Medical Forum / Diseases and Disorders / Diabetes / October 2006
Is daily test needed for all types of diabetes?
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Larry from N.J. - 21 Oct 2006 20:45 GMT Is daily test needed for all types of diabetes?
Came across this article today. Click link
 Signature http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_T ype1&c=Article&cid=1161381024278&call_pageid=968332188774&col=968350116467
MaryL - 21 Oct 2006 22:24 GMT > Is daily test needed for all types of diabetes? > > Came across this article today. Click link The "information" in this article is idiotic and dangerous. For example, look at this statement: "Indeed, the doctor said there is virtually nothing type 2 diabetics can do about the results of their blood tests, which Canadian medical guidelines still recommend once a day." Speaking for myself, testing is what enabled me to change my diet and bring my BG under control (and have not needed any medication for a year and a half).
MaryL
Peter G. (Bigbird) - 21 Oct 2006 22:33 GMT >> Is daily test needed for all types of diabetes? >> [quoted text clipped - 8 lines] > > MaryL I absolutely agree! Informed use of testing results is essential to good control in T1 *and* T2 diabetics. it's ridiculous to say there is nothing a T2 can do about the results of there testing. I think virtually every T2 here puts the lie to that statement.
 Signature Peter G. (bigbird)
Roger Zoul - 21 Oct 2006 23:08 GMT :::: Is daily test needed for all types of diabetes? :::: :::: Came across this article today. Click link :::: :::: -- http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_T ype1&c=Article&cid=1161381024278&call_pageid=968332188774&col=968350116467
::: The "information" in this article is idiotic and dangerous. For ::: example, look at this statement: "Indeed, the doctor said there is [quoted text clipped - 10 lines] :: is nothing a T2 can do about the results of there testing. I think :: virtually every T2 here puts the lie to that statement. I don't know about you all, but I'm going to send some an e-mail the prof with the "nay" position. He is in sore need of education. I think they rely too much on "clinical" studies. At the same time, however, I'm not sure if his position is totally daff. For the average T2, he may have a point. The main problem, of course, is education. T2s who get depressed from testing is a problem. Obviously, this shows just how poor a job the medical community is doing in properly educating and advising T2s on how to best deal with diabetes.
Having said all of that, on my low-carb diet with exercise, I don't need to test everyday. But I came to this position through lots of testing. Bottom line: testing is very important.
Michelle - 22 Oct 2006 02:49 GMT > :::: Is daily test needed for all types of diabetes? > :::: [quoted text clipped - 31 lines] > to test everyday. But I came to this position through lots of testing. > Bottom line: testing is very important. I'm with you, Roger. I don't test everyday because I know which foods I can tolerate and which I can't. However, I learned this by doing a ton of testing. Still, if I eat something new I test, if something unusual is happening in my life I test, and I spot check just to make sure nothing has changed. A person may not need to test everyday, but testing can sure tell you what you're supposed to be doing. The assertion that T2's can't do anything about a particular BG is just crap!
 Signature Michelle, T2 diet & exercise
Ozgirl - 22 Oct 2006 04:43 GMT >>> Is daily test needed for all types of diabetes? >>> >>> Came across this article today. Click link >>> >>> -- http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_T ype1&c=Article&cid=1161381024278&call_pageid=968332188774&col=968350116467
>> The "information" in this article is idiotic and dangerous. For >> example, look at this statement: "Indeed, the doctor said there is
>> virtually nothing type 2 diabetics can do about the results of their
>> blood tests, which Canadian medical guidelines still recommend once
>> a day." Speaking for myself, testing is what enabled me to change
>> my diet and bring my BG under control (and have not needed any
>> medication for a year and a half). >> >> MaryL > > I absolutely agree! Informed use of testing results is essential to > good control in T1 *and* T2 diabetics. it's ridiculous to say there
> is nothing a T2 can do about the results of there testing. I think
> virtually every T2 here puts the lie to that statement. I think so too. I can't imagine the type 2's in here looking at a test result, post prandially, and saying oh, I can't do anything about that spike so I won't bother changing diet, meds, exercise levels etc.
