
Thanks for reading. Would love to hear some ideas on what we can do
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@BroJonas said in Suggestions to help reverse severe sarcopenia in older type 2 diabetic:
Would love to hear some ideas on what we can do
Hi,
First I'd get informed: Read the book from Jessie Inaupsché to know how to manage food and understand why. But if your father doesn't want to change his habits, it will be useless.
Frighten him by telling him he'll get Alzheimer disease if he doesn't change.Glucose Revolution Jessie Inaupsché
- Alarming results: In healthy individuals, a simple bowl of cereal propelled their glucose levels into a red zone that only diabetics were supposed to reach.
- Calories are not the determining factor in weight gain, all things considered. Understand that +500 K/cal should not be a problem if...
- Moderating the blood sugar peak leads to less oxidative stress, fewer free radicals, less inflammation.
- Walking 10 to 20 minutes after the evening meal reduces side effects.
- Your breakfast conditions your entire day in an unexpected way. Studies show that after a breakfast that causes a big spike in glucose, hunger returns more quickly and blood sugar remains out of control all day.
- The ideal order of foods: fiber – proteins (with fat) – carbohydrates. The fibers ingested first considerably reduce the glucose peak caused by sugar.
- Learn to understand the blood sugar curve, with examples.
https://mirzoune-ciboulette.forumactif.org/t1925-glucose-revolution#26942
(In French, with English links; translator needed)
Site of Jessie Inaupsché:
https://www.glucosegoddess.com
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If he doesn't eat enough macronutrients (proteins) he'll loose muscles.
1.2 - 1.5 g protein x 75 kg weight.
=> collagen powder for half part.
Need a supplement with Vit B complex, Calcium phosphate 500 mg x 2, Vit K/D3, zinc 15 mg , Magnesium bisglycinate 2 g x 2, Vit C 500 mg x 2, vit E 25 mg, selenium 100 mcg 2x/wk.
iodine if he doesn't eat fish: 200 mcg kelp (tablet Now Foods).
But if he isn't convinced he assimilates rather less well, it will be OK Corral (war).
A shake with orange juice and supplements could do the job.Edit: I won't force him. Inform him and see how he reacts. He'll need some time to accept the idea.
He'll need coconut oil for alternative fuel for the brain. begin with 2 tsp/d. Till 3 tbsp if he likes it (mix 1 tbsp in green soup). -
@LucH Thanks. It seems no matter the amount of carb he eats in a balanced meal with fiber his blood sugar always spikes. He follows that sort of approach to manage spikes and gets a lot of protein. But his biggest peak is after fasting all night. His liver is pumping out glucose via gluconeogenesis constantly it seems.
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I agree with @LucH. Jessie Inaupsché (also known as the glucose goddess) has posted lots of images showing the impact of her different hacks for managing glucose spikes. I posted a number of images showing the results of her hacks on her glucose monitor, I posted lots of images at
https://lowtoxinforum.com/threads/observations-from-using-a-continuous-glucose-monitor-jessie-inchauspe.45964/ -
@BroJonas
If the liver is engulfed in fat, hé won't manage well. With glcemia problem there is not much to do.
Potassium from vegetable soup could help.
At night he could get low insuline, just to sleep well. But it won't solve anything. Thé problem will get More serious. -
@BroJonas Yeah he does high fiber high protein low carb meals and it still spikes well above 200. He’s done that all year and it’s gotten nowhere yet. It seems like his liver is constantly synthesizing and pumping out glucose at a base level to try to keep energy balance
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@BroJonas
a post on a high carb low fat intervention study u can show him, https://x.com/cs3000_/status/1907744027748729155 (i wouldnt go 0% though. but fat can worsen insulin resistance, including fat released during overnight fast with the higher cortisol. fatty acids are higher in blood in people with diabetes too not just glucose, high fatty acids impair cells ability to use glucose). low carb hasnt helped because its not fixing anything fundamentallyfirst u could try:
3g-4g of basil (sweet basil) powder or dried leaves in tea , twice a day before meals with carbs (helps blood sugar in human and animal studies. some it fixes fully. effect if its gonna work would work progressively and would show well by about 1 month)& giving 100mg hesperidin a day (i wouldnt go much higher tho) as it helped reverse sarcopenia in aging https://cs3001.substack.com/p/orange-juice-for-muscle-loss-sarcopenia
and 3rd giving some extra thiamine daily might help as re-absorption is impaired in diabetes. cant use carbs well without it. animals avoid carbs when its low. i dont think high doses feel good though and supplements commonly 100mg. even 10mg-20mg is a boost. its 1 need sorted.
then with these a couple days at a time in a measured approach replacing fat with carb intake to see if it creates adaptation and normalises
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@cs3000 Thanks a lot for this. I’ll look into it
He’s got an aversion to basil. But maybe in a capsule he could get it in.
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niacinamide with meals first
add thiaminthen consider biotin and aspirin
keep fruits juice honey nearby in case they drop blood sugar too fast
consider light walking after meals
pufa avoidance obv -
@eduardo-crispino Thanks. He was actually crushing bags of nuts when the condition was hitting the fan. Peeing all day, rapidly losing weight
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So my dads now taking insulin and from the first dose felt better, like more stable standing and cognitively.
He probably needed this a year ago but they only checked his A1C and nothing else for insulin sufficiency.
Hopefully this will help him put on some weight. He’s already feeling like his muscles are working again
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@BroJonas cool. probably should focus on getting pufa out of diet as long as he isn't going to entertain a high carb diet. coconut oil is probably the least bad cooking fat
