Re: Thank goodness for free access to updated professional opinion

This post not CC'd by email
On 29 Mar 2006 20:42:30 -0800, "Anil" <navkal@xxxxxxxxx> wrote:

Note the point>> Clinical trials consistently show a
>> substantial residue of risk that
>> cannot be reversed with drugs.

G'day G'day Anil,

I am truly impressed with how your understanding has increased in
depth. I could have taken most any part of your post as worthy of a
reply. Think of this as a sample.

I wonder how many will recognise the significance of some aspects of
the paper, especially such subtleties as the importance of
epistemology studies in highlighting the residue of risk not explained
by standard risk factors.

There is plenty here to feel humble about. But over I felt that making
evry possible effort to stay disciplined is not just a way to deal with
diabetes but may well be the the only way to keep it from encroaching
too fast. Some of us who have been just introduced to this have to
realize that we are indeed in honeymoon period here but length of that
period will much depend on how big a lifestyle change we are going to
accept and how fast!

There is also some thing that this article made me once more aware of.
When one takes statin drugs and prophylaxis drug line aspirin, one
looses the ability to monitor important markers. One can no more use
the LDL/HDL/Trig numbers to find the damage caused by the Metabolic
Syndrome! I can not see hs-CRP level and say my CVD risk is now lower.
Because all I have done is put a duct tape on the meter that tells my
health numbers.

We are all fooled by the numbers from time to time.

Yes I am over simplifying things but at least at the
early stage in this game maxing out lifestyle changes should be allowed
to take its effect before rushing to go for the silver bullets. Don't
you think so?

That is a difficult question to answer. It really is. There are at
least two schools of thought. One is that lifestyle changes should be
tried first with the implication that drugs can be used when they fail
to halt the progression. The other is that aggressive use of drugs
early on prevents damage from happening giving the diabetic the
opportunity to undertake the slower more important journey of making
lifestyle changes. The one certainty is that drug therapy without
lifestyle change is a delusion.

Anyway I am once again feeling good about the progress I have made but
article like this help me remain focused and acutely aware that my
enemy is far more capable and I will need a rather large reservoir of
mental discipline to truly keep it at bay.

I once likened it to fighting a rear guard action. Diabetes is a
stealthy enemy that attacks on many fronts, often taking ones
supposedly safe positions by surprise. Those who lower homocysteine
with folic acid, B6 and B12 may think they are safe when they aren't.
Those who lower cholesterol may think they are safe when they aren't.
We must defend in depth and not expect to win all battles. Reliance
on a single approach is unlikely to be a long term solution.

Best wishes,


--
Quentin Grady ^ ^ /
New Zealand, >#,#< [
/ \ /\
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin
.

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