Enlightening Chat - Dietician

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Enlightening Chat - Dietician


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Old 03-21-2012, 06:46   #1
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Default Enlightening Chat - Dietician

Sorry, this is long. I don't have anyone to talk to about diabetes and I do tend to ramble LOL.

Yesterday I returned a phone call from a dietician who is on the provincial Diabetes Help line. It was an interesting chat.

She asked about my diet (of course) and whether I had changed it after taking the course. I told her that because there had been a couple weeks between diagnosis and the class I had time to do research and that I was adopting a LC/HF way of eating and that since I had changed I had lost 20 lbs, plus my BS's were in the normal range. Surprisingly she didn't argue with me and try telling me it was "dangerous". She said to me it's okay to still eat breads, pasta, rice etc - just to limit my portions and stick to whole grains. I said I can't because it raises my BS too much so I've cut all that right out, down to 100g or less for carbs a day. Her - "Wow, that's pretty strict". Me- "Yeah, well I like my feet attached to my ankles" No further comment lol.

She asked me for some readings, I gave her some pre and post meals, before bed, waking etc. She was thrilled to hear I was routinely under 6, even under 5 post prandial. She said that that was great but not to be so strict on myself because under 10 PP was good control. 10?? Seriously?? All I could do was shake my head and try not to tell her she was smoking crack.

So that lead us to testing - I was testing at the beginning up to 10 times a day. Told her that and she said it was too much - only twice a day. I sighed and told her that until I know what foods I can and cannot eat I will test as often as I want to. It's my money and I'll spend it as I please. I don't test that frequently now that I have some tried and true meals, but still 5 or 6 a day sometimes, especially if I am trying a new food.

I wasn't rude and kept it easy-going and pleasant, but honestly I wanted to cry - between 7 & 10 is normal for a PWD? I understand that if they were to tell you to cut the carbs many people aren't willing to make such drastic changes upon diagnosis and there would be a huge outcry and non-compliance would be rampant. But at the same point - why not give all the options? I know LC isn't for everyone and people have to do things their own way, but education is key here, especially when it's your LIFE! If I had known ten years ago what I know now - I probably wouldn't be diabetic, or at least put it off for a few years. I'd probably have a child or two instead of four cats lol. Hindsight makes me sad...ah well, onwards and upwards from here, not going back to the old ways, that's for sure.

Anyways, I've carried on here enough for one night - just needed to share with people who understand!

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Old 03-21-2012, 06:53   #2
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I'm so glad you knew enough to stand up for yourself!
It's sad to hear another example of why so many people suffer complications from diabetes... They follow medical advice!

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Old 03-21-2012, 07:37   #3
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Happens a lot, and to a lot of us. Anyways, you are now "enlightened" - Welcome to 'nirvana'.

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Old 03-21-2012, 12:40   #4
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She said that that was great but not to be so strict on myself because under 10 PP was good control. 10?? Seriously?? All I could do was shake my head and try not to tell her she was smoking crack.
10? I've never had that, even immediately post diagnosis when I was eating to the DA recommended diet. It was a few 7.4s that convinced me to try LCHF.

You did really well, and hopefully planted a tiny seed of doubt there.

 
Old 03-21-2012, 12:56   #5
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I hope SHE was enlightened, maybe if we keep hammering at em, they will get the zen message!

Good job of talking and acting civil about it, but still getting the word OUT!

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Old 03-21-2012, 13:10   #6
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Thanks to Moon's recent posts, I've been reading the ADA guidelines on treatment. I confirm that their recommendation is 10 PP (or 180 mg/dL). The French standard is exactly the same - but expressed in French. If I were a teacher, I'd have both these students explain and confess who copied from whom!

The mindset seems to be that anything tighter would be too difficult and therefore, don't even try for it. Sad!

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Old 03-21-2012, 13:42   #7
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I was also told that 180 was a great number after meals. It wasn't until I got online to do my own research that I found 120-140 (American Academy of Endocrinologists). Actually now I have weaned myself below 120 usually around 100-110. You are so right the only way you can do it is with testing. Wouldn't it be so much easier for them to give us lots of strips that first year so we could figure this out for ourselves. I buy my strips too. Now 5 years out, I only use 1-3 per day because I know what works. But in the beginning I went through them like water. I love your statement about how you like your ankles attached to your feet attached to your ankles. It is ashame that they don't give new diabetics the option to get lower bgs the way we do. No slice of bread or bowl of pasta is worth losing a body part.

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Old 03-21-2012, 16:51   #8
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Way to go Rachel, digging in your heels & sticking to your guns. It's beyond me how the professionals can be reading the results and still make comments such as she did.




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Old 03-21-2012, 21:50   #9
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Thanks to Moon's recent posts, I've been reading the ADA guidelines on treatment. I confirm that their recommendation is 10 PP (or 180 mg/dL). The French standard is exactly the same - but expressed in French. If I were a teacher, I'd have both these students explain and confess who copied from whom!(
In a recent discussion with my doctor, he admitted that DA followed ADA's guidelines. We were discussing the accepted upper level for HbA1c in newly-diagnosed (under 10 years) diabetics at the time, and he said that while 6.2 was still the figure in Australia, the Americans were now recommending 6.5 and he expected Australia to follow suit.

 
Old 03-21-2012, 22:19   #10
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In a recent discussion with my doctor, he admitted that DA followed ADA's guidelines. We were discussing the accepted upper level for HbA1c in newly-diagnosed (under 10 years) diabetics at the time, and he said that while 6.2 was still the figure in Australia, the Americans were now recommending 6.5 and he expected Australia to follow suit.
Yep,

Whilst I have nothing against US citizens (after all a fair number of Scots went there in the 18th and 19th centuries), they are undeniably the commercial masters of the world at the moment. If the ADA were to say that an HbA1c of 15 is good, then tomorrow the UK, France, Australia..... would follow suit.

I accept that the ADA has done some helpful things in its history but I fear that now they are careful to ensure that their big money sponsors don't get upset. So advocating anything that might upset the profit margin of the big pharma, cereal or the fast food industry is definitely off the menu!

Cynical.in.France!

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