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URL:  https://boards.fool.com/outstanding-susan-doing-whatever-youve-done-to-19400328.aspx

Subject:  Re: Off of insulin! Date:  8/1/2003  4:17 AM
Author:  jimpiccard Number:  232 of 2920

Outstanding, Susan! Doing whatever you've done to get this far is great..and will pay great dividends. Insulin that has to be piped in (via needles) or or more forced out (via, for example, orals like I used to take) is 'bad'; increases insulin resistance (not the direction we want to go!), increases weight (same comment), and guarantees more too-low lows.
WELL DONE!!!

>>Three months ago he said I should consider taking an ACE inhibitor and a statin, but this time he said things were looking like I could put those off for a while. I am very happy about that.<<

Errr.....not sure about that; though I don't know your age and other stats et al. If you were a Type-II, obese male in his 40s or more (not that I know any of those, understand), I would, all things considered, Disagree with that conclusion. Especially the statin; but even the ACE inhibitor.
Look, not a 6-month period goes by without someone, somewhere, finding out that statins, in general, seem to have yet another positive effect on the over 40 crowd (and definitely the over 50 crowd. The British National Health Service, for example, is seriously considering making taking a statin over 50 as 'standard'). Anyone who is a Type II diabetic...especially males...are, BY DEFINITION, at-risk individuals. As my own PCP put it, 'you're male, type 2...you already have heart disease; you've already had your first heart attack. And we base everything else on that'. (I haven't had a 'real' heart attack, per se, yet. If/when it comes, it will come against a heart that's already 'suffered', is what he....and the Diabetes Association...are saying).

My spouse has MS; there are even indications that a small dose of statin...'particularly in women over 50 with MS'-- will end up being 'indicated', according to the head of the UMich MS Program at a seminar he gave last week. He said he has a low threshold, therefore, in putting his female patients on low-dosage statin even with 'ok' cholesterol (meaning he has no problems putting them on it unless contraindicated by something else). (Also keep in mind: 'ok' levels of cholesterol generally need to be even stricter with Type-II diabetics, anyway). And, while all drugs have side effects of some sort, so does NOT taking them, sometimes. Keep in mind, before 1900, the word most commonly used to describe the 'average' Joe like me (i.e., male, 48), was 'dead'. We're living longer; but we've got to live smarter, too.

Statins are now the most prescribed drug in human history; and it looks like they will continue to grow in usage. Small-dose usage by people who clearly already have a risk factor...and Type-II diabetes is one of the biggest ones....is erring on the safer side, in my view (all things considered of course).

Regards,

JP

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