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Medical Forum / Diseases and Disorders / Diabetes / December 2007

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Interesting Results - Taco Bell

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Frisbee® - 05 Dec 2007 02:34 GMT
Shortly after being diagnosed as Type II, I began reading the nutrition
guides at various fast food restaurants that we as a family frequent,
including Taco Bell.

I was frustrated because there was only one or two items on their menu that
I could eat to keep my total carb count around 45, and at least under 60.  I
could eat two hard-shell tacos, for example.  Not much for a big, hungry guy
like me, so generally we'd go there for my wife and kids and I'd get
something else somewhere else.

Tonight, however, my transportation home was late, and it was running late,
and we were all hungry and tired, so I told my wife I'd go ahead and
experiment with their salad, even though I remembered their listed carb
count as rather high (I've since checked the web site and it's 77 grams of
carbs).

Pre-meal, I was 83.  One hour later, 108, and two hours later (now) I am
118.

I wasn't sure why my levels were so low, considering the high carb content -
I ate everything, including the bowl.  Then it occurred to me, I remember
reading somewhere, and probably in here, that fat content tends to slow your
body's absorption of carbs.  The bowl was a bit greasy, probably pretty high
fat content.  Re-checking the nutrition info again, I see it is: 38 grams!
Dang.  No wonder I'm not losing any weight, heh.  790 calories total.  Not
so bad, I guess, and I now realize that perhaps I can occaisionally eat
higher-carb foods, as long as the fat content is also "relatively" high?
Not that I plan on pigging out, but if this assumption is true (and I plan
to test, test, test - including more tests tonight) then that greatly widens
my options and makes life easier for my whole family.

Anyone else have similar experiences?  Am I on the right track on this?
Jackie Patti - 05 Dec 2007 04:30 GMT
> Pre-meal, I was 83.  One hour later, 108, and two hours later (now) I am
> 118.
[quoted text clipped - 12 lines]
>
> Anyone else have similar experiences?  Am I on the right track on this?

If it works for you, you're on the right track!  If it were me, I'd test
again a time or two to make sure.

Signature

http://www.ornery-geeks.org/consulting/

Julie Bove - 05 Dec 2007 05:48 GMT
> Shortly after being diagnosed as Type II, I began reading the nutrition
> guides at various fast food restaurants that we as a family frequent,
[quoted text clipped - 29 lines]
>
> Anyone else have similar experiences?  Am I on the right track on this?

Did the salad have a fried shell?  Did the salad contain sour cream?  If so,
all that fat might have caused a delayed spike.  It has been several years
since I've eaten at Taco Bell.  Too much junk in their food for me.  Like
soy!  So I'm not all that familiar with the menu.  Some of the Taco Bells
would make a salad without the shell.  Taco Bell Express perhaps?  Or maybe
they were the ones that didn't have it without the shell.  At any rate,
those are the ones I used to get.  If I have to get one with the shell, I
will either not eat any of the shell or eat just a small piece of it.

I am lucky.  Here we have a place called Taco Time.  More expensive than
Taco Bell but no junk in their food and they have several items on their
menu that are low enough in carbs to be doable for me.  Often I will get
beans and rice for my daughter and just have a bite of each of hers.
Andrew B. Chung, MD/PhD - 05 Dec 2007 09:34 GMT
Frisbee(R) wrote:
> Shortly after being diagnosed as Type II, I began reading the nutrition
> guides at various fast food restaurants that we as a family frequent,
[quoted text clipped - 28 lines]
>
> Anyone else have similar experiences?  Am I on the right track on this?

Remaining afflicted with type-2 diabetes is an indication that you are
on the wrong track.

May reading the following help you find the right track:

http://HeartMDPhD.com/EatLess

http://groups.google.com/group/sci.med.cardiology/msg/78c4167fdcfe8dcf?

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
Mark K. Bilbo - 05 Dec 2007 18:00 GMT
http://groups.google.com/group/sci.med.cardiology/msg/a254f1e65f40b59c

What happen with the Sermo deadline?

Signature

Mark K. Bilbo                a.a. #1423
EAC Department of Linguistic Subversion
------------------------------------------------------------
There are 10 kinds of people in the world, those who
understand binary and those who don't...

Cary Kittrell - 05 Dec 2007 19:13 GMT
> http://groups.google.com/group/sci.med.cardiology/msg/a254f1e65f40b59c
>
> What happen with the Sermo deadline?

