Whats your BMI? this is Namaha's idea on es... - Diabetes India
Whats your BMI? this is Namaha's idea on establishing how many type 2's are lean, multiple choice poll so please select BMI and T1 or T2.
44 VotersPlease select all that apply:
Hi
I filled in my BMI but saw no option to select diabetes type? Must have Missed it but didn’t see it on my screen??
Miles
Thanks Jerry & Leah for the poll.
As per WHO, the BMI reference range for human beings is 18.5 to 25.
Below 18.5 is termed as under weight and more than 25 BMI is called overweight.....
More than 30 BMI is called obese !
But in actual practice for diabetes , we don't distinguish between obese and overweight.
More than 25 BMI actually calls for reducing weight. These people can very well control their type 2 with diet , exercise ,IDM/ IF. In all probability , they may have high blood insulin levels. If it is so, medicines may not be required. At best they can perhaps take Metformin keeping their respective physician in the loop , to help improve insulin sensitivity and help in their weight reduction journey....
We find, 8 out of 36 are below 21 BMI. These may be called as thin type-2 and may carry risk of low insulin levels .which they need to confirm through fasting insulin and c- peptide test and also HOMA B. Thin type 2 in our poll works out to 20% which is in line with the world diabetic population....
In such a scenario, they need to see their doctor and perhaps they either need to be on an insulin secretagogues drug or injectable Insulin...
For an obese type 2, the solution perhaps lies in weight reduction and enhance insulin sensitivity where as for the thin type 2 , the solution would perhaps lie in puttimg on some weight which could be possible by an insulin secretagogue..
BMI 21 to 22.5 also needs to see if some of them come under thin type.
Disclaimer : this is for information only..please consult your physician before you take any medicines.
My BMI is 20.9 and am 77 yrs old and type 2 diabetic since one and half years.
Are you on any medication?
What is your diet like?
Any life style change?
Blood test numbers?
Answers to the four questions can generate a good discussion!
In the first place, I am sorry for my late reply as I have undergone cataract surgery for both eyes last week and recovering from the same. Before I answer your questions, let me tell you about my history. I was non-diabetic till the age of 75 yrs and my HbA1C was 5.0 six months before I was diagnosed diabetic. Suddenly, something happened and I became diabetic in January, 2018 and my initial values were shocking. FBS : 430; PPS: 750 and HbA1C 17.3. Then I was on insulin for two weeks and since I responded well, I was taken off insulin and put on tablets, After seeing further improvement, my medicines were reduced and I am continuing the same till today.
My HbA1C journey has been as follows: 17.3 , 6.5, 6.1, 5.9, 6.2, 6.0, 6.1, 6.4. It keeps fluctuating around this value.
Are you on any medicines? Yes. I take Reclide XR-60 1-0-0;
Reclimet 0-1/2-0; Tenebite 20 1-0-1.
What is your diet like? My diet is a typical south Indian vegetarian diet. My breakfast usually consists of idli, dosa, moong dal dosa, omelette toast, sandwich etc. depending on the day. Lunch is usually one roti, one cup brown rice, vegetable, sambhar or dal, yoghurt. Same with dinner. I know our diet is rich in carbs but that is the way it is in our families. Our microbiome is used to it.
Any life style change? The only life style change I made is I walk a minimum of 8000 steps a day now instead of 4000 steps before I became diabetic.
Blood test numbers: I have already given my HbA1C values during the last 18 months. In addition to this, I can give you the following details: serum triglycerides, 90.87; serum total cholesterol, 127.27; serum LDL, 65.71; serum HDL ,54.07; serum VLDL, 18.17. This was six months back.
I hope I have answered all your queries.
Thank you for your response. You have answered the questions, protect your eyes by wearing dark glasses. When I was in India, I saw an Amma wearing dark glasses and begging, I spoke to her about cataract surgery and she was happy, understand cataract surgery because I had both my eyes done 2 weeks a part and I was out of action for 4 weeks! by the what type of new lenses did you go for both eyes?
You had a very high HbA1c!!, I am happy to see it is under control. Your lipid numbers, I take it you are not on any cholesterol lowering numbers.?
You are doing very well, please continue with your diet control and exercise.
My HbA1c is just over the reference level in UK at the moment but 6 years ago it was high and life style change an regular exercise has helped me to bring the HbA1c down., I go for once a year blood check, eye check and foot check. Do you go for foot check?
I have got multifocal presbyopia-correcting IOL implanted in both the eyes. It has been about five days since my second surgery and I am feeling fine. I am able to read newspaper comfortably, watch TV from a distance of 20ft and read the small letters on the bill boards on the road etc.
I take one tablet of anti-cholesterol drug of 10 mg. I get all tests such as Renal Function Test, Lipid profile, complete blood count etc. once in a year and more often if necessary. I do go for eye check-up for retinopathy etc. once in a year.
Converted your lipid numbers to UK level to get a better understanding, all the numbers are within UK guide lines. Your life style change is helping you!!
If you tell some more details as requested by Sandybrown , may be we can give our views...
I have replied to Sandybrown. You can see the same.
Dear SRK1942
Yes, I have gone through your response.
All the medicines prescribed by your doctor are aimed at Insulin secretion.
From your BMI , it appears you are in consistent with the features of thin type-2 diabetes who normally have low insulin secretion from pancreas.. these people tend to remain lean and thin due to inefficient metabolism of all Macronutrients such as Carbs, Protein & Fat...
(1) Have you ever checked your fasting insulin level without drugs....
(2) However, i think there is a scope to minimise your insulin secretagogue drugs by suitable modification in your diet and exercise... May be post meal you may walk /do physical exercise...
(3) Tenebite is teneligliptin - a DPP4 inhibitor is a newer class of drugs - not yet approved by USFDA and Europe.. However approved only in Japan, Korea and India...
Drug is not yet proven all over the world...it may lead to skin blisters and Bullous Pamphigold.. please be alert...
And no need to take twice daily.. once daily should be ok...you may substitute with Reclide.. or even injectable insulin may be a better option with least side effects as nowadays doctors do recommend exogeneous insulin in stead of too many Oral drugs combination ....
It is only for your information.. please don't do any self medication..... You may please consult with your physician before making any chages with your existing medication..
Thank you for your feedback. I do walk a little bit after lunch and dinner in the house in addition to morning and evening walk.
Also if you are taking a statin as recommended by your doctor and if it is Rosuvastatin, no need to take 10 mg daily..
At your age, you may be able to control your cholesterol by diet and exercise... And if required it should be a low dose , may be 2.5 mg to 5 mg.. long term high dose Statin can lead to side effects such as chronic pain in muscles , it can also increase your blood sugar at times....
