Re: Great diabetes basics from Joslin



Kurt <kurtwheeling1965@xxxxxxxxxxx> wrote:
: On Aug 8, 1:51?pm, Peppermint Patootie <Peppermint_Patoo...@xxxxxxxxx>
: wrote:
: > In article
: > <cd99c7b9-daa9-4a7c-9896-c4a18d97b...@xxxxxxxxxxxxxxxxxxxxxxxxxxx>,
: > ?Peter C <pet...@xxxxxxxxxxxxx> wrote:
: >
: > > On 7 Aug, 07:23, "hemyd" <myd!!!...@xxxxxxxxxxxxxxx> wrote:
: > > > ?Personally, I go by what my bg meter tells me, and I don't
: > > > give a hoot what any organization or doctor says is good for me.
: >
: > > Yes but if medical authorities DO say what is good for you, the
: > > minimum requirement is that their recommendations should make sense
: > > and not be innumerate nonsense.
: >
: > Ah, but this is Joslin you're talking about, where the clinicians were
: > aghast that I would want to test at 1 and 2 hours post-prandial. ?"But
: > your BG might not have come down yet!" they exclaimed. ?"Uh, that's the
: > point," I tried to say, but they were making signs against the evil
: > spirit of self-knowledge and could not be reasoned with.

: I would sure like to hear their side of this story. It's hard to
: believe that they would be "aghast" that you test at 2 hours post-
: prandial since Joslin recommends a 2 hour post-prandial number.

: www.joslin.org/Files/Clinical-Guidelines-for-Pharmacological-Management-of-Type2-Diabetes.pdf

: As far as testing at 1 hour, most endos probably would find that a bit
: odd but not be aghast about it. I realize in this newsgroup it is the
: gospel, but certainly not in the legitimate diabetes community.
: Admittedly, I do sometimes test at 1 hour and my endo is never aghast
: when I mention that I do. As a matter of fact I'd find it hard to
: believe that any endo would really care how much you test unless asked
: for their opinion on it. Testing at one hour does seem a bit of a
: waste, especially for someone who eats low carb higher fat because the
: fat will delay a spike.

: Just another one of those "things that make you go hmmm" about what's
: posted in here.

: Kurt

Kurt,

It can be a problem if you need to get a prescrption for test strips, .
If your MD sees no point in your testign program you might end up with
only 3 a week or some other such . this is more likely to be a problem
for type 2's than for type 1's as there are more required test for type
1's. Places like the VA are notorious for limiteng strips .

Wendy
.



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