I think there would be few if any in here who would ignore spiking that goes on for over a week (after discounting known stressors and infections etc).
Will, T2 - 22 Oct 2006 00:22 GMT >Is daily test needed for all types of diabetes? > >Came across this article today. Click link Looks like a lot of rot to me... Sure, if a T2 is 100% proof positive in good control, knows what works, and what does not work for himself/herself, and does not deviate, then they *might* be able to be comfortable in cutting back on the number of tests a day.... Not everyone has that luxury. To not test, when there is not absolute good control, is to invite disaster and the sequelae of uncontrolled diabetes.
Will, T2
shoppa@trailing-edge.com - 22 Oct 2006 00:39 GMT > >Is daily test needed for all types of diabetes? > > [quoted text clipped - 7 lines] > control, is to invite disaster and the sequelae of uncontrolled > diabetes. There's a second part of the equation: if the patient doesn't know how to use the numbers from the tests to improve control, then indeed there is not much point in testing.
It's this second part of the equation that seems to be barely (if at all!) mentioned in the article. This missing education/knowledge/experience is the real shortcoming, and I think the article is saying that all the testing in the world won't correct the inability of someone to use the numbers to his advantage.
Readers of this newsgroup tend to be vastly more educated than your typical Type 2 or for that matter Type 1. Also certainly more numerate (relating measurements to reality). Perhaps even obsessively numerate with respect to bg measurements.
At a certain level, more numbers when you don't understand what to do with any of the numbers can in fact make any situation more confusing. Confusion is not a good element to add.
Tim.
Will, T2 - 22 Oct 2006 01:06 GMT >At a certain level, more numbers when you don't understand what to do >with any of the numbers can in fact make any situation more confusing. >Confusion is not a good element to add. > >Tim. Good point, Tim.
Will, T2
Will, T2 - 22 Oct 2006 01:08 GMT >>At a certain level, more numbers when you don't understand what to do >>with any of the numbers can in fact make any situation more confusing. [quoted text clipped - 5 lines] > >Will, T2 Yes, there obviously has to be more emphasis upon education.... especially as to what spikes T2s into extreme hyperglycemia. I know, you know.... Does the world know?
Will, T2
shoppa@trailing-edge.com - 22 Oct 2006 01:28 GMT > >>At a certain level, more numbers when you don't understand what to do > >>with any of the numbers can in fact make any situation more confusing. [quoted text clipped - 9 lines] > especially as to what spikes T2s into extreme hyperglycemia. I know, > you know.... Does the world know? I'm not sure that the world agrees with me, or that you agree with me
:-). I say extreme hyperglycemia (you have to realize that I'm a Type 1 who went through DKA a quarter-century ago) is a couple consecutive readings of 400 or 500 or higher. Anything else, I'm not going to say that I ignore (indeed when I'm fine-tuned every little deviation is tracked), but is not worth getting too worked up about. My bg was reported to be 1200 at my diagnosis!
Others here have (via Usenet) diagnosed neuropathy based on a single bg of 130. So clearly not everybody has the same viewpoint!
It's probably good that not everybody has the same viewpoint, but others are not so appreciative of a divergence in opinion.
Tim.
Will, T2 - 22 Oct 2006 01:42 GMT >I say extreme hyperglycemia (you have to realize that I'm a Type 1 who >went through DKA a quarter-century ago) is a couple consecutive >readings of 400 or 500 or higher. Anything else, I'm not going to say >that I ignore (indeed when I'm fine-tuned every little deviation is >tracked), but is not worth getting too worked up about. My bg was >reported to be 1200 at my diagnosis! Jeez, Tim, that must have been horrible. Indeed, I know people who have died who had a lower bg at diagnosis. It must have been a very severe crisis for you. You have my sincere sympathies!
