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#ok well part of this feels more controversial and a bit pilled but the part that isn't is just
welcometoteyvat · 1 month
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friend got pulled into genshin again and now its got me thinking about f/f relationship dynamics in this game
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diyunho · 5 years
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The Joker x Reader - “ Nobody” Part 1
After not feeling well for months, The Joker finally found out why: the life threatening condition is so serious there’s only a 50/50 chance of survival.  Dealing with a brain tumor is not going to be easy, that’s why The King of Gotham asked his half-brother Arthur to help Y/N while he’ll undergo treatment.
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The Joker yawns, repositioning his head in your lap.
“You want a small pillow?” you pause the movie you’re both watching and he refuses.
“No,” J stretches on the couch. “These are soft enough,” he pokes your thighs and you squirm, ticklish to his touch.
Suddenly, the cell phone chimes and J reaches his hand to grab it from the table.
“Arthur is here,” he announces. “He wasn’t in a hurry, hm?” The Joker mumbles while getting up.
You decline to comment and do the same because you can hear the elevator going up to the Penthouse. You could say the anticipation is making you a little bit nervous: you’ve been with J for about 10 months but you’ve never met Arthur. Probably it’s safe to assume they are not very close yet soon after finding out about the illness, The Joker contacted his sibling to let him know and sure enough he agreed to come over and help.
Although Mr. Fleck is three  hours late, it doesn’t mean he is trying to back out on his promise.
The elevator opens and Arthur emerges dressed in one of his red suits, anxiously passing his fingers through his curls. J wants to criticize and his brother is in no mood for a lecture:
“Before you lash out, I was delayed by an unexpected issue!” he keeps talking and walking in your direction. “My apologies.”
“What issue?” J growls and Arthur extends the palm of his hand, firmly shaking yours, definitely not waiting for an introduction: “Hello there,” he smiles. “I’m the older, smarter, funnier and more charming version; you must be the better half.”
“Riiiiiight…” The Joker rolls his eyes, annoyed.
“Y/N,” you smirk at the man’s remark and he lets go of your hand, explaining his delayed arrival:
“Don’t get worked up, kid. One of my projects required immediate attention and I had to sort it out.”
You expect The Joker to protest the nickname but he doesn’t mention anything: Arthur always called him that since they were teenagers and your boyfriend is used to it. Doesn’t bother him at all.
“Do you want a drink? Are you hungry?” you offer and he nods a no.
“I’m good; thanks,” he takes a sit on the nearest armchair and the couple reprises their position on the sofa.
A few moments of silence before Arthur decides to talk about the reason why he’s at the Penthouse.
“Sooo… What did the doctors find out? How bad is it?” he inquires and you unconsciously cling to J’s arm, not willing to hear about it again.
“The brain tumor is too big, I can’t have surgery yet. I already started with lower doses of medication 20 days ago, I have to gradually build up to the higher doses so my body can handle it. Soon I’ll have chemo every 3 weeks, then every 2 we…”
A low chuckle and Arthur covers his mouth in horror.
“Sorry…” he has a chance to whisper before bursting out laughing.
“Here we go…” The Joker crosses his legs, patiently waiting for his brother to finish his outburst. The King of Gotham may not be an accommodating individual, but his sibling’s condition is something he has always tolerated without any problem.
“I’m very…” Arthur tries to speak but the strenuous sounds he makes at the end of each cackle prove how much he’s struggling to control his inappropriate amusement. “…s-sorry,” he continues to snicker while digging in his pocket for a small piece of laminated paper. He finds the item and hands it over to you; you curiously inspect the writing: it basically explains his neurological disorder in a few words.
“It’s fine, J told me,” you return the information to its owner.
“I can’t believe you still have that,” The Clown Prince of Crime huffs as Arthur is slowly regaining his composure.
“I’m very sorry,” he emphasizes his regrettable outpour. “You were saying?”
J deeply inhales and reprises the briefing:
“I’ll have to do chemo every 3 weeks, then every 14 days until the tumor shrinks enough to be operable. I guess I have a 50/50 chance of surviving the whole thing, that’s why I asked for your cooperation in helping Y/N oversee my affairs. I will get worse before I might get better, thus here we are.”
Arthur pulls tissues out of the box next to him and gives them to the devastated Y/N: The Joker didn’t notice you are quietly sobbing by his side.
“Please stop crying,” he kisses your temple, avoiding your emotions like he regularly does. The best option is to divert the gathering towards another topic. “We got ready one of the bedrooms upstairs for you; I hope that’s up to your standards.”
“My standards are normal,” the truth is blurred out. “You’re the fancy one, kid. That’s why you’re The Joker and I’m Joker; I don’t need any glorification. Plus, I didn’t oppose when you picked this half of town and left me the other.”
“You’re an idiot!” the green haired man stands up from his spot, wanting nothing more than to retreat to the master bedroom after an exhausting day.
“Runs in the family,” Arthur nonchalantly hints and you snort, blowing your nose in a tissue.
“Keep your mouth shut!” J advices and you have no clue he’s referring to more than just the constant bickering going on between them. “I’m calling it quits, are you coming?”
“I’ll have a smoke on the terrace first, “Arthur searches for his pack of cigarettes and you believe this is the perfect chance to chat with him:
“I’ll stay with our guest, alright?”
“Suit yourselves,” The Joker grumbles and you follow his brother outside on the huge patio.
“I forgot how nice this is from the 30th floor,” Arthur stirs the conversation while lighting up a cigarette.
“Yes, it’s a lovely view,” you wipe your tears and he resentfully mutters:
“I fucking hate this town…”
You sigh, not wishing to interrupt in case he has more to add and the plain inquiry catches you off guard.
“How are you holding up?”
The question resonates in the awkward stillness and Y/N elects to bring him up to date.
“I’m doing the best I can under the circumstances. He’s not doing well…” you sniffle and Arthur pays attention to your confession. “The medications may be in low amount, but they are strong; they make him very confused at times, plus the side effects of the tumor… he forgets things, he has no idea where he is or… or… who I am. The doctors advised that when it happens we have to go with the flow and not push for him to recall details. His brain is under a lot of pressure and this is only the beginning.”
Arthur blows smoke up in the air, displeased with the news about his younger sibling.
“Shit, that’s rough…”
That’s surely the understatement of the year for the heartbroken Y/N.
“When he doesn’t recognize me, I tell him I’m nobody, just a person taking care of the place and he doesn’t even know the difference. I suggest you avoid any type of confrontation while he’s like that; please generalize everything you articulate and don’t complicate the situation.”
“Of course… Yeah, yeah, of course,” he is fast to agree with your guidance.
“Thank you,” you sincerely show your gratitude because you appreciate his presence. “I think I’ll join him upstairs; tonight he’s beginning higher dosage on his pills and he might have a reaction.”
“I’ll stay and finish my cigarette,” Arthur scratches the scar above his lip. “Which bedroom is mine?”
“Fourth one on the left.”
“Perfect, I’ll find it,” he waves as you return inside, eager to check up on The Clown Prince of Crime.
