Suggestions to help reverse severe sarcopenia in older type 2 diabetic

LucH

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).

BroJonas

@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.

DavidPS

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/

LucH

@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

@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

cs3000

@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 fundamentally

first 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

BroJonas

@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.

niacinamide with meals first
add thiamin

then 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

BroJonas

@eduardo-crispino Thanks. He was actually crushing bags of nuts when the condition was hitting the fan. Peeing all day, rapidly losing weight

BroJonas

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

@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