Re: ADA Releases First Food Guidelines

On 3 Sep 2006 02:04:07 -0700, "Amy (UK)" <tesselate@xxxxxxxxxxxxxx>
wrote:



Trinkwasser wrote:
It's confusing, I checked the shelf today, it was 30 tabs for 99p, now
it's 40 tabs (the 33% extra) but now listed at 66p. Should I order
some in bulk before they notice it's actually half price?

YES!!!!!!!!!! And send some down here, so I can stop writing in caps
:-)

It's called Valupak, for once something that lives up to its label
(the pharmacy is a privately owned one but an affiliate of Alliance)

Well I got bored with the customary Windows vs. Unix one . . . I take
it you never hitch-hiked?

Now whatever gave you that assumption, I mean, impression? Go on, I
dare ya.

I learned a *lot* about driving from riding with the professionals.
But then that was back in the days when the long distance bus drivers
were the cream of the cream (I used the buses up and down from Durham
to London) not the underpaid cowboys so many of them seem to be since
privatisation. And likewise truckers were under much less pressure,
there was still a union and no threat from the continentals moving in
with their much cheaper diesel, they took pride in their skills and
abilities. (No doubt some still do.)

No, by the time I came along they'd moved to what was then rural
Surrey and what is now the Burbs. I also lived in Ealing in the
nineties, and I knew Notting Hill but mainly back in the seventies.
I saw something exactly similar in Bristol, City Road was once
obviously (from the name) a Posh Bit, all Georgian big terraces. Then
it became very run down and ethnically diverse. Then the hippies moved
in and when they turned into Yuppies it started going upmarket again.
Cities often have those major contrasts, and if you look back into the
history and local geography you can find the original farms which were
turned into the housing estates at various times past.

Yes, it was all apple and pear orchards here just over a century ago.
I saw a map of W.4 from about 1850 (?), practically nothing 'civilised'
(so-called) there either. Near where I work, the Green used to be a
Roman pathway.

If Prescott has his way the Green will become more houses. :(

Exactly. Short-termism rules. I suspect if you were to factor in the
number of patients who die young you might reach a slightly different
financial picture. I got the distinct impression that health services
in Surrey were a model for the future, there appeared to be a major
emphasis on triage and reserving treatment for those who "deserved" it
which is looking more and more like the future direction of medicine
if you grovel around in the NICE website far enough. "Saving" money on
treatment to be able to afford the ever increasing number of managers
and cunsultants. Seen it in industry, heard about it from the Police.
I watched management happily squander pounds in order to "save"
pennies. Many of the firms who did that either went under or were sold
off to be remaindered or taken over, while those in charge went on to
better things. I expect to see a further limiting of the NHS and a
corresponding rise in Private Medicine: they've learned from the HMOs.
And more tricks like limiting treatments even further for the obese,
the elderly, smokers, and generally People They Don't Like Very Much.

Living at the London end of Surrey makes it a bit of a mixture. I've
seen lots of changes in the 30 years I've been with my local practice
-- much more management-oriented. They now have a computer sign-in in
the waiting room and an electronic sign, like you get at a train
station, to say when GP is ready to see you (they could've sent some of
that £ to Suffolk for test strips, right?). Course you can only get
an appt. on the day if you're taking your last breath and you're not
allowed to book appts. in advance if you're not. Faultless logic, no?

I've heard of that but fortunately never experienced it. You could
book appointments in advance, but usually at least a fortnight in the
future. You had to be seriously near death to get to see anyone the
same day, or get a house call. I also watched the quality of the local
hospital go downhill: when I was young there were several cottage
hospitals and a couple of large mental hospitals, all closed down and
sold off for housing. The big local hospital went the same way and was
replaced by a modern one in (probably) the seventies: when I was in
(1984) it was quite excellent, by the time my father went in to die
(1992) it was totally overloaded. It's since been on the national news
for having an ambulance jam in the emergency loading bay, the latest
plan is to close it and the next nearest and build a brand new one
(again I suspect the motivation is more to do with selling off the
site for lucrative housebuilding rather than patient health).

