convicted neighbor Kumar said:Andrew, in the Holy Spirit, boldly wrote:
snip> > > Again, if there is a need for energy, insulin levels will be
lowered.
Quoted message said:
Quoted message said:It looks bit logical that, on exposure of more and continual insulin,
natural(prediabetic/IR case)
or exogenous, resist and restricts energy release from energy stores
which persisting hyperglycemia and/or VAT may compensate?
VAT is pathological.
Do we get many conditions in our body which are some pathological but
beneficial in nett for survival?
There is nothing beneficial about VAT.
Quoted message said:Quoted message said:Quoted message said:May be,
these factors result into overeating. As such, why can't more and
continual exposure of insulin be the basic reason to getting diabetes2
No.
Quoted message said:related problems. In IDDM
there may not be exposure of more and continual insulin, so may get
better control from less insulin ?
IDDM do not typically have better control compared to Type-2
diabetics.
How insulin's effects are different in IDDM and in NIDDM?
No difference in overall insulin effect in type-1 compared to type-2
diabetics except in the size of the effect.
Quoted message said:Quoted message said:Quoted message said:> > > > " Few Insulin's actions:
> > > > Increased glycogen synthesis - insulin forces storage of glucose in
> > > > liver (and muscle) cells in the form of glycogen; lowered levels of
> > > > insulin cause liver cells to convert glycogen to glucose and excrete
> > > > it into the blood. This is the clinical action of insulin which is
> > > > directly useful in reducing high blood glucose levels as in diabetes.
> > > > Increased esterification of fatty acids - forces adipose tissue to
> > > > make fats (ie, triglycerides) from fatty acid esters; lack of insulin
> > > > causes the reverse.
> > > > Decreased lipolysis - forces reduction in conversion of fat cell lipid
> > > > stores into blood fatty acids; lack of insulin causes the reverse.
> > > > Decreased gluconeogenesis - decreases production of glucose from
> > > > various substrates in liver; lack of insulin causes glucose production
> > > > from assorted substrates in the liver and elsewhere.
> > > >http://en.wikipedia.org/wiki/Insulin"
Quoted message said:> > > > In absence of or if breakdown of energy stores are restricted due to
> > > > more and continual action of insulin, how body can derive energy for
> > > > its immediate need?
Quoted message said:> > > If the body has an immediate need for energy, glucose levels will be
> > > lower thereby suppressing insulin release.
Quoted message said:> > What about on exposure of exogenous insulin esp. long acting?
Quoted message said:> Then there will be a higher risk of hypoglycemia.
Quoted message said:In case of insulin resistant people?
Correct.
Btw, insulin is less effective in IR cases and so glucose uptake is
impaired. As such, why a diabetic2 with IR don't get hypoglycemic type
symtoms?
They do when they become hypoglycemic.
Quoted message said:Quoted message said:Quoted message said:> > Moreover this action may vary in insulin resistant cases?
Quoted message said:> The risk would remain.
Quoted message said:May be, therefore a need to maintain energy from persisting
hyperglycemia, IR and VAT's stores?
No.
Sorry but, due to indicated actions of insulin about decreased
breakdown of energy stores, on more and continual exposure of insulin
above thought can persist.
The problem arises from overeating and not from insulin exposure.
Quoted message said:Quoted message said:Quoted message said:> > On breakdown of VAT, whether body gets some immediate energy or not?
Quoted message said:> Nothing clinically significant.
Quoted message said:But the amount of VATs in diabetics can be significant? As such, Why
its breakdown can't provide significant and immediate energy(due to
more vascular as you said)?
By GOD's design.
How much energy we can get from VATs breakdown?
Nothing that we actually need because there are glycogen and SAT
stores which are non-pathological.
Quoted message said:Quoted message said:Quoted message said:> > Whether VAT have more blood circulations than SAT?
Quoted message said:> It is more vascular because of location.
Quoted message said:> May GOD bless you.
Quoted message said:HE MAY as my intentions remain true and pure which may make me getting
HIS graces and resistent to many adversities?
GOD's will be done and not our wills.
We can only do our duty, rest HE will only decide.
Our duty is to seek HIM out, know HIS commandments, and then obey HIM.
May GOD bless you in HIS mighty way.
Prayerfully in Jesus' ever-lasting love,
Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com
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