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Discussion Starter · #1 ·
I am an endocrinologist who has practiced for 31 years and have helped many patients overcome diabetes by living their lives to the fullest. While I do not have diabetes myself, I feel I can add value to the community because of my medical knowledge and the experiences I have had by knowing and watching and learning from my patients. I realized, I cannot teach people everything they need in the setting of a doctor's office and have established a website which provides free information about the latest research, information about diabetes and nutrition, and cooking videos. I invite you to visit my website, comment, ask questions, and let me know how I may better serve you.
 

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I am an endocrinologist who has practiced for 31 years and have helped many patients overcome diabetes by living their lives to the fullest. While I do not have diabetes myself, I feel I can add value to the community because of my medical knowledge and the experiences I have had by knowing and watching and learning from my patients. I realized, I cannot teach people everything they need in the setting of a doctor's office and have established a website which provides free information about the latest research, information about diabetes and nutrition, and cooking videos. I invite you to visit my website, comment, ask questions, and let me know how I may better serve you.
I'm afraid many of us are a bit cynical about the position of the medical community and the ADA on diabetes. As an endo, maybe you have a viewpoint that is more attuned to our needs, as well as the REALITY of diabetes. Plus, I don't see a link to your website.

As an individual who was diagnosed 18 mo. ago, I learned more from the members here than from the doctors who dx me or the dietician/diabetes "specialist" they sent me to.
 

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I'm curious what you mean by "overcoming diabetes". Many of us manage our Diabetes very well with the least amount of medical intervention but we know we are still Diabetic. I've been able to get an HbA1c in the low 5's and pretty much maintain it but I have not overcome my diabetes. I live with it every day and will for many years. I welcome your input into our forum and would love to hear what you feel about the right diet for diabetics. Many of us through trial and error have found a Lower carb/ higher fat diet works very well for us but many in the medical community don't agree.
 

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Discussion Starter · #5 ·
I'm afraid many of us are a bit cynical about the position of the medical community and the ADA on diabetes. As an endo, maybe you have a viewpoint that is more attuned to our needs, as well as the REALITY of diabetes. Plus, I don't see a link to your website.

As an individual who was diagnosed 18 mo. ago, I learned more from the members here than from the doctors who dx me or the dietician/diabetes "specialist" they sent me to.

I meet people with diabetes every day who feel the ADA and the medical community have let them down. I do everything I can to respect my patients as human beings who have to deal with diabetes in addition to all the other responsibility of daily life. In my 31 years of practice, I have learned from them and while helping them overcome their challenges, I grown, and continue to grow as a doctor as well as a human being. I have learned quite a bit from these forums as well. I would appreciate more dialog to enable us to better understand each other, and how physicians and health care providers may better serve their patients. I cannot provide my website directly because of the rules on this forum. I would appreciate your comments as to how I and my website may better serve you.
 

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I have been type 1 for 66 years, and I was very fortunate to survive my first 62 years with only minor complications (minor nerve damage). I was never told about site rotation and scar tissue, needing to count my carbs and use carb counting, and many other things that would have helpd me so much. I found out about these things when I started joining online diabetes support groups in 2006. My doctor even refused to approve a pump and CGM for me because my A1c was good. I had to find an endo and get a second opinion before I was approved. I have not been impressed by the lack of knowledge about diabetes by some doctors. The endo felt that after 62 years of injections I deserved the opportunity to experience the conveniences offered by pumping. I have far fewer highs and lows with pumping.
 

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I think doctors should listen to their patients and work with them to get the best bg control possible. This is often not the case. Many of us are told that an HbA1c of 7% is great and as diabetics we can never hope for normal bgs. My doctor told me fastings of 130 were fine and I shouldn't get them lower. Like Richard , I got most of my information on online forums from other diabetics who live with this disease everyday. I also found out about Dr. Bernstein's approach to achieving normal bgs for every diabetic. His WOE ( way of eating) has helped me so much. I do think the problem with the ADA recomendations is that it assumes we really should still eat a lot of carbs and take more medication to deal with it.
 
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Lets not put ALL the failure of the medical community onto Sybil he/she has offered to help with knowledge from an MD standpoint (this is the internet). Insted of acusations on the failing of past MDs not necessarily those of Sybil.

I have a question for Sybil
which is better for my hart?
an A1c of 8.2 and a cholesterol of 200
or
an A1c of 6.0 and a cholesterol of 281

I have found listings of essential nutrients for the human body to live a healthy life. I have yet to find a list that includes carbohydrates as an essential nutrient, so why does the AMA, ADA require us to eat carbs as a source of nutrients?
 