**************
“What the … t-the hell?” The Joker stutters, groggy from the strong medications swallowed a few hours ago.
You barely distinguish his wobbly silhouette standing by the bed.
“What’s wrong?” you turn on the lamp on the nightstand, instantly aware of his wet boxers.
“I d-didn’t make it to… to the bathroom,” J seems out of it, yet at least he realizes that much.
“Oh, it’s totally fine,” you maintain your cool and jump off the sheets, rushing to help him. “The doctors warned accidents could happen since the drugs are making you dizzy and super drowsy. Let’s step in the bathtub, shall we?”
You take his hand and lead a compliant boyfriend to the master bathroom; sometimes it’s easy to deal with him in this state, sometimes it’s not.
Luckily tonight he’s obedient.
You turn on the water and he tightly holds his boxers while you attempt to yank them off him.
“Who…who are you?” The Joker sulks, unhappy with your movement.
“I’m nobody,” you reply and manage not to cry at his disorientation. “I’m here to help you, ok?” you calmly try to reason with his baffled mind.
“I… I… I don’t want you to see me naked,” he complains and Y/N has an easy solution for the apparent controversy.
“I’ll close my eyes, deal?”
You do as vowed and J lets you undress him, finally ending up in the bathtub for a quick, relaxing soak.
“You want bubbles?” you glance at him once the body is submerged under the warm water.
“No…” he yawns and you fold a towel, placing it under his head in case he’ll pass out.
“Where… where am I?...”
A faint knock at the door and Arthur talks in a low tone:
“Everything good?”
“Yes, we’re fine,” he distinguishes your reply; he just returned from the underground garage with his suitcase and discerned the commotion: made him wonder if his assistance was necessary.
“Who was that?” The Joker enjoys being pampered by the stranger he doesn’t recognize for the moment; apparently forgot about shyness also because he has no objection to the sponge bath now.
“The maintenance guy,” you lie without blinking while pouring more shampoo over J’s toxic green locks.
*************
10 am
Arthur joined you and The Joker in the kitchen less than 5 minutes ago; he positioned himself against the counter, this way he has a broad perspective of the whole space. He sips on the fresh coffee, observing the scene unfolding at the table:
J is reading a magazine and you feed him breakfast, caressing his hair every few seconds. You didn’t mention anything about last night; he woke up feeling a bit better and it’s safe not to agitate him with useless facts.
“Are you hungry?” you address Arthur and he lifts his shoulders up, undecided.
“Maybe… I’ll munch on something shortly.”
“Hurry up before it gets cold,” you encourage him and The Joker is already as crabby as he can be.
“Stop bugging him! If he wants to eat, he’ll eat!”
“I’m not bugging him,” you defend your action, upset at J’s feisty attitude.
“She’s not bugging me,” Arthur tucks a rebel curl behind his ear, disapproving of his brother’s assumption.
“I’m not,” you sweetly smile and The Joker slaps your fingers away from his hair.
The cheerfulness dies on your face and you get up, kicking the chair in the process.
“I’ll bring your morning meds,” you enunciate and leave the kitchen in a hurry.
“Goddamn irritating,” J hisses at your behavior and Arthur can’t zip it.
“Are you stupid?” he sucks on his cheeks and that definitely gets your boyfriend’s attention.
“What did you say?!”
“I’ve been here for minutes and she didn’t take a single bite out of anything, too preoccupied with making sure you eat. Do you even notice how she looks at you?” he raises his voice. “So I’m asking you again: are you stupid?”
“Excuse me?!” J abandons his seat and the threatening demeanor queues Arthur about the imminent scuffle, not that he’s willing to avoid it.
“I wasn’t clear enough?” the latest provokes his sibling. “ARE. YOU. STUUUUPID?” he repeats, cracking his neck with anticipation.
You are coming downstairs with the meds and the ruckus happening in the kitchen makes you speed up.
You are certainly not disappointed at the show: J and Arthur are wrestling on the floor, relentlessly hitting one another.
“Stop it!!” you shout and your plea is ignored. “Stop it!” you insist when you detect Arthur’s bloody nose and J’s busted lip. “Are you deaf?! Stop it!!”
This is the last drop: after another shitty night and the stuff you endured recently, you are completely lacking any kind of patience for anybody’s nonsense.
You toss the vial with The Joker’s tablets on the counter, snatch the ice bucket from the freezer and fill it out with water. The ice cubes float in the clear liquid: the 8 gallons metal container is pretty large since it’s used for J’s grape juice cans.
You thud on the marble floor and dump the freezing concoction on top of the two heated fighters, the sudden shock from the unexpected impact being enough to halt the brawl.
“Ugg!!” J rolls on his back while Arthur crawls by the stove. “What are you doing, Y/N?!” he yells and you storm out, firmly squeezing the ice bucket to your chest without realizing.
The loud bang of a shut door bears witness of your justified rage concerning the altercation; how can you not get mad at such crap?!
Arthur seeks for his beloved cigarettes in the interior of his orange vest, triumphantly lightening one after failing the first trials.
“I like her,” he puffs the fumes out, leaning towards his brother because J is gesturing for the bud.
The Joker takes a deep drag, admitting for once:
“Me too.”
“I thought you quit,” Arthur points out.
“I did,” his brother answers, glaring at the ceiling. “Clean up this mess!” he orders and continues to smoke.
“Nope, we should let fate determine,” the older sibling suggests and J falls into the little trap.
“Rock, paper, scissors?”
“Ready?” Arthur smirks and counts. “1…2…3!”
“… … … Dammit!” The King of Gotham cusses.
“Have fun, kid!” the winner plucks the cig away from J. “Gimme, these are bad for your health!”
**************
“Are you in here?” The Joker sneaks in his office and watches you patrol around the desk, still vigorously attached to the infamous ice bucket.
The lack of reply makes him approach the distressed woman; you avoid gazing his way at all costs.
“I need my pitcher,” he sniffles and Y/N disregards his sentence. “You’re aware I like to use grape juice on ice for those bitter capsules. There’s no bucket and no ice in the freezer so… what am I supposed to do? Skip my morning remedy?”
A hint of lowered resistance and he’s taking advantage of it.
“My lip hurts,” he rubs the swollen, red spot. “I need ice for this too.”
You place your precious bucket on top of some folders, cautiously examining the superficial cut.
“Stitches won’t be necessary,” the obvious result updates a pouting J.
“Are you sure?” he plays dumb and wraps his arms around your waist. “Take a closer look, I can’t afford to walk around with chipped dignity.”
You peck the unharmed corner of his mouth, mad you’re giving into such cheap amendments.
“I’m positive…”
The Joker grins and kisses you, entirely convinced it wasn’t hard to get under your skin.
“You’re not going to leave, are you?” he rests his forehead on yours and Y/N is speechless at the question. “This is the tumor talking, obviously,” J fixes the tiny mistake when he sees your reaction.
“Obviously…” you whisper, sadly reckoning he purposely avoids any type of sensitive debate about your future together.
