July 23, 2013
So, I'm wondering since I seem to be low cortisol in the morning if I should try protein only before I go to the gym. Maybe that would make my cortisol kick in..... or, because my cortisol is already fatigued, adrenalin will kick in instead. I don't want adrenalin, that seems to make my blood sugar spike.
I guess it's possible that I'm over thinking everrrryyyything right now. I just want at least a start to a solution.
Well, today is 1 month or 7 days. I didn't meet anybody. The prediction didn't come to pass but there's still 3.5 hours left. I could always meet somebody in my dreams tonight. I'll try to be nice if I do.
Is your blood pressure low by any chance?
Also, I would recommend looking into your serotonin levels rather than hypocortisolemia.
Last edited by Derpamix; 07-23-2013 at 06:52 PM.
He who dares not offend cannot be honest.
It used to run low. Now it just good... Around 105-115ish/60-70ish.
How would I find out about serotonin levels? I thought I depleted most of my serotonin 10+ years ago with all the x I did. At times I've felt my dopamine is low.
I am making a lot of assumptions about what he meant by "water" and "house". Ideally I would need an Assessment and Plan (every doctor visit in history ends with this). You can get this by requesting the record from the office. It's yours, HIPPA says so
Anyway, here goes:
The primary problem with DM and the eyes is that it changes the microvasculature of your retinal blood vessels. Due to the toxicity, your body reacts by changing both the basement membrane of your vessels, as well as have many of what are called pericytes die.
The result of this is that the vessels leak. Blood will begin to seep out of the vessels and into the layers of the retina. Blood is toxic to the retinal cells, and this is "diabetic retinopathy". I am assuming by "water", he meant hemorrhages in the retina.
There are two big "houses", or things that MUST be avoided for a diabetic:
1) Conversion to what is termed "proliferative retinopathy"
2) Macular edema
1) Proliferative ---> Due to the vessels leaking, you actually get far less nutrition to the retinal cells. They become hypoxic, or lacking oxygen, and your body has a way of attempting to fix this problem that is actually harmful: it begins to grow little blood vessel nets to try to supply the starving retina.....these nets are what make your retinopathy "proliferative", and they can be very dangerous. These little vessels can bleed into the vitreous, or they can cause traction of the retina, causing a retinal detachment.....none of this is good.
I deal with people with proliferative retinopathy almost exclusively, and there are 2 options to stop it: Either you inject drugs into the eye directly (lots of fun. I use anesthetic!), or you laser the bleeding areas to cauterize them. We don't want you to ever have to see one of me. Your PCP will flip that one of us is being called, and demand an overhaul of everything EVERYONE is doing for you. All meds will be upped or changed, and a nutritionist will be assigned to you...which is where my nutritionist and I scold you, and in my case, push towards primal
2) Macular Edema ----> In this case, the leakiness of the vessels has caused swelling in the focused part of your vision, the macula....when you look at anything, at a stop sign or this screen, you are essentially pointing your maculas at it. This is the area of max photoreceptors. Without it functioning well, you don't see well, period....the severity of the edema can vary by a lot. Sometimes you won't even notice and only a doctor will pick it up. Others you could get very bad vision out of.
The main job of your optometrist or general ophthalmologist is to ensure that neither of these conditions develop....the eye is neural tissue. Once it is dead, it is dead forever. That is why in medicare it is mandatory all diabetics be seen by an eye doc every year. If it is let alone it can be catastrophic....if these measures fail, you come see me
Try to get any info you can about what condition he is concerned about....regardless, the main thing you can do is to control your BG range. What is the highest/lowest its been in the last 2 weeks? Last Hba1c?
Sorry if that was technical, but I say a derivation of it to all my patients. I don't use analogies only. Details matter, so I tend to give as many as possible. Hope this helps
That was a great explanation. Thank you!
He did give me technical words and details but I was slightly traumatized so I forgot them. My A1C is usually in the 6's but since I've had excessive thyroid trouble in the last year, it's up to 7.3. Being hypo thyroid causes insulin resistance and its been hard regulating during those times. Thats also the main reason I want all this thyroid and hormonal stuff figured out.
Lab work. Hypothyroidism is a big cause of increased serotonin, and signs of an inflamed gut are big indications. You want to check for whole blood serotonin (5-HT) in regards to serotonin.
He who dares not offend cannot be honest.
Thanks Derp! I'll make note to get that check next time I get labs.
So, apart from insulin, is there any other way of treating Type 1 diabetes? I don't know much about it...
You actually don't look like you're eating a huge amount of carbs from what you wrote... it looks like mostly starch and lactose? Is there a reason you don't eat more fruit? I don't think the 1 cheat meal per week is going to screw you up that much... unless you're consuming 10k cals (entirely possible, as we know )
Actually the ranges are a little different. But my progesterone was 1.9 versus my oestrogen of 2028, if you want a ratio
"I think the basic anti-aging diet is also the best diet for prevention and treatment of diabetes, scleroderma, and the various "connective tissue diseases." This would emphasize high protein, low unsaturated fats, low iron, and high antioxidant consumption, with a moderate or low starch consumption.
In practice, this means that a major part of the diet should be milk, cheese, eggs, shellfish, fruits and coconut oil, with vitamin E and salt as the safest supplements."
- Ray Peat