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Discussion Starter · #10 ·
I'm curious what you mean by "overcoming diabetes". Many of us manage our Diabetes very well with the least amount of medical intervention but we know we are still Diabetic. I've been able to get an HbA1c in the low 5's and pretty much maintain it but I have not overcome my diabetes. I live with it every day and will for many years. I welcome your input into our forum and would love to hear what you feel about the right diet for diabetics. Many of us through trial and error have found a Lower carb/ higher fat diet works very well for us but many in the medical community don't agree.
Sorry if you think the term overcoming diabetes is rhetoric. There is no cure for this disease and no matter how good the A1c is, people still have diabetes. As treatment and understanding of diabetes has improved, people have had more options than they had before. I have had patients run marathons, become teachers, policemen, doctors, and have traveled all over the world. My goal is to each person with diabetes as many options to choose from as possible. When people have dreams or goals for their lives and go for it in spite of having diabetes, in my mind they have overcome the diabetes. What do you think would be a better word to express this sentiment?
 

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Discussion Starter · #11 ·
I have been type 1 for 66 years, and I was very fortunate to survive my first 62 years with only minor complications (minor nerve damage). I was never told about site rotation and scar tissue, needing to count my carbs and use carb counting, and many other things that would have helpd me so much. I found out about these things when I started joining online diabetes support groups in 2006. My doctor even refused to approve a pump and CGM for me because my A1c was good. I had to find an endo and get a second opinion before I was approved. I have not been impressed by the lack of knowledge about diabetes by some doctors. The endo felt that after 62 years of injections I deserved the opportunity to experience the conveniences offered by pumping. I have far fewer highs and lows with pumping.
Glad the pump is working out for you. The things you mentioned should be part of any teaching regimen. A good diabetes educator or physician should have made sure you had appropriate skills. The doctor and patient should work together to be part of a team and set the goals jointly. When the goals are not met, they should try to work together to see what can be done better. The doctor does not treat diabetes directly, he teaches the patient how to treat it and this takes time and effort on both their parts.
 

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Discussion Starter · #12 ·
Yep -- overcoming diabetes is kinda dog-whistle rhetoric.

Sybil you do not mention which side of the LCHF / HCLF fence you sit on. That would be my first question.
The ADA and physicians have believed in a low fat diet for a long time. Unfortunately, when you cut down on fat, you will increase either protein or carbohydrates. Most people increase carbohydrates because they are cheaper and taste better. The high carbohydrate diets that people believed were good for them probably contributed to the obesity problem we have in America and throughout the world. I encourage low carbs. Polyunsaturated fats and monunsaturated fats are healthy for you. I use scientific data to make decisions and to maintain or lose weight, and to control diabetes, low carbs seem better. I encourage more of the healthy fats as well.
 

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Discussion Starter · #13 ·
I think doctors should listen to their patients and work with them to get the best bg control possible. This is often not the case. Many of us are told that an HbA1c of 7% is great and as diabetics we can never hope for normal bgs. My doctor told me fastings of 130 were fine and I shouldn't get them lower. Like Richard , I got most of my information on online forums from other diabetics who live with this disease everyday. I also found out about Dr. Bernstein's approach to achieving normal bgs for every diabetic. His WOE ( way of eating) has helped me so much. I do think the problem with the ADA recomendations is that it assumes we really should still eat a lot of carbs and take more medication to deal with it.
I agree with you about watching the carbs and going for the best glucose control possible. If you eat too many carbs and cover with insulin, you will gain weight but the sugar will still not be controlled.
 

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I am a vegetarian, yet I find plenty to enjoy in low-carbing. I am not sure I agree with your stance on dietary fat and controlling lipids (but let's wait till my lipid profile comes back in Feb, LOL).

Other than that, ANY professional who supports low-carbing, even moderate low-carbing, has won my support!

I do not think overcoming is the right word choice, it raised my hackles and suspicions, sorry. I think something more like controlling, or living with would be a better choice.
 

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Discussion Starter · #15 ·
I am a vegetarian, yet I find plenty to enjoy in low-carbing. I am not sure I agree with your stance on dietary fat and controlling lipids (but let's wait till my lipid profile comes back in Feb, LOL).

Other than that, ANY professional who supports low-carbing, even moderate low-carbing, has won my support!

I do not think overcoming is the right word choice, it raised my hackles and suspicions, sorry. I think something more like controlling, or living with would be a better choice.
Sometimes it is hard to find the right word. I hope you agree with my sentiment.
 

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Sorry if you think the term overcoming diabetes is rhetoric. There is no cure for this disease and no matter how good the A1c is, people still have diabetes. As treatment and understanding of diabetes has improved, people have had more options than they had before. I have had patients run marathons, become teachers, policemen, doctors, and have traveled all over the world. My goal is to each person with diabetes as many options to choose from as possible. When people have dreams or goals for their lives and go for it in spite of having diabetes, in my mind they have overcome the diabetes. What do you think would be a better word to express this sentiment?
Welcome, Sybil!

Thank you for your question. It's a great one! And your goal is Right On. Thank you for that, too.

I suggest the phrase, "Life with Diabetes." Emphasis on Life.

I totally agree ... "overcome" should be an innocent and uplifting word. Sadly, scammers have hijacked it to promote false "cures" (the #1 Bad Word, because for diabetics, it lies).