The Joker though is carefully listening to Arthur mumbling on the hallway, suspicious at the meaning.
“Is he eavesdropping?!” you focus on the faint words also and it clicks for J.
“Cut it out!!!” he screams while Mister Fleck is not phased, joyfully concluding the ceremony the couple didn’t agree to.
“By the power vested in me, I now pronounce you Nobody and Joker!”
“What was that?!” you crinkle your nose, puzzled.
“He has a minister license and never used it; he tried to hitch me with my ex too,” J clarifies his brother’s odd conduct.
“You may now kiss the bride!” Arthur shouts and The Joker had enough:
“Shut the fuck up!!!”
“What am I supposed to do with my license then?!” the wavy hair pops in the door frame.
“I don’t care!” J snarls, fed up with his sibling’s persistence. “Go pester someone else!” the door is slammed in Arthur’s face; fortunately the 42 years old is not the type of man to be easily offended.
He adjusts the pieces of tissue sticking out of his bloody nose, proudly holding the minister accreditation at eye level.
“I got myself a sister-in-law,” Arthur chuckles at his achievement, impatiently searching for a pack of cigarettes in the pocket of his red jacket.
 Also read: MASTERLIST
You can also follow me on Ao3 and Wattpad under the same blog name: DiYunho. 
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nvrissa · 5 years
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hello laid ease and furries ( u know who u are )......hahaha....are u ready for this ? zimzalabim ! my name is xan ( she/her pronouns ) and my laptop has been broken for a good 3 years now i have to use an onscreen keyboard so if u see me typing for 20000 years on discord only to send u a single sentence u know whats up x JSDBJWBJW here is the intro....im really winging this no one call me out for that WOOO....tw: medication, mental health, body image ? perhaps just to be safe <3
ok ! so im not gonna talk too much abt family stuff bc yuno and i are doing the collab of the century here and art takes time people ! JSBDJBWDJW but so u get a good idea...i will write a little abt it lets get it 
so the kwons were two of the biggest faces in hollywood ( and tbh they are still considered icons / hollywood royalty no matter how old they get they stay #Relevant ) think bradgelina ! literally everyone knows who the kwons if u dont u probably live under a rock /: 
their parents are very into the fame thing...so when it came to their kids ( nari and wolfe ) they SUPER pushed the famous life onto them, really expecting both of them to be just as obsessed and enamored by the public. idk if u guys ever say that vid of gigi and bella hadid before they were huge were their mom was pressuring them both to get into modeling and to stay skinny and to be stars etc....it was kinda like that !
so narissa, being the first born, really just internalized that shit...like imagine being told ever since u were a baby that fame and status and ur last name are wildly important and not being able to remember a time when u werent being watched by cameras / a third party ( the public ) bc that was her life ! nari has....no experience as to what life is like without cameras and without having to create this image of herself that ppl are gonna be into 
obviously that’s NOT normal....and it had it’s toll on her /: as a kid she grew up so fast like u know those kids that seem so mature and wise for their age ? that was nari. she always had two versions of herself: inside nari vs outside nari. she was so good at being good just bc she knew what stuff to express and what stuff to keep inside ( spoiler alert: most of it was kept in x )  
she is still very much desperate to please her parents despite it all /: i feel like for a long time she kinda excepted and agreed that fame is everything ( hence why shes known for using her last name to get her places ) but shes starting to realize just how FUCKED it all is and just how much it’s messed her up so stay tuned for more fun !
ok so career stuff ! nari started off as a child model bc she was um super cute and super good at knowing what to do / not freaking out in front of cameras <3 but she was always obsessed with actors ! she used to sit in front of the tv for hours legit study and memorize ppls mannerisms and various movie lines.. she was literally always just quoting random lines / imitating various actors so often her parents were like ok word go act !    
she landed her first role at 12 and it was a pretty huge role as a lead chara in a mini television series that revolved around a cast of kids ( think stranger things but not plot wise just how some of the mains were kids ) with zero acting experience before hand ... so it was pretty clear to the media nari got the spot bc she was a kwon ! there was a bunch of controversy around the show before it came out but once it was released...there was no denying nari had talent
after that it was just a whirlwind of acting doors opening up for her. everyone wanted nari bc of her last name and all the attention that came from it, not to mention every director wanted to be The One that helped narissa kwon become one of the most famous actresses of the 21st century. most of the time she was getting cast for selfish reasons but nari never realized it /: she was just happy to be acting bc it really was like therapy for her to become different ppl
flash forward to age 15 when narissa was finally diagnosed with generalized anxiety disorder and was prescribed meds to help ! it was actually a director from a movie she was working on that suggested to her parents nari might be struggling after witnessing her have a panic attack on set. not wanting a scandal, her parents agreed it was best to get her “help” which included pills and weekly therapy ! 
so nari actually didnt mind it too much tbh she HAD been struggling for a while she just assumed her anxiety was normal and just like something all famous ppl were dealing with but that wasnt the case. she was hesitant to open up to her therapist just bc she was still obsessed with this idea of inside nari vs outside nari, and she was very scared to cross that line so it took....years of sessions to build up that trust
as she got older though and as she got more famous, everyone just assumed she was better. she was more famous and loved by the day, she had become a chanel ambassador ( thank u jennie x ), her interviews on youtube always brought in record views, she’d started in plenty of movies critics agreed would become cult classics, her social medias were nearing kardashian level in terms of followers: everything was on track....
....except nari had actually never been more unstable. she had become so dependent on her meds she couldnt go anywhere or talk to anyone without popping a few in. all the watching eyes were starting to make her paranoid, not to mention the pressure from her parents ( who couldn’t be happier with nari being so famous ) was at its all time high. she had been nominated for an oscar at 21 and everyone was expecting her to win...and then she didnt
narissa kwon famously fainted at the 2018 oscars after it was announced she had lost the award. her actual fainting wasnt caught on camera or televised, but it WAS witnessed by some of the most relevant names and faces in hollywood who were in that room. the scandal took the media by storm, the hashtag #getwellnarissa trending for over 42 hours until a statement was released she had fainted bc of dehydration and other undisclosed causes and that she was okay & currently taking it easy at home surrounded by family 
in reality it was the abuse of her medication as well as all the stress, but when your last name is kwon manipulating the press is as simple as making the right phone call. unfortunately for nari and her parents, the article about the brat pack came out a week later, and there was no manipulating that source /:
for narissa, it was all a wake up call. she decided to go off her anxiety meds altogether. after falling out with the brat pack she spent that year trying to figure out who she was separate from her fame and her last name. despite some offers from a few casting directors ( surprisingly some people still wanted her despite the scandals bc she was still a kwon, after all ) narissa rejected every role except one in a coming of age indie movie that explores womanhood and mental health as well as strained relationships with mothers. the movie is set to release sometime mid august hehe (~:
she agreed to come to milan to reunite with the brat pack bc she’s still searching for herself ! nari figures the people who quite literally grew up with her might give her some answers......not to mention there is still a part of her who is desperate to reclaim the image and status she had before everything fell apart </3    
PERSONALITY/TIDBITS
narissa is....complicated to say the least. growing up in front of the cameras and in a family who prioritized fame and outside opinions of you as the most important thing, she is quite literally desperate for praise and approval. because she legit has no idea what parts of her are real and what parts of her she’s created for her public persona, she often looks for understanding in others!! shes very very good at analyzing people and understanding people in the hopes that its gonna make her better at analyzing herself, but to no avail. 
