2.5 years ago I was diagnosed. I was out of shape to begin with. I had just stopped smoking so my diet was worse than usual, I had a new job that was very sedentary, and I was on a rx of decadron for an injury. The decadron brought it on quickly. I started to notice my eyesight was getting worse. I was up all night pissing. I couldnt drink enough liquids. As to top it all off, I had a nasty yeast infection. When I went back to the doc and got tested, my glucose was close to 500.
They immediately gave me a rx for lantis and got me an appt with the Endo. By the time I was straightened out I was on actos+ metformin ( oral meds). 40 units of lantis and about 45 units of novalog/ day. I was 6'5". 310 lbs and about 30% bf. the Endo told me I would probably be on that suite of meds for life. My goal was to improve my fitness to the point where I could drop the novalog at each meal.
I joined the gym and started hitting the weights and made some improvements. In a few months I was pretty strong and had made some progress in reducing my insulin requirements. I always liked moving the weights. However it was clear that I needed to drop weight if I was going to win.
For the next 6 Months it was calories as low as I could stand, very moderate carbs and as much cardio as I could push out of myself.
I bottomed out at 247, 15% bf. I have since gained some muscle back and kept my bf% and panst size the same. I take no insulin and no oral meds. My fasting glucose is very close to 120 and my a1c is 5.3 to 5.6.
I am kind proud of that story. Thanks for listening.
I have to admit, I haven't read this thread in detail. I will go back through it and see if I have anything specific to add. For now, I would say the following:
Improve your body composition as quickly and effectively as you can. Tons of advice on this site That how I ended up here. If you are already 12% bf, then as far as I know, you may be chained to meds, but I can tell you, the leaner you are, the less insulin resistance.
In addition to helping lose weight, low carbs and cardio will help control your blood glucose over the course of the day. My theory is that the easier you can make things on your metabolism (I.e. reducing your immediate insulin reaistance with diet and cardio) , the better chance you have of restoring your glucose control mechanisms over the long haul.
My opinion for what it's worth- if you have to trade off some muscle catobolism to achieve some fat loss and glucose control, it's probably worth it.
Good luck, I'll be following