"Reversal" is yet another troublesome word. It is true that, with good control, many symptoms/complications can improve or, seemingly, reverse themselves. But, once again, scammers have twisted it to mean their snake oil makes diabetes go bye-bye.

We have a chronic disease. There is no cure at this time. New diabetics, and diabetics new to control, need to face this fact before they can enjoy a healthy life. At best, scams cloud the issue. Worst case, they can kill.

The blessing is, good control can bring on positive changes real quick!
 

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I was a vegetarian before diabetes and led a very active life. Since diabetes I have had to cut most of the carbs out of my diet, especially grains. I think the one thing we find confusing with most of the medical community is the reliance on whole grains. For many of us whole grains are devastating. Once I realised that my bg control got a lot better. I also believe like you, not to compromise on your dreams. I am a hiker and still hike all over the world with diabetes. I've hiked in the Rockies in Alberta, the Andes in South America, the Adirondacks in NY. This Spring we are going to Spain to visit my youngest daughter and will try to hike in the Pyranees. In August we are going to New Hampshire to do a 4 day Backpacking trip in the Applacian mountains. Although I was fit before diabetes, I am extremely fit now. I am back to my college weight and feel fantastic. The only set back I have had is when my doctor insisted all diabetics need to be on statins. Although my total cholesterol was a touch over the recomended- 202, my HDL was almost 100 from a low carb diet. Well after a year the statins started to destroy my muscles and pushed me into a Fibromyalgia type disease. So I stopped the statins and feel 100% better, now. As diabetics we need to question our doctors more.
 

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Discussion Starter · #18 ·
Lets not put ALL the failure of the medical community onto Sybil he/she has offered to help with knowledge from an MD standpoint (this is the internet). Insted of acusations on the failing of past MDs not necessarily those of Sybil.

I have a question for Sybil
which is better for my hart?
an A1c of 8.2 and a cholesterol of 200
or
an A1c of 6.0 and a cholesterol of 281

I have found listings of essential nutrients for the human body to live a healthy life. I have yet to find a list that includes carbohydrates as an essential nutrient, so why does the AMA, ADA require us to eat carbs as a source of nutrients?
It is hard to say which set of numbers would be better. I always prefer to have both numbers at goal rather than one or the other if possible. When evaluating the risk of a high cholesterol, you need to take into account the components of cholesterol ie the HDL (good) or the LDL (bad) cholesterol as well. Usually when the A1C goes up, so does triglycerides and HDL decreases and LDL increases. You may want to ask your physician what the components of your cholesterol are and how they contribute to your risk.
 

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With all due respect, I'm going to just cut to the chase here, Sybil. My question regards your acceptance of our intelligence, knowledge & hard-won experience about what works for us, and the test results we have to prove it. We are all totally aware of the achievers in the diabetic world who run marathons, gain professional accolades, and fulfill all their goals in life; actually our members are exactly those people, controlling their diabetes, living long happy healthy lives, raising families & growing/learning every day. So confidence & support is in good supply here. Many of us subscribe to LC/HF, but each of us tweaks it to our own needs . . . we eat to our meters. By this method, some go lower carb than others, just as some can go higher fat.

We expect to be treated with the same courtesy and respect as you would your colleagues, or anyone else who has great stores of wisdom, knowledge and experience in their area of expertise, which in our collective cases is diabetes.

You may feel like we give you a hard time, but we are in a position of having to believe you are what you say you are, or you are not. Since we have no way to verify your stated credentials, you may have to win our trust, and if you are willing to listen to us and take off your doctor hat, we may be able to work together. As one of the previous posters said, we are always happy to find members of the medical community who accept low-carbing as valid treatment.

The only other thing I should probably mention, is that as soon as you gain active membership here (and perhaps you already have!), you are allowed a single link in your signature block to post your website. Using the link or references in the body of your posts is not allowed, but as long as the website is your own and not somebody else's, the link in your signature is permitted.

Good wishes to you.
 

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Discussion Starter · #20 ·
Welcome, Sybil!

Thank you for your question. It's a great one! And your goal is Right On. Thank you for that, too.

I suggest the phrase, "Life with Diabetes." Emphasis on Life.

I totally agree ... "overcome" should be an innocent and uplifting word. Sadly, scammers have hijacked it to promote false "cures" (the #1 Bad Word, because for diabetics, it lies).

"Reversal" is yet another troublesome word. It is true that, with good control, many symptoms/complications can improve or, seemingly, reverse themselves. But, once again, scammers have twisted it to mean their snake oil makes diabetes go bye-bye.

We have a chronic disease. There is no cure at this time. New diabetics, and diabetics new to control, need to face this fact before they can enjoy a healthy life. At best, scams cloud the issue. Worst case, they can kill.

The blessing is, good control can bring on positive changes real quick!
Thanks for your suggestion. I would have loved to edit my post to get rid of the word overcome, but the site does not allow me to do that. I had no idea the word was hijacked to mean something totally different than I intended. Thanks for letting me know and I will try not to use the word again. Glad you agree with my concept. As a physician my goal is to better serve my patients and your insight will help me do just that. Thank you.
 
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