libra sun capricorn moon !! THIS is super accurate and telling if u wanna read but i kinda just summarized it in the last bullet
she is such a perfectionist with everything she does and a bit of a control freak in the sense that if she’s not the one doing something, she doesnt have faith whatever that is will be able to live up to her unrealistic standards. directors are often concerted with nari bc whenever she gets big roles.....she is so hard on herself, often asking for take after take bc she monitors every little thing abt her expression or her movements. she’s often left frustrated and disappointed with herself bc again, her standards are SUPER unrealistic ):
she’s relatively sweet!! growing up with the brat pack they probably knew her as the life of the party, very bubbly, confident, and very easy to have fun with as long as you’re being tolerable. however, she can get kind of opinionated at times so it’s very hard for you to gain her trust and respect back if you lose it. she’s also prone to random mood swings / periods of isolation, but whenever she returns its with a big smile and a soft voice assuring you everything is okay 
very good at lying and deceiving ppl but she hardly ever does it on purpose ( unless her publicists asks her too ). she’s carried this persona / public image of herself curated for consumption from others for so long, sometimes she has no idea when she’s being sincere or if she’s just convincing herself she’s being sincere. most of the time she only deceives other people about herself. she can come across as kind of elusive because of this ( think daisy from gatsby’s perspective ) but it’s not on purpose. she just legit has no true sense of self isnt that sexy?
speaking of sex. JWDBJWBDJWBD she also uses that as a coping mechanism / a weird affirmation that yes, she IS wanted by others and yes she IS seen as someone beautiful and that she IS something to be consumed by others ( like i said in my tags....male fantasies male fantasies ) but then at the same time she feels guilty abt this and so unsatisfied and disgusted at how she’s living her life as an object / manifestation of other people’s projections rather than as a normal person...rip </3 its a cycle
ever since her relationship with micah that was so hated by the public it actually ruined and ended their relationship, nari has been too scared to publicly have a relationship again. the media seems to love seeing her on casual dates with other stars, but not to see her tied down to one person, as that kind of “damages” this super accessible persona she’s put out ( think idols and why they cant date )  
she loves poetry, french music, all of marilyn monroe and audrey hepburn’s movies, nonfiction essays abt womanhood and identity, anything chanel, is particularly fond of silk dresses but is partial to velvet as well, wears lacy bralettes under everything bc it makes her a little more confident, actually prefers large parties to small ones because small gatherings are more personal therefore give her more anxiety, would only eat fruit and drink champagne if she could live like that, doesn’t know how to swim so she’s scared of the ocean as well as the dark, used to study ballet as a kid and misses it terribly, doesn’t know how to drive and isn’t planning to learn, can be materialistic at times, is probably an introvert masquerading as an extrovert for 22 years now, the only movies she cant stand are westerns, loves to travel but is scared of flying, doesn’t drink coffee, and is allergic to nuts. 
last but most important fact about narissa is that she loves her brother wolfe more than anything in this world so messing with him is the only way nari is bound to 100% hate you. she can bully him all she wants ( ex. starting very real rumors he IS in fact a furry ) but no one else is aloud to actually be mean to him or she will kill you
also very random but i had a hc that when she was 6 and her pet cat jinx died she caused enough fuss at home her parents actually made it a national holiday in about thirteen different states. the anniversary of this death is december 4th and yes . the brat pack better mourn jinx with nari every year......
pls spare plots im sorry this is so long.....JBDJBWJDBWJBWDJBJ i promise it will be worth it also im sensitive and very small ... how can u say no ? 
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aisleb · 4 years
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Yes, using one of the best natural urge for food suppressant is the best bet for you if you wish to lose weight quickly without subjecting your self to rigorous exercises. Natural urge for food suppressants are a mixture of compound micro and macronutrients which triggers a greater and sooner metabolic process in your body system. They are protected to make use of and are very potent in curbing extreme meals cravings. Based on our research, our #1 really helpful efficient appetite suppressant made with pure components is PhenQ, to get a particular deal in your buy, Click Here. Sheer Strength Appetite Suppressants additionally has seven key ingredients, some of that are Theanine and Rhodiola Rosea.
Best Way To Lose Weight In Legs And Hips
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Exercises To Help You Lose Weight In Your Arms How To Lose Weight In Legs Quickly Synonyms For Words
Considering that Phen375 was first introduced onto the US market in 2009, that truth means that thousands of individuals worldwide consider this product works for them as a dietary supplement. And whereas there is probably not scientific information to back up the claims, Phen375 doesn’t actually claim to ship superb outcomes on its own. Phen375 is one instance of a confirmed complement that can speed the velocity of weight loss, while additionally offering you with more power. You must think about what the fats binder does, what ingredients are in the product, and what attainable unwanted effects exist, before you buy your weight loss assist. They manufacture the dietary supplements in compliance with all safety and high quality requirements and requirements valid within the dietary supplementation realm. Their top-notch cures are extremely dependable and actually harmless. That’s why you must always keep alert when choosing probably the most applicable non-synthetic slimming capsules. The third approach to extend your metabolism is to think about an efficient complement that works to stimulate the metabolism so that you burn extra energy the least bit occasions.
Can't Lose Weight In Arms
With the most effective products that yow will discover within the weight loss pill industry, not solely do they supply results. But they do it with none dangerous substances that may cause probably nasty or even simply annoying side effects. The majority of producers present dishonest statements in regards to the efficacy and safety of their dietary supplements. A lot of money, time and power are wasted in numerous weight reduction applications which are ineffective in reality. Therefore, using herbal dietary supplements can be an efficient approach to burn all these extra fat. It s Shark Tank Weight Loss Products – Best Supplements For Weight Loss 2019 Phen375 Bali no marvel that many people prefer to ⚠️ Discover The Top And Most Effective Diet Pills That Work Fast Phen375 Bali buy skins when they at any given time roughly what proportion of all us adults are trying to shed weight Weight Management play games Baili Qingfeng muttered and seemed away Phen375 Bali from the mirror. Here’s a bitter reality about the weight loss weight loss supplements. There are so lots of them available today, but not all of them work for actual.
How To Lose Belly Weight Fast Without Exercise Can You Lose Weight In Your Hands Fast
Also, factors corresponding to age, power burst, or overdose (if someone takes more than the 2 recommended tablets per day) can contribute to certain unwanted side effects. Citrus aurantium is also known as bitter orange and is a citrus fruit present in southeast Asia. Having got rid of the surplus weight it will be straightforward for you because you're going to get rid of a heavy load of your body. PhenQ is the best fats burner and you'll ensure in it. Under the affect of PhenQ weight loss occurs and an individual doesn't resort to hard workouts, diets or surgical intervention.