I was only somewhere around 290-300 FBG at dx (a1c was 13), riding up into the 400-500s sometimes during the day... so I am not the one to be talking about extreme hyperglycemia, compared to you. Even at that, I felt like I was dying.
My point was that there are a number of easy to follow rules that T2s can adopt that allow for relatively quick control of BG, in most cases... I refer to the things that Jennifer advises in her "newly diagnosed" page on the asd website.
Anyway, I cannot imagine anyone getting control, without a process of education, testing, and intelligent adjustment....
Will, T2
ray - 22 Oct 2006 01:15 GMT > Is daily test needed for all types of diabetes? > > Came across this article today. Click link I'm type 2 - non-insulin using; I'd rather check daily. If numbers go up - then I know I've got a problem - that simple.
Alan S - 22 Oct 2006 02:46 GMT >Is daily test needed for all types of diabetes? > >Came across this article today. Click link He's right when read in this context "In an emerging debate, many experts now believe that type 2 diabetics — who are not insulin dependent — are wasting hundreds of millions of dollars on daily tests that offer them no usable information."
The critical phrase is "offer them no usable information". And, if no action is taken as a result of the test, he is dead right.
Presuming that the test that is done is fasting or pre-meal, and that the patient sees the doctor about every three months, then limiting those daily tests to the week before the quarterly visit would be more than enough to let the doctor know whether prescriptions need adjustment.
Of course, we here know that it is a quite different situation if testing is done systematically to change lifestyles (including diet and exercise) to improve blood glucose control.
The problem here is that he is not even looking at that different situation or at why the daily tests are offering "no usable information".
I also note that this, and the other similar recent report from Western Australia, both originate in countries which subsidise testing costs. This comment by him is the critical one: "Majumdar said testing costs Canadians $300 million a year". How much of that funding would he prefer to be diverted to his research grants? How much is supporting his current position and these comments?
One can cynically expect a similar report to appear in the UK, Sweden and other countries which also subsidise diabetes support. Likely they will all cross-reference each other as well.
His mind is made up. The one to email may be Dr. Ehud Ur, who appears to be on the "aye" side of the debate.
Is anyone able to provide either email address?
Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltravel.blogspot.com/ latest: Tarascon - Chateau du Roi Rene
Roger Zoul - 22 Oct 2006 04:28 GMT :: On Sat, 21 Oct 2006 15:45:32 -0400, "Larry from N.J." :: <pleasedontemailme@comcast.net> wrote: [quoted text clipped - 45 lines] :: :: Is anyone able to provide either email address? Dr Sumit Majumdar Associate Professor General Internal Medicine me2.majumdar@ualberta.ca
Dr. Ehud Ur Ehud.Ur@cdha.nshealth.ca
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Alan S - 22 Oct 2006 05:20 GMT >:: Is anyone able to provide either email address? > [quoted text clipped - 5 lines] > Dr. Ehud Ur > Ehud.Ur@cdha.nshealth.ca Thank you.
Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltravel.blogspot.com/ latest: Tarascon - Chateau du Roi Rene
TigerLily - 22 Oct 2006 22:13 GMT please note the funding for test strips is out of private insurance only in Canada......... it's not from the socialized medicine that covers only your Dr's visits, lab reports and hospital stay/entrance
kate
 Signature Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher.
> :: On Sat, 21 Oct 2006 15:45:32 -0400, "Larry from N.J." > :: <pleasedontemailme@comcast.net> wrote: [quoted text clipped - 55 lines] > > -------------------------------------------------------------------------- Alan S - 22 Oct 2006 22:34 GMT >please note the funding for test strips is out of >private insurance only in Canada......... it's not [quoted text clipped - 3 lines] > >kate Thanks Kate
Makes you wonder what his problem is.
Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltravel.blogspot.com/ latest: Tarascon - Chateau du Roi Rene
TigerLily - 22 Oct 2006 23:21 GMT no kidding Alan
but if it's anything like my neighbour across the street
he was told to test ONCE a day, in the morning, and he's told that his reading of 14 is 'good for you'
sigh :-(
he's never been told what numbers to aim for, nor how foods affect his bg readings (pardon me, he got given the list of free veggies by me when he was diagnosed, so he has some idea)
he doesn't want to hear anything else from me now that his Dr has given him full approval of his 14 am fasting level
:-( and they wonder why he was in hospital with CHF this summer
sigh
kate
 Signature Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher.
> >please note the funding for test strips is out of > >private insurance only in Canada......... it's not [quoted text clipped - 14 lines] > http://loraltravel.blogspot.com/ > latest: Tarascon - Chateau du Roi Rene Alan S - 22 Oct 2006 23:49 GMT >no kidding Alan > [quoted text clipped - 21 lines] >and they wonder why he was in hospital with CHF >this summer Caused by excessive testing? Blood loss?
Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltravel.blogspot.com/ latest: Tarascon - Chateau du Roi Rene
TigerLily - 23 Oct 2006 01:27 GMT > >no kidding Alan > > [quoted text clipped - 23 lines] > > > Caused by excessive testing? Blood loss? LOL! right :-( excessive blood glucose levels is closer to the truth :-(
> Cheers, Alan, T2, Australia. > d&e, metformin 1000mg, ezetrol 10mg > Everything in Moderation - Except Laughter. > -- > http://loraltravel.blogspot.com/ > latest: Tarascon - Chateau du Roi Rene MI - 23 Oct 2006 01:02 GMT On 10/22/06 2:13 PM, in article 4q2580Fkvdr9U1@individual.net, "TigerLily" <me@privacy.net> wrote:
> please note the funding for test strips is out of > private insurance only in Canada......... it's not [quoted text clipped - 3 lines] > > kate Well I am finally "outed". A very quick overview of my condition. I'll give you the meds in my sig to cut things short. I am type 2 diagnosed in 1987. Last A1C was 6.3, taken when I had pneumonia. Another one coming up in November.
Tiger Lily is correct as far as Alberta is concerned. There are three provinces that cover prescriptions but we aren't all the same. In British Columbia where I am after we pay our deductible (which is income based) we get our strips for nothing. Before they changed the rules we had a prescription how many strips a day we could use and there was no deductible. Now we can have as many strips as we need. I use 4-8 strips a day depending on how I feel I need to test. I have used more on occasion.
Martha T2, Canada 2000mg Metformin, 4mg Avandia, 50ugm Synthroid, Advair and Singulair
Alan S - 23 Oct 2006 02:06 GMT >On 10/22/06 2:13 PM, in article 4q2580Fkvdr9U1@individual.net, "TigerLily" ><me@privacy.net> wrote: [quoted text clipped - 21 lines] >Martha T2, Canada >2000mg Metformin, 4mg Avandia, 50ugm Synthroid, Advair and Singulair Nice to "see" a new face. Welcome Martha.
And thanks for the info.
This just came up on the ADA forum, so I re-posted my comment there.
Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltravel.blogspot.com/ latest: Tarascon - Chateau du Roi Rene
Chris Malcolm - 23 Oct 2006 12:09 GMT >>Is daily test needed for all types of diabetes? >> >>Came across this article today. Click link
> He's right when read in this context "In an emerging debate, > many experts now believe that type 2 diabetics who are not > insulin dependent are wasting hundreds of millions of > dollars on daily tests that offer them no usable > information."
> The critical phrase is "offer them no usable information". > And, if no action is taken as a result of the test, he is > dead right.
> Presuming that the test that is done is fasting or pre-meal, > and that the patient sees the doctor about every three > months, then limiting those daily tests to the week before > the quarterly visit would be more than enough to let the > doctor know whether prescriptions need adjustment.
> Of course, we here know that it is a quite different > situation if testing is done systematically to change > lifestyles (including diet and exercise) to improve blood > glucose control.
