diabetes management phone coaching

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diabetes management phone coaching


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Old 05-25-2012, 04:23   #1
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Default diabetes management phone coaching

The place I work offered a voluntary and free wellness plan that paid 200 dollars if you filled out their survey. I decided to participate in their diabetes management and nutrition plans with phone coaching, mainly just to argue with someone according to my BH, and I bought 4 gallons of coconut oil with the money.

Last night was my third call with the nutritionist and we must have gotten beyond the point of recommending ADA vs LCHF. Our conversation started with the usual verification that I am who they thought they were talking to and the call is recorded for quality purposes. She asked how I was doing and how my BG numbers were doing and covered some concerns about eating enough servings of vegetables and fruits. Assuring her by telling what I ate typically, she was satisfied on the veggies and didn't question "I don't eat fruit." We updated my exercising regime. I thought everything was going well and then she said we didn't talk about setting goals last time. And to my suprise she said, I will put down that your goal is to continue doing what you are doing and keeping an eye on your BG. I told her she could elaborate on that a little, that my goal was to control my BG to a number closer to normal than I could ever get on their ADA recommended WOE and with the minimum amount of pharmacological assistance necessary. Also to continue to do what was best for my overall health.

I just had blood pulled Tuesday, and I'm thinking my A1c will be lower, based on a 5.6% home test a couple of weeks ago. I'm not really expecting my lipids to be leveled back out after quitting the Lipitor and going higher fat, but if they are, I am going to be advising her on next months phone coaching. That will be more satisfying than arguing.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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Old 05-25-2012, 05:27   #2
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Quote:
Originally Posted by mbuster View Post
I told her she could elaborate on that a little, that my goal was to control my BG to a number closer to normal than I could ever get on their ADA recommended WOE and with the minimum amount of pharmacological assistance necessary.
What was her response to this? Was she surprised? Did she laugh? Did she argue? And what are her qualifications to provide phone counseling? Is she an RN? CDE?

Sorry for all the questions. I'm just nosy . . . I mean curious.

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A1c
11/2011: 8.8 | 03/2012: 5.6 | 08/2012: 5.9 | 09/2013: 6.0 | 03/2014: 6.2 | 03/2015: 6.2 | 02/2016: 6.9 | 01/2017: 6.8 | 05/2017: 7.1 | 09/2017: 6.8 | 01/2018: 6.5

Diabetes meds
Metformin 1000mg BID

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Low-ish carb (~90-150g per day)
Low-ish calorie (<1800 kcals per day)

Exercise
I really should exercise.
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Old 05-25-2012, 05:44   #3
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I think this is great. Wish I had the opportunity to have a call like this worth $200 I would do the same thing you did with the money

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Old 05-25-2012, 06:54   #4
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Quote:
Originally Posted by WV Mom
What was her response to this? Was she surprised? Did she laugh? Did she argue? And what are her qualifications to provide phone counseling? Is she an RN? CDE?

Sorry for all the questions. I'm just nosy . . . I mean curious.
She laughed. We quit arguing last time when I questioned her telling me we had to have carbs for brain function with did we need carbs or glucose and what happens to excess protein. Believe me, she knew.

She told me first time we spoke she was a certified nutritionist and she was not a diabetic. I'll ask her for more specifics next time. She did acknowledge last time and again this time that she could not stray from ADA recommendations. She knows she cannot sway me an inch, and unfortunately I feel I have the same influence about advice she will give in her official capacity. I hope to get her to believe that there is a better alternative by having good numbers to back up my choice. Maybe, just maybe, in an unofficial capacity, she will have the opportunity to advise trying LCHF because she knows someone it works for.

Sent from my iPhone using Diabetes

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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Old 05-25-2012, 14:23   #5
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I think it is great you are able to confront traditional ADA advice and come out of it with $200 to fund your coconut oil stash. I think all these dieticians are requiered to follow the ADA line. I think my response to you need carbs for brain function would be, What does lack of brain function feel like. I think these professionals scare people out of trying LC diets with scare tactics.

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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

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HbA1c 6.1 5/12

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Old 05-25-2012, 15:49   #6
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My response to the carbs for brain function is: WHY am I then on medication (metformin) to SLOW GLUCOSE PRODUCTION, by my liver???

Are you revealing any numbers to this person? And are they reportable to your insurer?

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Old 05-25-2012, 16:05   #7
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I had a misconception of the title. Phone support for Diabetics:

Put the biscuit down and back away from the table.

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Old 05-25-2012, 16:06   #8
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Quote:
Originally Posted by foxl
My response to the carbs for brain function is: WHY am I then on medication (metformin) to SLOW GLUCOSE PRODUCTION, by my liver???

Are you revealing any numbers to this person? And are they reportable to your insurer?
Yes to revealing numbers, not sure about reporting to ensurer, but they say they do not report to employer. I don't really believe that though. I thought I had found a link between them and BCBS so it wouldn't surprise me. BCBS may have not gotten enough if any responses of wanting to get insured to participate in their management plan, and started this gimmick to sneak it in.

I think in the long run it is a plot to raise individual rates in group plans to penalize those of us that allowed ourselves to get in the shape we are in. The employer in turn gets a break on group rates. But I must suffer from paranoia, always think big brother is out to get me. LOL after quick peek over both shoulders.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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Old 05-25-2012, 17:26   #9
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mbuster, that is precisely why I did not swallow the $200 bait. My numbers are great, my control is great ... but what about the poor sucker who isn't as well-controlled -- and it is not his or her fault?

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Old 05-25-2012, 18:36   #10
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I got info from Anthem/BC once about phone counselling and I just threw it away. A friend of mine had to do it because of her insurance. The nurse on the other line actually changed her medications and did a lot of other things I thought were questionable. This poor women was dx'd at the same time as I was and she was very overweight. They kept telling her she wasn't eating enough carbs, so she complied and gained more and more weight. Several years ago she had a small heart attack. They have her on every oral med possible and I really worry about her. So I really do think these phone counselors do shape behavior and it may not be good change.

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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

Age 62
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