Lose Tummy Fat Workout Plan At Home
As a result, fat won't accumulate in your physique and you'll shake off extra kilos quick and harmlessly. Forskolin 250 is a excessive efficiency weight loss method that's designed specifically for those trying to burn fats and construct lean muscle. At the same time, you will get the power provide that may make you lose weight sooner. It also incorporates a decent amount of 5-HTP which will increase your power levels and elate your temper. Phen375 comprise nothing but natural components, and they appear to have a constructive effect on weight loss and fats burning. If you really want to lose weight, give the PhenQ slimming capsules a try. Phen375 seems to be one of the people’s favorite decisions in terms of losing weight and fighting cravings. Although they could be a bit extra expensive than your common supplement, it seems like there’s a cause for it. Phen375 appears to be a favourite choice for quite numerous individuals. It has an estimated weight reduction price of 3 to five kilos per week, and many users have seen that it also suppresses their hunger, whereas also being useful in bettering their temper.
Lose Weight On Your Arms Fast
So, lengthy story quick, if you wish to obtain the best results, then you need to take solely as many Phen375 diet pills as really helpful. In an eventuality, you exceed your recommended dosage, there’s a possibility that you may have to cope with some delicate unwanted effects. CHECK PRICEWhat’s the most important thing you have to know about this resolution? Phen357 is the fact that is one hell of an urge for food suppressor. It goes without saying that the unacceptably excessive proportion of people suffers from weight problems, which comes on account of unhealthy life habits.
How To Lose Excess Weight In Hands Exercise Biceps
Fact Checked Overview Side Effects Ingredients Directions Price Benefits Where to Buy Phen375 vs. FENFAST 375 Bottom Line Phen375 Alternatives Q&APhen375 is a dietary complement promising a “slimmer, sexier, more engaging you.” In fact, this product makes numerous promises, all backed by a 60 Day money-back guarantee. But, the U.S. method not accommodates Phenylethylamine. Phen375 is taken 1 or 2 occasions a day from 1 pill every time! By taking 2 tablets a day – note that RDA (Recommended Daily Dose) is 1 capsule / day – the outcomes are sooner and greater! Taking 2 drugs / day is recommended when the individual has a fairly increased body weight and the additional pounds he needs to lose is a lot. Phen375 is a dietary supplement claiming to advertise weight reduction. The supplement contains components supported by research.
Tummy Lose Weight Exercise How To Lose Weight In Legs Calves Tight After Walking
Many folks declare that the product worked for them although they didn't comply with a regimented exercise exercise or diet plan. However, like any weight reduction complement, if you mix Phen375 with reducing your caloric consumption and consistent exercise, your weight loss shall be accelerated greatly. Phen 375 is an over-the-counter dietary supplement promoting “a slimmer, sexier you.” It has been available on the market since 2009 and claims to have a scientifically-researched superior formulation that may lead to lowered food cravings, elevated metabolic fee, fats burning, increased power, and weight loss. It also contains an extract of white kidney beans that will take up any excess starch and fat deposits in your physique. According to the producer, Genius Diet Pills has a specific sort of Saffron known as Satiereal which can regulate your weight and suppress your food cravings sooner than another urge for food suppressant. PhenQ boosts your energy ranges, makes you eat less by giving you a sense of fullness, and helps you burn fat with minimal effort. PhenQ isn't the cheapest weight reduction tablet on the market but works fabulously. PhenQ is made with one hundred% natural components with zero unwanted effects.
How To Reduce Arms Fat Faster
So, advice and directions of a health expert should be taken earlier than consuming any of those weigh loss supplements. And there are herbs out there that have the properties for burning further fat and likewise lowering the appetite of an individual. It is a weight loss complement and it makes it simpler to lose further weight. This product is the ultimate end result after years of research done by medical professionals. So, this food regimen supplement isn't only secure but it additionally meets all of the medical standards!
Reduce Belly Weight Exercise
It has a thermogenic property that enhances metabolism so that the physique can more easily burn fats. When mixed with the stimulants in Phen375, it is even more effective. Why this plant extract is included in a weight loss formulation is still unsure, however some studies have proven it to be efficient solely when paired with the opposite weight reduction ingredients, as well as with weight-reduction plan and exercise. One such product is Phen375. Is it a respectable complement, or a scam?
Why Am I Slimming Down In My Legs But Not My Stomach
The food regimen tablet is packed with naturally-occurring fibers. These fibers connect to fat turning it into very large molecules which the physique simply can’t handle to absorb. Due to this, the body will get much less fat than normally throughout the day though you continue to shouldn’t restrict your self to consuming exceptionally dietary meals.
0 notes
Ask D'Mine: Quitting Victoza, Pregnancy Insulin(s)?
New Post has been published on https://type2diabetestreatment.net/diabetes-mellitus/ask-dmine-quitting-victoza-pregnancy-insulins/
Ask D'Mine: Quitting Victoza, Pregnancy Insulin(s)?
There's no end in sight when you have diabetes — but is there ever a time when it's right to quit your meds? In this edition of our weekly diabetes advice column, Ask D'Mine, a couple of our readers are wondering if their meds are no longer so good...
As per usual, we've got some info-packed responses from host Wil Dubois, diabetes author and community educator and also a veteran type 1 himself.
Need help navigating life with diabetes? Email us at [email protected]
Karl from New Hampshire, type 1, writes: Victoza has stopped working its magic on my appetite, so my doc and I have decided I should stop taking it. Though now that I'm of it, I'm eating more, feel fat as hell, and am second guessing my decision to stop. Your thoughts would be welcome. The doc also started me on Metformin, which I seem to be tolerating OK. But I don't know much about it, or how it works, or what I should expect.
Wil@Ask D'Mine answers: Most people who start Victoza find their appetite becomes petite. The problem is, you can't buy a petite fries at the drive-through. A little at a time, the monstrous portions of food we are offered erodes the effectiveness of Victoza as we cave a little at a time to our culture of eat-eat-eat. You can end up overcoming and overwhelming the appetite-reducing effect of Victoza one bite at a time, to the point where you might question if it's doing you any good at all. But as you've discovered, once you stop it, you find it was still doing more good than you realized. In fact, many people who drop Victoza find that suddenly they have bigger appetites than they did pre-Victoza. It's like the effect has been reversed with compound interest due.
So, has big Pharma finally created the perfect slave drug that you can't stop taking? No, Victoza is just one of those drugs that shouldn't be stopped cold-turkey, that's all. Thirty days hath September, April, June, and November... and your Victoza pen actually has thirty clicks. The official doses are at 0.6 mg, 1.2 mg, and 1.8 mg; but all those in-between clicks are legitimate in-between doses, too. You can taper yourself off from the full dose one click at a time over a thirty-day period. That'll give your body time to adapt slowly to the change, and, if you'll pardon the pun, you'll give your system a chance to take a bite out of the appetite increase that comes from stopping Victoza.
