Different Goals for Diabetics

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Diabetes Treatment As there is currently no cure for the chronic, Diabetes mellitus – the emphasis must be on treatment and management to avoid complications. Please use this section to discuss how you carefully control and manage your Diabetes. Please let us know what is and isn’t working for you. Feel free to discuss all areas of treatment and management of Diabetes including diet, exercise, weight loss, insulin usage, oral drugs and more.


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Different Goals for Diabetics


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Old 03-19-2012, 21:53   #1
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It is a beautiful Spring day here in Ohio. So I was out transplanting perennials in the mud when I saw my neighbor outside. She has been diabetic much longer than me. I would have to think at least 10 years if not more. As long as I've known her she has been on insulin. We got talking and she is now on the pump. She was telling me if I ever need insulin don't bother with the pens or injections and go straight to the pump. She was talking about her perfect control and how she can eat anything she wants. I told her it would never be an option for me because of high deductible insurance. I told her I can pretty much control it with diet and metformin. She said she could never do that because she loves junk food too much. She asked what my HbA1c was and I told her low 5's. I thought she was going to die. She told me she has never had a bg below 140 and HbA1c has always been above 7. So that is what she considers good control. Oh, by the way she is a Doctor. I know lots of people who use pumps to get great bgs close to normal. I guess she really doesn't know what normal is. I feel sorry for her, she is very much overweight, never exercises and I guess eats junk food all the time. She has 2 kids in middle school and high school. You would think a doctor would know better. Are we that much different from the normal diabetic?

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Old 03-19-2012, 22:54   #2
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Im on a pump and do not use it so that I can eat junk food. I still keep my carbs under 50-60 a day just like I did with MDIs. Your right you would think a doc would know better!

By the way it is a beautiful spring day here in Ohio!!

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Old 03-19-2012, 23:38   #3
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That is why I was surprised by her response. As a Doctor you would think she would have researched Diabetes and the best way to deal with it. I do understand pumps are great but you still have to manage your diet. She told me she just dials in whatever she is eating and it comutes the carbs and decides the insulin. As she said it is a no brainer. You can tell by the weight she has gained that she is taking a lot of insulin. Of course I don't feel there is much I can say to her with her being a physician. One of the things she mentioned was that there was so much junk food in her office that it would be impossible to stay away from it. She works at the Cleveland Clinic. It is great she gets 100% coverage for her pump and supplies but just think the control she could get if she just tweaked a few things. I don't see her very often because she has someone else do all her yardwork and housework, so she doesn't even get that kind of exercise.

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metformin-2550
low carb organic diet
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moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

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HbA1c 6.1 5/12

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Old 03-19-2012, 23:50   #4
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Quote:
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One of the things she mentioned was that there was so much junk food in her office that it would be impossible to stay away from it.
Okay, here's one of my pet peeves. For years I have had to live in a gluten-consuming society. I have NEVER said that it was impossible to not eat gluten-containing foods. It may be more difficult to avoid it, and I may have to bring my own food with me to events, but it IS possible. AND, it IS POSSIBLE to not eat junk food.

This is just an excuse to not exercise any will power or responsibility. And I'm sure the carbs she is consuming makes her crave more carbs.

My doctor is a female who has been gaining weight steadily over the few years I have known her. How can she possibly tell anyone to restrict anything in their life if she is not willing to do the same?

Okay.... rant over.

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Old 03-19-2012, 23:53   #5
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She's a doctor of what? a lot of denial going on there for sure. Some people get it and some don't. Don't forget a lot people don't want to hear the diagnosis and the treatment and given an easy ou they will take it. " oh, 7.0 is good enough? I'll shoot for that.". Too bad really but a lot of docs don't want to be bothered. Most patients won't listen and many are totally non-compliant.

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Old 03-20-2012, 00:10   #6
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She is a Radiologist but still she went through med school and works at Cleveland Clinic so she has the best of the best advice at her fingertips. I feel it is not my place to suggest she reach out . I guess the wierd thing is she really thinks she is doing great. She just went on and on about the pump and how great it was for control. I assume she is one who believes in those outdated ADA guidelines and doesn't go anyplace else.

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metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

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Old 03-20-2012, 00:12   #7
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We have had plenty of carry ins at my work since my t1 diagnosis. Some one is always bringing in donuts. I just pick and choose what I can eat and have lots of snacks in my desk to fill in the gaps. It's not that hard. I've been tempted, but have not given in. A newly diagnosed t2 is following my lead and knows I have safe foods in my desk that she's welcome to. Just like drugs....JUST SAY NO!!! My co workers are awesome though and do not get offended if I turn down what they've made.

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Old 03-20-2012, 00:15   #8
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Quote:
Originally Posted by jwags View Post
She is a Radiologist but still she went through med school and works at Cleveland Clinic so she has the best of the best advice at her fingertips. I feel it is not my place to suggest she reach out .
It's okay to feel that way if you'd feel that way to anyone else, but don't be put off by the MD. She's a radiologist, not an endocrinologist, so she doesn't know squat about diabetes.

I'm basing my opinion on my own daughter, who is an OB/Gyn. Within her field, no one better. Outside it, she comes to me for advice.
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Old 03-20-2012, 00:19   #9
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When ever someone puts those carby treats in front of me, I put an image in my brain of my bg meter hitting 300. If I repeat that number enough I no longer crave the snack. I also carry my own arsenal of Atkins Bars, cheese sticks and bags of assorted nuts. A treat to me would be a WASA cracker with cream cheese or real butter. The hardest thing for me is in the Super Market. All the veggie aisle is at one end of the store, then you have the Natural food aisle, then you have the Bakery with tables of donuts and cakes , in a maze like pattern. I feel like a rat speeding through as fast as I can to get to the Deli counter. I see lots of people stopping and eating all the samples they put out. But it really doesn't take a lot of will power when your health is at stake. I know people on DF take their Diabetes fairly seriously. But I never realised how non chalent some D's are.

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diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

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Old 03-20-2012, 01:14   #10
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My sister is a nurse and diabetic and she was big into the LFHC lifestyle...remember when Snackwell cookies came out? She would eat the whole bag, but that was okay because they were low fat...now, even though she sees my progress, she is so afraid of eating fat and she listens to the dieticians at work.

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February 17, 2012, A1c: 5.0
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