> The problem here is that he is not even looking at that > different situation or at why the daily tests are offering > "no usable information".
> I also note that this, and the other similar recent report > from Western Australia, both originate in countries which [quoted text clipped - 3 lines] > diverted to his research grants? How much is supporting his > current position and these comments?
> One can cynically expect a similar report to appear in the > UK, Sweden and other countries which also subsidise diabetes > support. Likely they will all cross-reference each other as > well.
> His mind is made up. The one to email may be Dr. Ehud Ur, > who appears to be on the "aye" side of the debate. If you google search on "Ehud Ur" within quotes this is the first hit:
http://dom.medicine.dal.ca/clinicaldivisions/endocrinology/
Looks like your man. Email Ehud.Ur@cdha.nshealth.ca
Here is the abstract of a recent publication of his. I like the term "obesogenic".
Curr Opin Cardiol. 2006 Jul ;21:353-60
The obesity epidemic and its cardiovascular consequences.
Agnieszka Behn, Ehud Ur
PURPOSE OF REVIEW: Obesity has reached global epidemic proportions because of an increasingly obesogenic environment. This review examines the association between obesity, and in particular visceral fat, as a risk factor for cardiovascular disease and mortality.
RECENT FINDINGS: The World Health Organization defines obesity based on the body mass index. Recently the waist-to-hip ratio has been shown to be a significantly stronger predictor of cardiovascular events than body mass index. The metabolic syndrome and its evolving definition represent a cluster of metabolic risk factors which help predict cardiovascular disease and mortality. Although insulin resistance plays a central role in the pathophysiology of the metabolic syndrome, there is limited support for therapy with insulin sensitizers, thiazolidinediones, in patients with coronary artery disease. The current anti-obesity drugs, orlistat and sibutramine, have only a modest effect on weight loss. The blockade of the endocannabinoid system with rimonabant, however, may be a promising new strategy.
SUMMARY: Obesity is associated with significant increase in cardiovascular risk. Lifestyle modification remains the cornerstone of management although anti-obesity medications may be indicated in high risk individuals with comorbid disease.
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Wes Groleau - 23 Oct 2006 22:57 GMT > modest effect on weight loss. The blockade of the endocannabinoid First time I ever heard of that one.....
 Signature Wes Groleau
He that is good for making excuses, is seldom good for anything else. -- Benjamin Franklin
Chris Malcolm - 22 Oct 2006 10:59 GMT > Is daily test needed for all types of diabetes?
> Came across this article today. Click link
> http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_T ype1&c=Article&cid=1161381024278&call_pageid=968332188774&col=968350116467 What I find particularly bone-headed is the idea that there is a certain frequency of testing which will be needed for a certain kind of diabetes. In the first six months after diagnosis I often tested several times a day, sometimes more than a dozen. I needed to do that in order to find out exactly how my own personal BG responded to various kinds and combinations of food and exercise. I could have used a lot more, and found out what was going on a lot quicker, if my doctor's strip prescribing hadn't been limited by official policy about how many I "needed". I did spend over a couple of hundred pounds on extra strips in the early days, just to speed up the learning process. As it is, the BG control I managed to achieve after several months testing could have been achieved in a few weeks, if I'd been given as many strips as I wanted.
I now test less than once a week, because that's all I need to do to in a well established routine to check that things are still behaving the way I expect them to. But if anything changed my routine a lot, such as getting a new job or house, I'd have to start testing a lot again to find out how I reacted to the new routines and food sources.
It's also a personal thing. Having spent many years teaching students how to design experiments, collect experimental data, and analyse the results, I can make sense of lots of data, whereas my diabetic Mum often got very confused when her doctor's requested two tests a day started giving unexpected results.
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Wes Groleau - 23 Oct 2006 02:19 GMT > What I find particularly bone-headed is the idea that there is a > certain frequency of testing which will be needed for a certain kind > of diabetes. In the first six months after diagnosis I often tested > several times a day, sometimes more than a dozen. I needed to do that Sure, and if the doctor had said some diabetics don't need to test as much as others, we wouldn't have such a long thread. But when he implies something as stupid as 'testing never accomplishes anything for type 2' .....