Reminder: Our April '10 Victoza post has become the internet's unofficial chat board for all things Victoza with over 1,000 comments to date!
Now as to the metformin, use of met in type 1s is strictly "off label," meaning that the drug is not FDA approved for our kind. But come to think of it, use of Victoza in a type 1 is off label, too. You are so off the label you're almost off the grid! Anyway, metformin is a cheap, time-tested blood sugar-lowering pill that has been in clinical use for over 50 years. It's now the starting gate drug for type 2 diabetes worldwide, having been embraced as the standard of care by the ADA, the AACE/ACE, and the IDF.
It lowers blood glucose levels in type 2s in several ways: it keeps the liver from dripping too much sugar into the blood stream overnight, it helps with carbohydrate absorption, and it is a mild insulin sensitizer. As an unexpected dividend, it can cause mild weight loss and may help the heart, too. On the down side, it tends to cause nausea and diarrhea when you start it (the extended release version seems to give people less trouble in this regard). Start small, at 500 mg at night for a week or two, and increase to whatever dose your doc wants slowly over a month or so. Most people need 2,000 mg a day. Now, metformin is a really bad idea in anyone who has a funky liver as liver issues + metformin = higher risk for a generally fatal side effect called lactic acidosis. So it shouldn't be used by alcoholics and folks with hepatitis. Met also shouldn't be used in folks with bad kidneys, as the med is cleared from the body by the kidneys and if your kidneys aren't up to snuff, a toxic level of metformin can buildup in your body.
I should mention that the use of metformin in types 1s used to be very controversial, but it does seem effective, as least as far as reducing insulin requirements goes, and it's becoming more and more commonly used in T1s over the last few years. Our own Allison writes about her experience with metformin here.
The latest review of studies I could find show that for a fat as hell T1 (hey, your words, not mine!), adding metformin can shave seven or so units off your total daily dose of insulin, knock a half-point off your A1C, and help you to lose maybe a dozen pounds. You might also improve your cholesterol, too. Not bad for a four-dollar-a-month drug!
Test more often, though, Karl. Met with insulin will up your hypo risk quite a bit.
Celina from Texas, type 1, writes: I am starting to plan my first pregnancy with my husband. I use Lantus and Humalog. I would like to know if these insulins can also be used during pregnancy and if they are safe for the baby. If the answer is no, could you please let me know what is the recommended insulin for a type 1 diabetic mom during and after pregnancy?
Wil@Ask D'Mine answers: No worries. Your insulin is fine for your future papoose. All the currently available insulins are considered safe, all being in either pregnancy category B or C. The older school insulins like Novolin, Humulin, and NPH all carry the theoretically superior "B" rating, as does the newer Novolog; while the rest of the modern pack (Lantus, Humalog, Apidra) all carry the "C" rating.
I should point out that the well-intended pregnancy categories have ended up causing no end of confusion and worry among moms-to-be. They aren't a measure of relative risk; they're a rating system for the strength of clinical studies of various meds in pregnant women. Not surprisingly, of course, most medications haven't been studied in clinical settings on pregnant women. What this means is that while most meds carry the category C rating, they're not necessarily more dangerous than a category B—it's just that they're less studied.
Of course, as a type 1 you have little choice. No insulin, no momma. No momma, no baby. But even for women with gestational diabetes, insulin is often the first choice of many docs on point for the care of the women and their passengers, even over the theoretically safer category B oral pills like glyburide and metformin.
Why? Because insulin can't cross the placenta in significant amounts. That's good news for the baby. Insulin is also infinitely scalable, so BG control can be fine-tuned better with insulin than it can be with pills. And, although I'm sure it happened at least once in history, I don't know of any doctor that has moved a PWD from newer insulin to older insulin because of the theoretical improved safety between the two categories.
That's because, frankly, the newer insulins are much better at controlling blood sugar than the older ones. And while we may be lacking the properly sealed, certified, randomized study needed to move Lantus from C to B, we have very clear evidence on the effects of elevated blood sugar on babies in the womb. That's why the glycemic targets for pregnant women are so stringent—now at 95 mg/dL or less fasting for gestational diabetes—with 140 max at one hour post-meals, and 120 max at two hours after meals; and even lower targets for pregnant women with pre-existing diabetes.
So for you, Celina, the ADA's standards for this year call for fasting BG between 60-99 and peak readings after meals at 129. It's gonna be tough to get those kinds of numbers, but it's only for nine months. And hey, on the way home from the hospital you can always stop at Krispy Kreme and make up for lost time.
This is not a medical advice column. We are PWDs freely and openly sharing the wisdom of our collected experiences — our been-there-done-that knowledge from the trenches. But we are not MDs, RNs, NPs, PAs, CDEs, or partridges in pear trees. Bottom line: we are only a small part of your total prescription. You still need the professional advice, treatment, and care of a licensed medical professional.
Disclaimer: Content created by the Diabetes Mine team. For more details click here.
Disclaimer
This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines. For more information about Healthline's partnership with Diabetes Mine, please click here.
Type 2 Diabetes Treatment Type 2 Diabetes Diet Diabetes Destroyer Reviews Original Article
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aisleb · 4 years
Text
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How To Lose Weight In Arms Exercises With Weights
Most of those dietary supplements are usually promoted as a calorie-burning meals tablet or an food regimen pill which is able to help you management your cravings and likewise needs to overeat. We should have a look at how weight reduction supplements really work first. Diet drugs assist your system to prevent absorption of fats that you eat. Proactol XS is a well known all-pure fats-binding complement which has a medical certification. This product completely works for making fat consumption drop and therefore decreasing the physique weight. If you are looking for an effective slimming tablet you'll be able to trust that can assist you melt your belly fat and different body fats with out doing inconceivable exercises, I suggest you give phen375 a shot. Phen375 is effective within the discount of urge for food, helps you curb and management your cravings, boosts your metabolism and promotes sooner weight loss. Phen375 is an effective complement for the reduction of food cravings.
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What Exercise Is Good To Lose Excess Weight In Your Legs
This industry of diet dietary supplements is a billion greenback one. Diet dietary supplements are available in various types, from pills, shakes to bars, all promising to burn all those additional baggage or fats. But many misunderstand these supplements as magic parts and as a result avoid a healthy diet. Various weight reduction merchandise belong to a huge trade which is inclusive of products like dietary supplements, vitamins, health shakes, fats burning, and sports activities nutrition and also fitness merchandise. Weight loss products like supplements and nutritional vitamins are the key part in losing weight on a regular basis.
Tummy Weight Loss Exercise In Hindi
Yes, using one of the best natural urge for food suppressant is the best bet for you if you wish to lose weight quickly without subjecting your self to rigorous exercises. Natural urge for food suppressants are a mixture of compound micro and macronutrients which triggers a greater and sooner metabolic process in your body system. They are protected to make use of and are very potent in curbing extreme meals cravings. Based on our research, our #1 really helpful efficient appetite suppressant made with pure components is PhenQ, to get a particular deal in your buy, Click Here. Sheer Strength Appetite Suppressants additionally has seven key ingredients, some of that are Theanine and Rhodiola Rosea.
