Re: Great diabetes basics from Joslin
- From: "W. Baker" <wbaker@xxxxxxxxx>
- Date: Mon, 10 Aug 2009 17:13:38 +0000 (UTC)
Kurt <kurtwheeling1965@xxxxxxxxxxx> wrote:
: > : > 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-Manageme...
: >
: > : 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
: I realize that, Wendy. If the doctor is a gatekeeper to the supplies/
: insurance then it would be even more important to make a case to him
: or her of why you feel you as a diabetic need to test more. Show them
: your numbers and encourage them to encourage your proactive approach
: to diabetes. When all else fails, buy the extra strips and test away.
: I still haven't read any compelling evidence here from any low carb,
: high fat eaters why they think testing at 1 hour is important. But
: again, I believe a diabetic who is in good control deserves as many
: strips as they want and should test anytime they want. That's what's
: great about the modern glucometers...you never have to guess as to
: what your bg is.
: Kurt
We have type 2 people here who have had doctors say, whatever you are
doing, it's working so just continue and prescribe as many strips as they
request, but others have found their doctors reistant to lettign them test
as much as they feel they need to keep their good A1c's and test results
and will not prescribe many strips. Unfortunately, they are unable to
change doctors over this issue , particularly if they live in smaller
communities with few options. the cost of strips can be quite a hurdle
for many on limited incomes, so there is a real problem here.
Wendy
.
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