 Signature Wes Groleau -----------
"Thinking I'm dumb gives people something to feel smug about. Why should I disillusion them?" -- Charles Wallace (in _A_Wrinkle_In_Time_)
Trinkwasser - 23 Oct 2006 21:54 GMT >> Is daily test needed for all types of diabetes? > [quoted text clipped - 15 lines] >months testing could have been achieved in a few weeks, if I'd been >given as many strips as I wanted. Agreed. Though I have to pay for all my strips I reckoned it was worth it initially in order to build up a profile of knowledge.
>I now test less than once a week, because that's all I need to do to >in a well established routine to check that things are still behaving >the way I expect them to. But if anything changed my routine a lot, >such as getting a new job or house, I'd have to start testing a lot >again to find out how I reacted to the new routines and food sources. Likewise, *now* I can save money by only testing when I feel out of kilter, or when I try eating or doing something new, and every so often I run a whole day just to make sure nothing has changed and I can still guestimate my BG fairly well.
IMNSHO this was a much better way of working than testing once or twice a day as some are told to do, it would have taken far longer to collect as much information and I would have felt a lot more crap while doing it. And as for the fuckwits who tell Type 2s only to test their fasting numbers, words fail me.
>It's also a personal thing. Having spent many years teaching students >how to design experiments, collect experimental data, and analyse the >results, I can make sense of lots of data, whereas my diabetic Mum >often got very confused when her doctor's requested two tests a day >started giving unexpected results. Might it have helped her to have had *more* information initially, it would have shown up a pattern in the "unexpected" results more readily?
Chris Malcolm - 24 Oct 2006 07:51 GMT >>> Is daily test needed for all types of diabetes? >> >>> Came across this article today. Click link >> >>> http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_T ype1&c=Article&cid=1161381024278&call_pageid=968332188774&col=968350116467
>>What I find particularly bone-headed is the idea that there is a >>certain frequency of testing which will be needed for a certain kind [quoted text clipped - 9 lines] >>months testing could have been achieved in a few weeks, if I'd been >>given as many strips as I wanted.
> Agreed. Though I have to pay for all my strips I reckoned it was worth > it initially in order to build up a profile of knowledge.
>>I now test less than once a week, because that's all I need to do to >>in a well established routine to check that things are still behaving >>the way I expect them to. But if anything changed my routine a lot, >>such as getting a new job or house, I'd have to start testing a lot >>again to find out how I reacted to the new routines and food sources.
> Likewise, *now* I can save money by only testing when I feel out of > kilter, or when I try eating or doing something new, and every so > often I run a whole day just to make sure nothing has changed and I > can still guestimate my BG fairly well.
> IMNSHO this was a much better way of working than testing once or > twice a day as some are told to do, it would have taken far longer to > collect as much information and I would have felt a lot more crap > while doing it. And as for the fuckwits who tell Type 2s only to test > their fasting numbers, words fail me.
>>It's also a personal thing. Having spent many years teaching students >>how to design experiments, collect experimental data, and analyse the >>results, I can make sense of lots of data, whereas my diabetic Mum >>often got very confused when her doctor's requested two tests a day >>started giving unexpected results.
> Might it have helped her to have had *more* information initially, it > would have shown up a pattern in the "unexpected" results more > readily? I think so. It's also true that I would have seen the patterns in my BG results more quickly, and got control more quickly, if I had tested even more than I did. The problem is that doing that amount of testing places you way beyond the test strip usage that any doctor I've heard of will prescribe.
One of the particular difficulties is that most doctors, and many official sources of diabetic advice, give you a picture that is oversimplified and overgeneralised. But of course to begin with you believe it. Why wouldn't you? Then you find personal test results which simply don't make sense according to the story you've been told.
