Dealing With Doctors - Page 6

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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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Dealing With Doctors - Page 6


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Old 04-29-2016, 16:50   #51
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Quote:
Originally Posted by Steve3129 View Post
Walmart sells Novocain R (fast acting insulin) OTC. Its what I use.
Think you mean NOVOLIN R NOVOCAIN R is a local anaesthetic which won't help your BG

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Old 05-04-2016, 23:38   #52
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How to you deal with doctors who are hung up on ONLY following ADA recommendations?
It helps to ask the office staff to funnel you toward a provider who doesn't preach about the ADA recommendations. Ask for one of the nurses if you need to. They usually know their doctors pretty well. Mostly though, if you ask for a doctor who has added training in diabetes, that is usually your best bet because they tend to already have a healthy distrust for the ADA recommendations.

Start by telling the doc that you follow a diet with a 90 gram daily cap on carbs (or 50, or 120 or whatever range you follow). I can almost guarantee you that they are not going to start preaching at you. For one thing, it tells the doc that you know about carbs, know how to count them, and you are AWARE of what you are eating. If they do preach, simply say, "I think we are not going to be a good fit. I came here for medical advice, not menu advice."

Now, many docs still are concerned about the high fat in low carb diets. I choose to eat little red meat, but have full fat dairy and peanut butter. Otherwise, all my protein sources are lean and the result is actually nearly normal cholesterol levels in a family where high cholesterol is the norm. You'll have to decide if you even want to bring that issue up.

The ADA recommendations aren't totally crap. They recommend what, about 150 grams of carb a day? The average American diet is from 250-350 grams, so any cut is good. The thing though, is that you are doing something that is helping you and you shouldn't have to defend something that has a lot of scientific proof. If it helps any, you should know that Atkins developed the low carb diet for his patients who weren't responding well to any medications and certainly weren't being helped by the then ADA diet.

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Last edited by Bunjee; 05-04-2016 at 23:42.
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Old 05-23-2016, 07:29   #53
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I was part of the teaching staff at USC LA county Hospital. It used to fry me big time whenever a student would say those words to a patient. "Who is the doctor here?" I consider this the ultimate disrespectful stupid response.
Sadly many insensitive jerks love to pull this ****. In my experience anyone who line does not deserve respect. It is my hope that a good doctor would explain his position and not act like he is right "because I said so". Please let me apologize to you for him. If he said that while I was in the room, he would regret it. cocky *******.

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Old 05-23-2016, 13:58   #54
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we had a six month review with the diabetes clinic, when the dietician asked about my carb consumption i told her about keeping it under 30 a day not 45 to 60 a meal. then i pulled out my laptop and showed her my spreadsheet showing meals, exercise, sugars and fasting... even my eliminations. she swallowed like a surprised, trapped groundhog.
then, the nurse asked me into her office for a private interview where she asked questions and complimented me on my success appearing to me to be genuinely happy with the results.

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Old 07-23-2016, 15:20   #55
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I just wouldn't go back to that rude man Cricket. I'd take my chance with a new one. I hope you find a good doctor soon.

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Old 07-23-2016, 15:36   #56
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My doctor did not like me eating less than 100g of carbs per day, but since my weight was dropping, my A1c was down, as was my blood pressure. He really did not harp on it.

He said I needed to be very careful that I don't have a dangerous low BS! I questioned him saying if I am taking metformin and Lantus....how could I have a low....he could not answer that and just said be careful.

Now that I am into my second year of LCHF....he calls me his "Poster Child" for other retired guys....he now is asking questions and really seems to be impressed with the LCHF model....

If he had not come around, I would have changed doctors....!

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Old 07-23-2016, 17:44   #57
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I have to say this is frustrating. I went to my endo once (I go again next week)

I had lost 35 pounds at the time since I saw my regular doctor and my BG went from 396 to 86 ( 3 months) doing a ketogenic lifestyle and the doctor still said the ADA does not recommend that and that I should be eating the 'good carbs'. whole grains, sweet potato, etc.

you should have seen her face when I told her I use coconut oil.

so my wife sees what the doctor recommended and says I should listen to the doctor because she knows best...

ummm no. I got this.

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Here are some good starting points to read

Blood Sugar 101 - VERY informative and accurate
http://www.diabetesforum.com/diabete...ng-method.html a tried and true testing method
https://www.dietdoctor.com/low-carb lists foods for LCHF

""You take the blue pill, the story ends. You wake up in your bed and believe whatever the doctors want you to believe. You take the red pill, you stay in Wonderland, and I show you how deep the rabbit hole goes." "
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Old 07-23-2016, 17:57   #58
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Tell your doc that the ADA does support low-carb diets and has for almost 10 years.

UPDATE: Here's the wording that has worked well for me "I've worked with a dietician and have found a balanced diet that works well to stabilize my blood sugar." Then don't go into details. Most won't care much more beyond that you worked with a dietician. If you read what I said carefully, it doesn't say anything about carbs, if the dietician approved of the diet, what balanced actually means, etc.

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Last edited by Daytona; 07-23-2016 at 18:00.
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Old 07-23-2016, 18:14   #59
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Sometimes when talking with doctors, less is more!

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Old 07-23-2016, 18:18   #60
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So many Endo's lean heavily on their med school books and follow a hard set of rules for treatment that they often overlook the patients keen awareness of their bodies and what works for them. It seems Dr's fear low blood sugars more than the patient and often recommend patients to keep their glucose between 140 and 175
(a1c of 6.5 to 7.5). I also see many Dr's relying on ADA and diets that contain far too many daily carbs.



Quote:
Originally Posted by hftmrock View Post
I have to say this is frustrating. I went to my endo once (I go again next week)

I had lost 35 pounds at the time since I saw my regular doctor and my BG went from 396 to 86 ( 3 months) doing a ketogenic lifestyle and the doctor still said the ADA does not recommend that and that I should be eating the 'good carbs'. whole grains, sweet potato, etc.

you should have seen her face when I told her I use coconut oil.

so my wife sees what the doctor recommended and says I should listen to the doctor because she knows best...

ummm no. I got this.

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