The Hypocritic Oath

Ask A Farmer

Posted in Uncategorized by trinkwasser on August 10, 2009

Ask a farmer how to fatten animals for market. Do you feed them fats? Or do you feed them grain?

Don’t ask this Farmer though, he hasn’t a clue.

The responses are well worth a read. He has carefully missed out on the entire point of monitoring. Test Test Test and its many derivatives over the last decade or so make use of the results to generate a feedback loop to modify the diet, and retest until what you eat no longer spikes your glucose levels. This is emphatically NOT “maintaining adherence to a healthy lifestyle” inasmuch as the lifestyle the patients were told to maintain was evidently NOT healthy or it would have demonstrated the same results we routinely see in newsgroups and forums – massive and consistent reduction of BG and A1c and usually improved BP and lipids also. Sometimes the results are spectacular and far above what most authorities consider to be the limits of “Medical Nutrition Therapy”, and often exceed that of medications.

Bringing A1c from 7.5% to 7.2% just does not cut it, when 5 – 8% improvements are commonplace and I’ve seen in excess of 10%. With a proper testing regime BG can be brought to nondiabetic levels in many people, and if the disease is caught early enough it is even possible to reduce levels of testing significantly once such control has become routine. But no-one researches successful diabetics so there is no “evidence” for these statements, nor is there likely to be, only hordes of anecdotes.

Note also the triglycerides were NOT measured. These can be reduced significantly by reducing carb input in line with the postprandial meter readings.

Now he’s at it again

Blood glucose self-monitoring in type 2 diabetes: a randomised controlled trial

A little bird tells me this will lead to testing being banned entirely for all Type 2s in the forthcoming NICE review in November.

Let’s look at what some more competent scientists not motivated by pleasing their accountants have found

Andrew Karter produced this paper for Kaiser Permanente, and believe me if THEY consider SMBG to be cost effective then it must be.

He and Mary Austin are two who champion glucose monitoring as it should be used.

The horrible irony is that in the long term poor diabetes control will lead to more expenditure in dealing with the complications. Spending pennies now would save pounds down the line.

Oh wait a minute, am I cynical enough to think the NHS actuaries haven’t already taken that into account? Of course if enough diabetics die of heart attacks then the costs of both the test strips and the amputations and dialysis will be saved. Also their pensions and all the cost of other non-diabetes-related diseases.

Hmmm, yes I rather think I AM that cynical.

Am I cynical enough to hope he becomes diabetic and has his own legs lopped off? Try me . . .

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