Do you have tight control? - Page 2

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Do you have tight control? - Page 2


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Old 04-04-2012, 05:34   #11
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Quote:
Originally Posted by nunya View Post
The ADA also says this:

"In real life, you should set your goals with your doctor. Keeping a normal level all the time is not practical. And it's not needed to get results. Every bit you lower your blood glucose level helps to prevent complications."

I am fascinated by the pick and choose "information" that is presented and then kicked around. If the ADA is so full of bunk, why does everyone keep looking at them?!?
Hmm. In "real life" - as opposed to .... what?

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Old 04-04-2012, 05:41   #12
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Since I'm not American, I can claim immunity from these guidelines.
The ADA guidelines are shamelessly being aped in many parts of the world including here in India

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Old 04-04-2012, 06:32   #13
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Quote:
Originally Posted by nunya View Post
The ADA also says this:

"In real life, you should set your goals with your doctor. Keeping a normal level all the time is not practical. And it's not needed to get results. Every bit you lower your blood glucose level helps to prevent complications."

I am fascinated by the pick and choose "information" that is presented and then kicked around. If the ADA is so full of bunk, why does everyone keep looking at them?!?
The last sentence, even though it contradicts the previous ones, is probably never questioned. Most people when faced with difficult situations and know little about it, tend to want to go to what should be experts in their area of concern, i.e. doctors, dietitians, the ADA, in the circumstance of diabetes, and think they are getting the best advice and treatment available. They want to hear things like you are going to be OK, it's easy to do, diet and exercise, loose some weight, you are within guidelines, etc. And that is what they get and are happy with that. They do as they are told, many probably never test, so never have a clue they are not doing OK and not managing the problem as well as they could and should be. How do they know to look elsewhere and why would they after getting the good news they want to hear.

As an old TV ad said, "When EF Hutton talks, (long silent pause)
people listen." It is difficult to dispel the bunk, especially when its comes from supposedly the experts.

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Old 04-04-2012, 09:45   #14
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Quote:
Originally Posted by nunya View Post
The ADA also says this:

"In real life, you should set your goals with your doctor. Keeping a normal level all the time is not practical. And it's not needed to get results. Every bit you lower your blood glucose level helps to prevent complications."

I am fascinated by the pick and choose "information" that is presented and then kicked around. If the ADA is so full of bunk, why does everyone keep looking at them?!?
First of all, I am not "everyone", I am one person who as a result of another post (can't remember which one now, LOL) was searching "tight control" when this section popped up. I did not go to the ADA site purposefully as it is not a site I find helpful. I find it as useful as teats on a bull. It is not a site I "keep looking at".

Secondly, it seems that often in the Forum when the ADA is brought up, the Type 1's are more likely to defend the ADA than the Type 2's which leads me to wonder if the ADA may be more appropriate for Type 1's and less relevant for Type 2's?

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Old 04-04-2012, 12:25   #15
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I think most type 2's in the US don't have tight control because they are told only to test a few times a week or only at fasting. So how do they even know how their control is. I think I followed the ADA guidelines for a few months before I realised how high they really were. Since normal bgs tend to be 70- 100 or thereabouts that is my goal. I rarely get into the 70's and 80's but I do spend most of my day in that 90-100 range. My mornings after breakfast may spike to 110-115 for an hour or two but that is the only time I am high. If you are spiking 80 points at meals and then crashing, I feel that is not good control. I think what we are learning about heart disease is that it is caused by inflammation caused by frequent spikes and crashes.

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Old 04-04-2012, 13:07   #16
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Quote:
Originally Posted by jojeti

First of all, I am not "everyone", I am one person who as a result of another post (can't remember which one now, LOL) was searching "tight control" when this section popped up. I did not go to the ADA site purposefully as it is not a site I find helpful. I find it as useful as teats on a bull. It is not a site I "keep looking at".

Secondly, it seems that often in the Forum when the ADA is brought up, the Type 1's are more likely to defend the ADA than the Type 2's which leads me to wonder if the ADA may be more appropriate for Type 1's and less relevant for Type 2's?
As someone who uses insulin I gotta poke on this.

I will defend their advocacy for PWD. We need a large scale lobby group with a single point to concentrate that effort. Be that the ADA or Joe Blow doesn't matter as long as the results are there.

That said, I will not defend their dietary stance, for the most part. I feel it is a starting point for most. A "let's compare diets" view if you will. For many people it is just that, and it IS an improvement over what many eat. I know there are some who eat very healthy and still get DX with D, but for many, and I was in this category, let's be honest, the ADA is a drastic drop in carb intake. That makes it a starting reference and a pretty good one when viewed that way.

For some it works, for others not much. That is for each individual to decide. When the "ah-ha" moment hits, and the PWD decides to seek out other diets, Atkins, South Beach, LCHF, whatever, all we can do is be supportive and explain how our chosen diets worked for us. If they want the level of control we have, and are willing to do the work to achieve that level of control, that is a choice and personal decision each must make at their own time. Nothing we say or do will change minds until they are ready. I have a coworker who's been T1 for 30 plus years and he's my "inspiration". He's got severe retinopathy, neuropathy, already had one kidney and got a transplant. He's nearly lost a foot twice to infection. His a bitter man and believes D is nothing he can change and just gonna get worse and eats whatever he wants and just adds a bolus from his pump. I want to be nothing like him, so I don't eat his way, the ADA WOE. He makes fun of me for how I eat and each time he does I think to myself that I want nothing to do with that.

Sorry if I sound preachy, I don't want to. I just want to explain how I see things with the ADA.

Sent from my iPhone

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Old 04-04-2012, 13:26   #17
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Quote:
Originally Posted by nunya View Post
I am fascinated by the pick and choose "information" that is presented and then kicked around. If the ADA is so full of bunk, why does everyone keep looking at them?!?
Because doctors and diabetes educators keep telling us to follow that bunk. When the pressure to go against what we know from our own experience gets too much, we vent here on this forum. It may seem like we keep looking at them, but it's a response from outside, not something we seek on our own.

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Old 04-04-2012, 13:47   #18
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First of all, I am not "everyone", I am one person who as a result of another post (can't remember which one now, LOL) was searching "tight control" when this section popped up. I did not go to the ADA site purposefully as it is not a site I find helpful. I find it as useful as teats on a bull. It is not a site I "keep looking at".

Secondly, it seems that often in the Forum when the ADA is brought up, the Type 1's are more likely to defend the ADA than the Type 2's which leads me to wonder if the ADA may be more appropriate for Type 1's and less relevant for Type 2's?
I will not pretend to speak for anyone else but myself, but since I am Type 1, I can attest to my own personal experience with ADA advice which I received from my Doctor. I was told to eat 4-5 carb choices per meal (15 carbs each) at each of three meal and have a 15 -20 carb snack between meals. This advice was given to me in spite of the fact I need to lose weight. I literally took the Doctor at his advice because I trusted him.

Not anymore! Their advice is not appropriate for me and all it caused me to do was to gain weight. Please don't make assumptions about Type 1 PWD unless you've walked in their shoes.

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Old 04-04-2012, 13:56   #19
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You could drive a TRUCK thru their "tight control!"

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Old 04-04-2012, 14:08   #20
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You could drive a TRUCK thru their "tight control!"
My most recent 30 day average is 109 (6.1) which I did not get using ADA guidelines.

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