“The typical thinking is that hyperglycemia leads to insulin resistance leads to increased fatty acid utilization. But that might be the wrong direction: it seems that the increased fatty acid utilization means sugar is unused (hyperglycemia) and remains high well into the fasting state, with consequent high levels of insulin. Insulin high too long becomes tolerance to insulin becomes insulin resistance becomes BKA.”
“Recent articles about insulin coma treatment have attempted to explain why it was given such uncritical acceptance. In the United States Deborah Doroshow writes that insulin coma therapy secured its foothold in psychiatry not because of scientific evidence or knowledge of any mechanism of therapeutic action, but due to the impressions it made on the minds of the medical practitioners within the local world in which it was administered and the dramatic recoveries they saw in some patients. Today, she writes, those who were involved are often ashamed, recalling it as unscientific and inhumane. Administering insulin coma therapy made psychiatry seem a more legitimately medical field. Harold Bourne, who questioned the treatment at the time, is quoted: “It meant that psychiatrists had something to do. It made them feel like real doctors instead of just institutional attendants”.”
” The beginner would be well advised, before starting this
treatment, to go for a week or more if possible to a hospital
where it is done on a fair scale. The technique cannot .be
learned from books alone, and some practical experience is
necessary of the dangers that may be met with.”
The big question- what is the real difference between insulin shock therepy and the …effects of ssri’s?