Ugalnom se govori o dva tipa dijabetesa i to 1 i 2. Kada je riječ u tipu 2 dijabetesu, to nije dovoljno još razjasnjeno. Kod tih ljudi se radi o proizvodnji Inzulina ali pod dejsvom tog inzulina ne moze doći do ulaza glukoze u stanicu koja se odvija mehanizmom pinocitoze. Kada se stvori inzulin on putem krvi dolazi do svih stanica. Na stanicama se nlazi mjesto gdje se inzulin veze. To mjesto se zove receptor inzulina. Tih receptora ima veci broj na stanici. Podrazeni receptori dovode na stanici do uvlacenja i pravljenja uvinuca u koga ulazi glukoza iz krvi te se na kraju to zatvori. Ovo je normalni put. Nekad to ne ide tako radi raznih razloga a vjeruje se da je u pitanju razlicite vrste genetskih abnormalnosti. Ponavljam da su razlozi razliciti. Inzulinom koji se proizvodi od beta stanica gusterace nekad je izmjenjen i ne moze izazvati spajanje sa receptora na stanici kao uslov za stvaranje pnocitoznog uvlacenja menbrane i uzimanja glukoze. Dugi razlog se pripisuje stvaranjem autoantitijela u organizmu trotiv receptora inzulinski koji se nalaze na stanicama. Ovi receptori budu blokirani te inzulin normalan koji je stvoren ne moze prileci na receptor te djeluje kao da ga i nema. Postoji i drugi tipovi. Najveca grupa je razvoj rezistencije kod ljudi koji su sa viskom TT te u tijelu imaju visak masnoce koja može izazvati blokadu receptora.
A sad vase pitanje:
Da li neko, kome je dijagnostikovana insulinska rezistencija i propisan gluformin, treba da ga pije celog zivota?
ODGPVOR:
1. Ako mislite na ime lijeka onda postoji isti lijek sa drugim imenom koga proizvode druge tvornice ljekova.
2. Ako mislite da li će te trebati uzimati stalno lije za lijecenje vaseg dijabetetsa, na to pitanje je teško odgovoriti jer postoje razliciti tipovi, razliciti stadiji i razliciti pristupi terapiji. Ja ću vam dati link na kome mozete vidjeti. A sada link:
http://emedicine.medscape.com/article/117853-treatment
Nadam se da sam dao odgovor na vase pitanje.
Sve najbolje Galeb

nasla sam fantasticane informacije o „insulin resistance diet”..

The function of Insulin is to supply the glucose molecules to the different cells of the body. Thus, it plays a significant role in removing sugar from the bloodstream. When insulin does not carry out its function as expected, the situation is called „Insulin resistance”. In this state, the body is not capable to utilize the insulin produced. Thus, a diet that assists in regulating the blood glucose level is desired. Simple sugars and carbohydrates are quickly imbibed in the bloodstream. So, the quantity of sugars, carbohydrates, protein, fiber and fat is planned so that digestion is decelerated and a quick increase in blood sugar is avoided. This is called „insulin resistance diet”.

Insulin resistance diet

A diet low in carbohydrates, moderate in protein and moderate in fat is formulated as the „Insulin resistance diet”. Table sugar, ice cream, honey, alcoholic beverages, fructose, artificial sweeteners should be avoided. Grain products like popcorn, breads or refined grains like white flour products, white rice should also not be included in the diet. However, wheat, whole brown rice can be included in small quantities. Non-starchy vegetables should be planned as the main source of carbohydrates. These may be raw or lightly cooked. In case of proteins, chicken, beef, lamb, wild fish, buffalo and wild fish have to be ingested in medium quantities. Eggs have to be limited to maximum 7 in one week, as the amount of fat is more. Raw nuts like walnuts, cashews, almonds and seeds like sunflower are also allowed. It must be remembered that as the quantity of fat in the milk decreases the blood sugar increases. This diet also includes medium quantities of healthy oils like monounsaturated oils, polyunsaturated oils and saturated fats from vegetable sources. Hydrogenated oils have to be totally absent. Fried foods must be kept to a minimum. Any processed food would hamper the aim of this diet. Carbohydrates should always be consumed along with proteins. Use of salt must be kept to a minimum. Pure water has to be drunk as much as possible. In case of vegetables, the following may be made a frequent inclusion in the diet:

* Avocado
* Cucumber
* Garlic
* Radish
* Peppers
* Spinach
* Tomatoes
* Cabbage
* Turnips
* Mushrooms
* Cauliflower

An example

For one day and one person, the following can be an illustration of Insulin resistance diet.

Breakfast:

* One/Two free-range omelet
* Chopped scallions
* Tablespoon of cheese
* Pepper + Spices + Vegetables
* Apple
* Tea

Lunch:

* Salad with scallions, red cabbage, red leaf lettuce
* vegetables + nuts + walnuts
* sun-dried tomatoes, vinegar, olive oil
* baked wild salmon with spices, garlic and a pinch of salt
* water

Dinner:

* 6-ounce lean range-fed sirloin steak along with garlic and olive oil
* 2 cups of steamed broccoli, onions, carrots, vegetables
* sauce like lemon or lime juice, one quarter cup of tahini
* tbsp of flax oil
* a piece of fruit

Underlying principle

The theme is that carbohydrates in themselves are not hazardous. However, when they are consumed with meager quantities of protein or in very large quantities then problems can be created. So, the ideal ratio is that if 15 grams of carbohydrates are consumed they have to be accompanied by 7 grams of protein. Also, the maximum weight of carbohydrates to be included in a single diet is 30 grams. As stated earlier, there have to be also 14 grams protein. In a span of two hours, if 32 grams of carbohydrates are exceeded, the extra quantity is stored as fat. While planning the diet, the inter-relationship between food, insulin, blood sugar and fat are to be taken into account. The carbohydrates are transformed to blood sugar to be used as energy. When there is sugar in excess, more insulin is released and the excess blood sugar is stored as fat. In people having insulin resistance, the glucose is converted to fat faster than normal people. Hence, it is concluded that the carbohydrates have to balanced by the optimum quantity of protein to maintain a stable blood sugar level.