Best Way To Lose Weight In Legs And Hips
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Exercises To Help You Lose Weight In Your Arms How To Lose Weight In Legs Quickly Synonyms For Words
Considering that Phen375 was first introduced onto the US market in 2009, that truth means that thousands of individuals worldwide consider this product works for them as a dietary supplement. And whereas there is probably not scientific information to back up the claims, Phen375 doesn’t actually claim to ship superb outcomes on its own. Phen375 is one instance of a confirmed complement that can speed the velocity of weight loss, while additionally offering you with more power. You must think about what the fats binder does, what ingredients are in the product, and what attainable unwanted effects exist, before you buy your weight loss assist. They manufacture the dietary supplements in compliance with all safety and high quality requirements and requirements valid within the dietary supplementation realm. Their top-notch cures are extremely dependable and actually harmless. That’s why you must always keep alert when choosing probably the most applicable non-synthetic slimming capsules. The third approach to extend your metabolism is to think about an efficient complement that works to stimulate the metabolism so that you burn extra energy the least bit occasions.
Can't Lose Weight In Arms
With the most effective products that yow will discover within the weight loss pill industry, not solely do they supply results. But they do it with none dangerous substances that may cause probably nasty or even simply annoying side effects. The majority of producers present dishonest statements in regards to the efficacy and safety of their dietary supplements. A lot of money, time and power are wasted in numerous weight reduction applications which are ineffective in reality. Therefore, using herbal dietary supplements can be an efficient approach to burn all these extra fat. It s Shark Tank Weight Loss Products – Best Supplements For Weight Loss 2019 Phen375 Bali no marvel that many people prefer to ⚠️ Discover The Top And Most Effective Diet Pills That Work Fast Phen375 Bali buy skins when they at any given time roughly what proportion of all us adults are trying to shed weight Weight Management play games Baili Qingfeng muttered and seemed away Phen375 Bali from the mirror. Here’s a bitter reality about the weight loss weight loss supplements. There are so lots of them available today, but not all of them work for actual.
How To Lose Belly Weight Fast Without Exercise Can You Lose Weight In Your Hands Fast
Also, factors corresponding to age, power burst, or overdose (if someone takes more than the 2 recommended tablets per day) can contribute to certain unwanted side effects. Citrus aurantium is also known as bitter orange and is a citrus fruit present in southeast Asia. Having got rid of the surplus weight it will be straightforward for you because you're going to get rid of a heavy load of your body. PhenQ is the best fats burner and you'll ensure in it. Under the affect of PhenQ weight loss occurs and an individual doesn't resort to hard workouts, diets or surgical intervention.
Lose Tummy Fat Workout Plan At Home
As a result, fat won't accumulate in your physique and you'll shake off extra kilos quick and harmlessly. Forskolin 250 is a excessive efficiency weight loss method that's designed specifically for those trying to burn fats and construct lean muscle. At the same time, you will get the power provide that may make you lose weight sooner. It also incorporates a decent amount of 5-HTP which will increase your power levels and elate your temper. Phen375 comprise nothing but natural components, and they appear to have a constructive effect on weight loss and fats burning. If you really want to lose weight, give the PhenQ slimming capsules a try. Phen375 seems to be one of the people’s favorite decisions in terms of losing weight and fighting cravings. Although they could be a bit extra expensive than your common supplement, it seems like there’s a cause for it. Phen375 appears to be a favourite choice for quite numerous individuals. It has an estimated weight reduction price of 3 to five kilos per week, and many users have seen that it also suppresses their hunger, whereas also being useful in bettering their temper.
Lose Weight On Your Arms Fast
So, lengthy story quick, if you wish to obtain the best results, then you need to take solely as many Phen375 diet pills as really helpful. In an eventuality, you exceed your recommended dosage, there’s a possibility that you may have to cope with some delicate unwanted effects. CHECK PRICEWhat’s the most important thing you have to know about this resolution? Phen357 is the fact that is one hell of an urge for food suppressor. It goes without saying that the unacceptably excessive proportion of people suffers from weight problems, which comes on account of unhealthy life habits.
How To Lose Excess Weight In Hands Exercise Biceps
Fact Checked Overview Side Effects Ingredients Directions Price Benefits Where to Buy Phen375 vs. FENFAST 375 Bottom Line Phen375 Alternatives Q&APhen375 is a dietary complement promising a “slimmer, sexier, more engaging you.” In fact, this product makes numerous promises, all backed by a 60 Day money-back guarantee. But, the U.S. method not accommodates Phenylethylamine. Phen375 is taken 1 or 2 occasions a day from 1 pill every time! By taking 2 tablets a day – note that RDA (Recommended Daily Dose) is 1 capsule / day – the outcomes are sooner and greater! Taking 2 drugs / day is recommended when the individual has a fairly increased body weight and the additional pounds he needs to lose is a lot. Phen375 is a dietary supplement claiming to advertise weight reduction. The supplement contains components supported by research.
Tummy Lose Weight Exercise How To Lose Weight In Legs Calves Tight After Walking
Many folks declare that the product worked for them although they didn't comply with a regimented exercise exercise or diet plan. However, like any weight reduction complement, if you mix Phen375 with reducing your caloric consumption and consistent exercise, your weight loss shall be accelerated greatly. Phen 375 is an over-the-counter dietary supplement promoting “a slimmer, sexier you.” It has been available on the market since 2009 and claims to have a scientifically-researched superior formulation that may lead to lowered food cravings, elevated metabolic fee, fats burning, increased power, and weight loss. It also contains an extract of white kidney beans that will take up any excess starch and fat deposits in your physique. According to the producer, Genius Diet Pills has a specific sort of Saffron known as Satiereal which can regulate your weight and suppress your food cravings sooner than another urge for food suppressant. PhenQ boosts your energy ranges, makes you eat less by giving you a sense of fullness, and helps you burn fat with minimal effort. PhenQ isn't the cheapest weight reduction tablet on the market but works fabulously. PhenQ is made with one hundred% natural components with zero unwanted effects.
How To Reduce Arms Fat Faster
So, advice and directions of a health expert should be taken earlier than consuming any of those weigh loss supplements. And there are herbs out there that have the properties for burning further fat and likewise lowering the appetite of an individual. It is a weight loss complement and it makes it simpler to lose further weight. This product is the ultimate end result after years of research done by medical professionals. So, this food regimen supplement isn't only secure but it additionally meets all of the medical standards!
Reduce Belly Weight Exercise
It has a thermogenic property that enhances metabolism so that the physique can more easily burn fats. When mixed with the stimulants in Phen375, it is even more effective. Why this plant extract is included in a weight loss formulation is still unsure, however some studies have proven it to be efficient solely when paired with the opposite weight reduction ingredients, as well as with weight-reduction plan and exercise. One such product is Phen375. Is it a respectable complement, or a scam?