Our current surgery has just upgraded the computer log-in screen, the
new one doesn't work as well as the old one. They also have the
electronic board but only for *some* doctors and nurses, the other
ones still have to come out and fetch their patients.

The unbelievable bit though is that there's still a receptionist to
talk to, and overall they're very pleasant and helpful. You can still
often get an appointment within a few days or even the next day, and
for emergencies you can get triaged by one of the nurses and see a GP
immediately if she deems it necessary.

All extremely practical, helpful and efficient, words I could only use
to describe one surgery in Surrey, which I had to stop using when I
moved. That's probably not the same any more. That part of the coutry
has a SERIOUS problem with infrastructure, if it's not severely
overloaded they build more houses until it is. :(

Do you think your new GP takes IGT seriously? My then GP was doubling
as an endo and was very proactive, which I now appreciate.

She at least acknowledges it exists and did a GTT instead of just
assuming I was neurotic or hypochondriac. I'm attempting to educate
her, in the nicest possible way, about the diversity of diabetes, the
progressive factor, and the general crapness and danger of the
high-carb low fat diet which is what led me here. With pretty graphs,
not in Excel but

http://www.creusen-software.nl/

quite useful kit

Interesting, if I only had a tech-brain ;-) What does she make of
your graphs then? Good that you got an OGTT. Do you happen to
remember the amount you had to drink? Am thinking of "trying this at
home" to see where I am. Would probably have to take a week off work
though to sleep it off...

<shudders> I try to forget the experience, it was about two glasses of
Lucozade, can't remember how many ml, there has been a DIY GTT posted
previously, if I can remember who posted it and when I'll look it out.

Apart from the disgusting flavour which would make even well people
ill (the nurse *really* didn't want my half-used bottle, and I was
equally determined that I was NOT going to take it home with me) it
was not terribly pleasant, that much glucose on an empty stomach
caused me to nod out and it took most of the day to recover.

Worth it in the long run though as it proved there was something going
on which the FBG didn't show, I only hit 10.8 and needed 11.1 to get
the diabetes diagnosis (no bad thing really as it meant I avoided the
dietician's well-meaning but useless advice) although the GP tutted
and said she was putting her fingers in her ears when I expalined why
I would not be following the high carb low fat diet on the leaflet she
gave me, looking at the numbers she's impressed that I'm managing to
control the BG *and* improve the lipids.

The entertaining bit was when she rang through the numbers from the
test and I interrupted her and told her what I predicted they'd be, I
was a bit out but not that far <G> I said something like below 5
fasting, around 12 after one hour and back around 8 after the second
hour, the actual numbers were something like 4.8, 10.8 and 7.8

The nurse who did the GTT suggested paying attention to the GI and
admitted that patients didn;t seem to do very well on the Standard
Diet, which was also good.

I have to severely avoid carbs in the morning, and wheat at almost all
times, though I can dilute some wholewheat bread with other stuff for
dinner and mostly get away with it. Even wheat bran has too much wheat
in it and tends to spike me.

Yes, have found the same. Guess evolutionary digestive changes haven't
caught up with grains being pounded to a fine powder. I've found rye
and bread made from pressed or sprouted grains semi-okay, in small
quantities. Have you tried Stamp Collection bread?

<blank look> you buy it in the Post Office?

That's the most important lesson I've learned from here, testing my
own responses to others' suggestions, and finding how they alter
throughout the day. Also quantities, x grams good, x+1 grams disaster
. . .

But then, also, different day, different results. For me anyway.

Yes I guess a sort of irregular regularity. I reckon the longer I can
keep within relatively normal numbers with only a few excursions out
of band, the slower I will disintegrate, but most importantly the less
crap I will feel, so as long as I don't blow the numbers often I
accept my fate.

though currently I'm pining for mother's blackberry jelly on home-made
bread

<sigh>

Have a blackberry or two :-)

Damn I *hate* digging the pits out from between my teeth only slightly
less than doing the same with raspberries. Hence the concept of the
"jelly". Still I can get away with strawberries, we get most excellent
locally grown ones, Elsanta in early season, Atlas at the moment,
definitely never Everest. Much more user-friendly and non-spiking.
.

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