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Trinkwasser - 25 Oct 2006 19:41 GMT >>>> Is daily test needed for all types of diabetes? >>> [quoted text clipped - 51 lines] >places you way beyond the test strip usage that any doctor I've heard >of will prescribe. http://www.diabeticshop.co.uk/
some of the best prices I've found, nice people to do business with also.
(NO connection except as a satisfied customer)
Since my prescription was for no testing at all, which would not have changed even if I had asked to be placed on the Diabetic Register, I had to finance it all myself. I'm quite good at discerning patterns from data (one advantage of ADD I guess) so I followed best practice as described here. If I'd not tested so much initially I'd still be struggling to make sense of the apparent contradictions which aren't actually contradictions when you work out what's occurring (like too few carbs - liver dump - BG goes up, and the difference in insulin resistance with time of day)
>One of the particular difficulties is that most doctors, and many >official sources of diabetic advice, give you a picture that is >oversimplified and overgeneralised. But of course to begin with you >believe it. Why wouldn't you? Then you find personal test results >which simply don't make sense according to the story you've been told. Which is about when you find asd/asduk and breathe a sigh of relief
IMNSHO that's the greatest benefit of the internet, you can bypass the Diabetes for Dummies type information quite quickly and move on to something more comprehensive and understandable. You can even read the original research in the original gibberish <G>
Jolanna - 23 Oct 2006 01:00 GMT >Is daily test needed for all types of diabetes? > >Came across this article today. Click link Those doctors are idiots! What about those people who are symptomfree for a hypo? If they don't test frequently and catch it before it gets too low, they can die! I sure am glad I don't live in Canada, and I am sorry for the patients those particular doctors see.
It was my meter that told me that I can't eat russet potatoes but I can eat a small red potato! A dietician or reading a book can't tell you details like that; only a meter can.
I love my OTU.
--
Jolanna DM TYPE II Dx May 31, 2006 Lantus Metformin Avandia
Wes Groleau - 23 Oct 2006 02:10 GMT > Is daily test needed for all types of diabetes? > Came across this article today. Click link which article said:
> "doctor said there is virtually nothing type 2 diabetics can do about > the results of their blood tests," Kurt would say you should listen to a doctor and not ASD.
But I say not if the doctor is an idiot.
 Signature Wes Groleau
He that complies against his will is of the same opinion still. -- Samuel Butler, 1612-1680
Kurt - 23 Oct 2006 04:05 GMT > > Is daily test needed for all types of diabetes? > > Came across this article today. Click link [quoted text clipped - 4 lines] > > Kurt would say you should listen to a doctor and not ASD. Sorry to hear I'm in your head, Wes. The last thing I need is another stalker. But since you brought it up I do recommend that people listen to their doctor over the advice given in ASD by some strangers who are wannabe doctors. The problem with your statement, conveniently meant to poke a stick at me, is the word "a" as opposed to the word "their." Everyone is different and my feeling is that one needs to work with their doctor or endo to determine what their personal needs are.
The article presented was just that, an article that summarized one Canadian doctor's opinion to a group of 2500 doctors and endos. Would be interesting to find out the % of doctors there that agreed with him. I'm not a Type 2 but I can see his point, although I don't agree with it. I also disagree that someone would become depressed as a result of the alleged "traumatic" experience of testing.
> But I say not if the doctor is an idiot. I wouldn't call him an idiot, just someone with an opinion that we as diabetics might disagree with.
Hope that cleared things up for you...and please try to not think of me so much.
Kurt
rk - 23 Oct 2006 17:27 GMT LOL.. you must love it here Kurt.. you have so many adoring fans. <g>
 Signature Reisa, T1, Animas IR1250 Pumper DX-5/00 ASD-7/00 A1C: 6.2% (8/24/06) Daily CHO: 150-200gm TDD: 34-38u
: > > Is daily test needed for all types of diabetes? : > > Came across this article today. Click link [quoted text clipped - 29 lines] : : Kurt
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