Why Am I Slimming Down In My Legs But Not My Stomach
The food regimen tablet is packed with naturally-occurring fibers. These fibers connect to fat turning it into very large molecules which the physique simply can’t handle to absorb. Due to this, the body will get much less fat than normally throughout the day though you continue to shouldn’t restrict your self to consuming exceptionally dietary meals.
0 notes
Ask D'Mine: Lazy Pancreas and Nude in the Sun
New Post has been published on http://type2diabetestreatment.net/diabetes-mellitus/ask-dmine-lazy-pancreas-and-nude-in-the-sun/
Ask D'Mine: Lazy Pancreas and Nude in the Sun
Got diabetes questions? You came to the right place! Ask D'Mine is our weekly advice column, hosted by veteran type 1, diabetes author and educator Wil Dubois. This week, Wil explores a so-called "lazy pancreas" as described by a doctor, and also how PWDs may need a tad more Vitamin D than other folks.
Need help navigating life with diabetes? Email us at [email protected]
Rita, mystery type from Missouri, writes: Since I was 18, I was told I had high blood sugar. The glucose tolerance tests would really spike and then come down over a 3 or 4 hour period. I was told I have a lazy pancreas. A recent blood test says I am not a diabetic, but I did some self-monitoring with a fingerstick meter and it shows numbers above 100 to 200+. What kind of doctor should I contact for this?
Wil@Ask D'Mine answers: A competent one.
Next question?
What? Oh. Amy and Mike say I have to do a little bit better job answering yours first. Something about details missing... So here goes:
"Lazy Pancreas" is not listed in the International Classification of Diseases database. That means it's not a real disease. I'm fine with bloggers talking about lazy pancreases, but I'm appalled that a doctor would tell you this.
But if you don't have Lazy Pancreas, what do you have? Let's see if we can sort this out. I'm guessing that the "recent blood test" that gave you a clean bill of diabetes health was a comprehensive metabolic panel (CMP), as it's the only common lab blood test that measures glucose. This test is usually drawn after fasting, so this tells me that your fasting sugar is probably OK. I don't know how old you are now, and a gentleman should never ask a lady about her age (although there's some controversy about whether or not I'm a gentleman), but we know from the oral glucose test that when you were younger your body didn't handle a sugar load well. Some of your fingersticks are all right, the ones around 100—and some are really not all right—the ones at and above 200.
Hmmmmmm.... Sounds like a first-phase insulin response failure to me.
What does that mean? It's the canary in the coal mine. And your diabetes canary just gasped, choked, and collapsed in its cage. May I suggest that you run for the mine shaft opening?
In all likelihood, type 2 diabetes is on its way to your house. You probably have pre-diabetes. But don't freak out on me. Dead canaries are a good thing. (Uh-oh, I bet the American Canary Fanciers Association is really going to flame me now.) What I mean by that is it's better dead canaries than dead coal miners, right? Early warnings are a good thing.
Here's how it works: type 2 diabetes will never win the Grand Prix. It's one of the more slow-poke diseases around. It takes a long time, as long as 15 years, maybe more, from when it starts until it's in full bloom. At the earliest stages, the first thing to go is the first phase insulin; that causes the after-meal sugars to creep up. Later the fasting sugars will creep up, too. Unchecked, the process grows until we get sugars bad enough to rate full-blown diabetes. But early pre-diabetes is hard to catch. Most lab tests that are part of routine physicals are drawn fasting, so during this protracted time when early pre-diabetes mainly affects after-meal blood sugars, it's often totally missed by the medical community.
But sometimes you get lucky. Sometimes you catch pre-diabetes early, before it becomes fully developed. And it sounds to me like this is what's happening to you.
What kind of doctor do you need? One who understand diabetes. One who will help you keep yours at bay as long as possible. One who won't tell you that you just have a "lazy pancreas" and leave it at that. Pre-diabetes is treatable, you need a doctor who will help you treat it.
Becky, type 1 from Arizona, asks: How much sun-time do you need for a vitamin D dose?
Wil@Ask D'Mine answers: Ten minutes a day, every day, at noon, sans sunscreen. Naked.
Which is why most people pop a pill to supplement their vitamin D needs instead.
Backing up, what's vitamin D all about? Well, it helps maintain the balance of calcium and phosphorus in your body, which in turn makes and keeps your bones strong. Too little vitamin D can cause Rickets in young people. For adults, being short on vitamin D has been tentatively linked to all kinds of bad shit like hypertension, multiple sclerosis, cardiovascular disease and even type 1 diabetes and type 2 diabetes! Or, maybe maybe not on the T2 front.
But regardless of the connection to other disease states, strong bones are a bonus for everyone. So you need your D. Other than nude sunbathing, where can you get your daily allowance of D? From pills. And from food and drink. But your options in the kitchen are pretty limited.
Some fatty fish, like salmon, tuna, and mackerel have it naturally, as do eggs. Oh, and cod liver oil has it, too. Back in the old days, many kids had to choke down a spoonful of cod liver oil a day to keep Rickets at bay. By all accounts it's awful stuff. Ironically, cod itself doesn't seem to have much vitamin D.
In the United States, most milk has been "fortified" with vitamin D since the 1930s. That means it isn't naturally occurring in milk, but has been added in as a public health measure. In fact, most Americans get whatever vitamin D they do have from fortified foods. And while that seems to have worked for decades, in recent years, vitamin D deficiency seems to be on the rise.
What's up with that? We've been fortified for 80 years. What changed? Well, it might be that the sun set on us. As a people, we used to spend more time in the sun. Even if most of our grandparents weren't sunbathing nude for ten minutes a day at noon, they got more sun than most of us do today. One of the thoughts behind our national vitamin D deficiency rates suggests our depleted ozone-induced skin cancer fears have led to a dual decrease in sun-time and an increased use of sunblock when outside. Or maybe the trend towards play inside over play outside is responsible.
Either way, low D is rampant and the classic supplements in food alone aren't keeping up. You may need to take more, but first you need to be sure you're one of the millions of Americans who are short on D. It's hard to feel vitamin D deficiency. Mild muscle and bone aches are the main symptom, but they don't show up until deficiency is quite severe. So ask your doc to check your vitamin D, as it does a body good - all you need is a blood test called a 25-hydroxy vitamin D test.
And if your body is low on D, and you don't like pills or fortified foods, and if you've got the time (and a high enough fence to keep the snoopy neighbors out), pretty amazingly, your body can actually synthesize vitamin D the way plants make glucose. Just by lying in the sun.
This is not a medical advice column. We are PWDs freely and openly sharing the wisdom of our collected experiences — our been-there-done-that knowledge from the trenches. But we are not MDs, RNs, NPs, PAs, CDEs, or partridges in pear trees. Bottom line: we are only a small part of your total prescription. You still need the professional advice, treatment, and care of a licensed medical professional.
Disclaimer: Content created by the Diabetes Mine team. For more details click here.
Disclaimer
This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines. For more information about Healthline's partnership with Diabetes Mine, please click here.
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