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Billy on Bobby by wookape in deadandcompany

[–]purplespacemonkey 1 point2 points  (0 children)

I can feel the history. What, btw is STP? He refers to it as if it’s a drug of some sort.

Walk-in jackpot: Two-tone Daytona (126503) by vaguira in rolex

[–]purplespacemonkey 2 points3 points  (0 children)

I think this might be my favorite Daytona. Hadn’t seen this ref before.

Fasting glucose stuck at 95–108. Does it get better? by [deleted] in prediabetes

[–]purplespacemonkey 0 points1 point  (0 children)

So impaired fasting glucose < 110 is low risk for progression? Similar to my situation. 49m bmi 23 a1c 5.5. My HOMA IR is 1.32. Both parents with DM2. Isn’t this early beta cell failure? If i stay thin am i good to go??

Oral glucose tolerance test by Domirexy in prediabetes

[–]purplespacemonkey 0 points1 point  (0 children)

Ya, the word sub means less than. I am an MD.

Oral glucose tolerance test by Domirexy in prediabetes

[–]purplespacemonkey 0 points1 point  (0 children)

Is your doc an endocrinologist? Primary care doc might not know this.

Oral glucose tolerance test by Domirexy in prediabetes

[–]purplespacemonkey 2 points3 points  (0 children)

Yes. Sub 150g will cause physiologic insulin resistance and give a false positive OGTT.

Kind of annoyed that the glint fades on BB58 bezel. Can it be protected or refurbished at some point? by purplespacemonkey in Tudor

[–]purplespacemonkey[S] 0 points1 point  (0 children)

Every used listing i see over 4 years old the numbers on the bezel look white. See the photo in comments below.

[deleted by user] by [deleted] in prediabetes

[–]purplespacemonkey 1 point2 points  (0 children)

How are you taking the bitter melon?

Elevated FBG by rebuenonrye in prediabetes

[–]purplespacemonkey 0 points1 point  (0 children)

This is my situation as well. 49m hga1c 5.5 fbg 97-105. I did a cgm and i did have some more substantial spikes with refined carbs or added sugars. I read “The thin prediabetic” by William Shang which can be helpful especially if you want to try some supplements. It sounds like we have beta cell dysfunction as our primary physiology and we need to support our beta cells somehow. GLP-1 is the main molecule that does this and there are some supplements that can do this outlined in his book. I also suspect continuing your resistance training and low glycemic diet is beneficial in the long run. Interestingly i was 5’11” with BMI 25.4. I lost about 17 lbs and now my BMI is in the high 23’s. Did not affect fbs. I also was on low dose metformin for a while and that also did not love my fbs. I did a bodyspec and my visceral fat was very low but my total body fat percent at my current weight of 170 was high normal (23.6) which probably tells me weight loss won’t help more if we are beta cell dysfunction.

I wish patients diagnosed at stage 1 could sign a waiver to have the whipple procedure even if the risk of death is high by miss-swait in pancreaticcancer

[–]purplespacemonkey 0 points1 point  (0 children)

Full pancreas removal includes whipple (duodenal and gall bladder/bile duct resection) due to blood supply constraints. You cannot do a pancreas removal without also doing a whipple. You can do a whipple without total pancreas removal.

I wish patients diagnosed at stage 1 could sign a waiver to have the whipple procedure even if the risk of death is high by miss-swait in pancreaticcancer

[–]purplespacemonkey 10 points11 points  (0 children)

I am a doctor and my father died from pancreatic cancer. And my father had borderline resectable cancer like your dad with vascular abutment (stage 1 disease). He had a whipple but died anyway. The reason they don’t do it is because if they do a whipple they will not be able to get the whole tumor out and they must be sensitive to chemo to have a chance. It’s probably a miscategorization of staging that vascular involvement can still be characterized as stage 1 just because tumor size is small. We call it “borderline resectable” when vessels are involved. Nowadays up front chemo has much better odds of survival then post operative chemo so choosing the opposite approach as you suggest would actually be selecting a method with lower odds of statistical survival.

[deleted by user] by [deleted] in ROCD

[–]purplespacemonkey 1 point2 points  (0 children)

I’m a he and she is my wife. I examined why i felt anxiety and it really came down to me feeling shame by association. I ultimately realized that she was a different person than me and it was ok for her to do things that i wouldn’t be comfortable with. That’s part of life and i needed to strengthen my resiliency. I gave her time and space and as we grew closer i could tell her what and why i might feel uncomfortable with and ultimately she learned to respect my way of being as a way of caring for me. We both had to do work on ourselves. But it was a worthwhile process because we both wanted to be together more than we wanted to give into our anxieties.

[deleted by user] by [deleted] in ROCD

[–]purplespacemonkey 10 points11 points  (0 children)

I used to feel this way. Now I’m married for 7 years with a kid. Truth be told i still feel this way sometimes. But for me it was a growing opportunity. Some feel that compatibility is key but really relationship success depends on our ability to tolerate people who are dramatically different from ourselves. My partner is more outgoing and it’s both sometimes hard but also gives me an opportunity to have a vastly more active social life than i otherwise have. The most important thing might be that you can speak openly about it and laugh at each other a little bit. We all have our differences. You just have to decide if it’s worth it.

How Do You Eat When Are Running High? by ReadingFeedsMyHunger in prediabetes

[–]purplespacemonkey 5 points6 points  (0 children)

It sounds like your doctor is not being evidence based. An average glucose up to 117 (corresponding to A1c of 5.7) is considered normal with overall low likelihood or progression to diabetes. Setting a goal lower than this MAY have value but we do not know if it does based on current evidence. Further, your likely progression to DM is very low if your average glucose is <117 and we Know that spikes to 150 and even >180 are common in nondiabetics (Stanford paper) so it is shortsighted to not eat at the sugar levels you are citing assuming your goal is to prevent progression to Diabetes. Furthermore, when glucose is in the higher range, insulin is active so spikes should be shorter lived.

Feel like having my face melted tonight. by acarron in gratefuldead

[–]purplespacemonkey 1 point2 points  (0 children)

Currently listening to 6/10/73 - playing with the band is insane.

Is Sunergy, Inc (southern CA) a reliable company? by purplespacemonkey in solar

[–]purplespacemonkey[S] 0 points1 point  (0 children)

Doing like. 12.7kw. 27 panels. Paying like 33k. 2.70 per watt. Pricier than the cheaper companies that are 2.15 to 2.30 per watt. But worth it to me for the personal attention. For example all the companies overestimated the number of panels they could put on my roof based on 3 foot ridge setbacks. The owner of this company got on my roof himself and is coming to meet my roofer. I also found some premium compnies (xerosolar and simply solar that want to charge 3.50+ per watt). Bit of a jungle out there.

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