Should I keep still ?

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Should I keep still ?


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Old 01-23-2015, 17:51   #1
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Default Should I keep still ?

I have a family member who was diagnosed 'pre-diabetic' recently with a blood sugar of 336. This individual is now taking 500mg of Metformin twice a day. They have been advised to test their blood sugar upon arising in the morning to get a fasting blood sugar reading. I've given them links to favorite sites mentioned on this forum to learn about type 2 diabetes. I should add the person does not want to do "shots". I can foresee not such great things happening to this person and it troubles me greatly. So....do I keep still and mind my own business or do I keep trying to share with them what I've learned about the benefits of LCHF?

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Old 01-23-2015, 18:09   #2
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Originally Posted by Strawberry View Post
I have a family member who was diagnosed 'pre-diabetic' recently with a blood sugar of 336. This individual is now taking 500mg of Metformin twice a day. They have been advised to test their blood sugar upon arising in the morning to get a fasting blood sugar reading. I've given them links to favorite sites mentioned on this forum to learn about type 2 diabetes. I should add the person does not want to do "shots". I can foresee not such great things happening to this person and it troubles me greatly. So....do I keep still and mind my own business or do I keep trying to share with them what I've learned about the benefits of LCHF?
Well, I guess you know best about the person and situation. I would at minimum try to convince them to do just one more test each day, 2 hours after main meal. Explain to them that what you eat is what delivers the glucose that you're not handling so well any more and that they can use these two meter tests to "experiment" with what they eat until they get the needed results. Of course, we know where that will end up at least in broad strokes, but there is the option of letting them discover it for themselves.

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Old 01-23-2015, 18:22   #3
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Well, I guess you know best about the person and situation. I would at minimum try to convince them to do just one more test each day, 2 hours after main meal. Explain to them that what you eat is what delivers the glucose that you're not handling so well any more and that they can use these two meter tests to "experiment" with what they eat until they get the needed results. Of course, we know where that will end up at least in broad strokes, but there is the option of letting them discover it for themselves.
Salim - you and I both know the benefits of testing and eating to your meter. However this individual has indicated their intention to be free of meds by later this year, thereby not needing to test anymore. I get the impression that because I have the "bad kind" of diabetes (type 1) that my approach HAS to be diligent. I just feel sad because I know what will happen to them if they choose to follow the typical ADA guidelines. Their A1C is over 12.0 at present and without dietary modifications, that isn't likely to change or am I wrong?

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Old 01-23-2015, 18:52   #4
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An HbA1c of 12% suggests that their average blood sugar is around 300 mg/dL so their 336 at diagnosis was no fluke. I went DKA at 400!

If they can be persuaded to look at LCHF seriously, they could well go a long way towards avoiding 'shots' as they wish but without some serious attention to their way of eating, their metformin dose is going to have to rise and they will almost certainly end up with some of the oral medications that come with lots of interesting side effects 'free inside'. Diabetes Drugs - Quick Summary Realistically, their most attractive option will be just what they don't want - insulin!

As you and Salim have already agreed, if they accept the idea of 'eating to the meter' they might learn that the ADA standard does not deliver the results needed. However, I suspect that their doctor has done them no favours by playing down the significance of type 2 as against 'real' diabetes (type 1). Good luck and I hope you succeed in persuading them to do the right thing!

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Old 01-23-2015, 19:01   #5
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Quote:
Originally Posted by Strawberry View Post
I have a family member who was diagnosed 'pre-diabetic' recently with a blood sugar of 336. This individual is now taking 500mg of Metformin twice a day. They have been advised to test their blood sugar upon arising in the morning to get a fasting blood sugar reading. I've given them links to favorite sites mentioned on this forum to learn about type 2 diabetes. I should add the person does not want to do "shots". I can foresee not such great things happening to this person and it troubles me greatly. So....do I keep still and mind my own business or do I keep trying to share with them what I've learned about the benefits of LCHF?
This is not prediabetic, this is full blown diabetes. Giving metformin right away is done mainly for the insurance benefits cause they don't want to pay more. Then when the maxiumum dose of metformin doesn't work, doc will prescribe glimepride or some drug of nature, and then when doesn't work move on to some of the newer more interesting drugs, unless one put their foot down and says just bring on the insulin.

I never believe in prediabetes but if you take care of th eproblem early and keep on taking care of the problem forever then you may avoid complications.

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Old 01-23-2015, 19:52   #6
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I would be curious as to who diagnosed someone at 336 and 12.0 as "pre-diabetic".

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Old 01-23-2015, 20:05   #7
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I would be curious as to who diagnosed someone at 336 and 12.0 as "pre-diabetic".
My thoughts as well

Sent from my iPhone

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Old 01-23-2015, 20:45   #8
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When I made my response I blindsided the expression 'pre-diabetic'. It didn't even occur to me that the poor devil was anything other than a type 2 but my crack about the doctor downplaying their condition? Was I ever understating the case!

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Old 01-23-2015, 21:50   #9
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I'm not certain where I read this, but the statement went something like this: Not all doctors graduate at the top of their class. The ones that do, go on to do great things, the rest of them just hand out their shingle and get what they can while they can.

I don't know the family member's doctor, but what I suspect is one of two things. Either the doctor told the individual a long time ago that they were pre-diabetic and the person did naught to correct that situation. Or...now that their blood sugar numbers are in the 300 range, the doctor did not correct his previous diagnosis of 'pre-diabetic'. I have a feeling that there is more to the story than what I was told.

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Old 01-23-2015, 22:14   #10
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Strawberry? I heard that story too, and it went like this: Even the ones who graduate LAST in their class, still get to be called 'doctor'. Heaven help us.




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