Nothing but good: they're pulling in millions in new orders
just in the last week, since the FDA (with some reluctance,
I hear) confirmed their remarkable claim that their herbal
product will in fact "increase your ejaculate by 457%".  
The resulting rise in internet orders alone should ...

Oh, wait...you said "Sermo"?

I thought you said "Spermo".  Never mind.

-- cary
Mark K. Bilbo - 05 Dec 2007 22:42 GMT
>> http://groups.google.com/group/sci.med.cardiology/msg/a254f1e65f40b59c
>>
[quoted text clipped - 9 lines]
>
> I thought you said "Spermo".  Never mind.

I'm fascinated by breadth of your knowledge on the most interesting
subjects...

Signature

Mark K. Bilbo                a.a. #1423
EAC Department of Linguistic Subversion
------------------------------------------------------------
“The larger the mob, the harder the test....when the
field is nationwide...then all the odds are on the man
who is, intrinsically, the most devious and mediocre--
the man who can most easily adeptly disperse the
notion that his mind is a virtual vacuum.

“The Presidency tends, year by year, to go to such men.
As democracy is perfected, the office represents, more
and more closely, the inner soul of the people.

“We move toward a lofty ideal. On some great and
glorious day the plain folks of the land will reach their
heart's desire at last, and the White House will be
adorned by a downright moron.”

- H. L. Mencken

J666 - 05 Dec 2007 20:28 GMT
> http://groups.google.com/group/sci.med.cardiology/msg/a254f1e65f40b59c
>
> What happen with the Sermo deadline?

What did happen?
Mark K. Bilbo - 05 Dec 2007 22:42 GMT
>> http://groups.google.com/group/sci.med.cardiology/msg/a254f1e65f40b59c
>>
>> What happen with the Sermo deadline?
>
> What did happen?

My guess is a lot of this:

Signature

Mark K. Bilbo                a.a. #1423
EAC Department of Linguistic Subversion
------------------------------------------------------------
Nine out of ten priests who have tried Camels, prefer young boys.

panamaflyd@aol.com - 05 Dec 2007 21:23 GMT
> http://groups.google.com/group/sci.med.cardiology/msg/a254f1e65f40b59c
>
> What happen with the Sermo deadline?

http://heartmdphd.com/SermoExposed.asp

"November 21, 2007

(I can't believe he was lucid enough to delete his address. Maybe he's
learned something from us after all?)

Dr. Chung:

Sermo has a policy of allowing the free exchange of information posted
by physicians. As timply the host of a web stie, Sermon does not
perform traditional editorial functions such as reviewing,
withdrawing, or altering content of postings. However, you have
repeatedly violated Sermo's Terms of Service by copying and publishing
information from the Sermos website that is the property of Sermo,
within the tech-archive.net website without the consent of Sermo. As
result of your breach in the Sermo Terms of Service, Sermo is
teminating your use license and has removed youraccess to the Sermo
community.

Sincerely.
Sermo, Inc."

ROFL! Man, this is gonna be good! (aa & auk added)

The seven signs of crank science:
1. The discoverer pitches the claim directly to the media.
2. The discoverer says that a powerful establishment is trying to
suppress his or her work.
3. The scientific effect involved is always at the very limit of
detection.
4. Evidence for a discovery is anecdotal.
5. The discoverer says a belief is credible because it has endured for
centuries.
6. The discoverer has worked in isolation.
7. The discoverer must propose new laws of nature to explain an
observation.

I think Andy's little webpage tirade answers nos. 2, 3, 4, and 6. Four
down and three to go! Go OMER Boy, Go!

-Panama Floyd, Atlanta.
aa#2015/KoBAAWA!
Nicky - 05 Dec 2007 21:25 GMT
>I wasn't sure why my levels were so low, considering the high carb content -
>I ate everything, including the bowl.  Then it occurred to me, I remember
[quoted text clipped - 4 lines]
>so bad, I guess, and I now realize that perhaps I can occaisionally eat
>higher-carb foods, as long as the fat content is also "relatively" high?

Wow - remind me not to eat that : )  But yes, your hypothesis is
reasonable; I occasionally use fat to slow down a spike, hopefully
enough so that my pretty good phase 2 response can deal with it. I'm
planning exactly that strategy with Christmas pudding and cream...  I
also use a glass of wine with a meal to suppress the liver's
contribution to basal glucose levels; not recommended if you've gone
out for dinner...

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
rk - 06 Dec 2007 04:47 GMT
| Shortly after being diagnosed as Type II, I began reading the nutrition
| guides at various fast food restaurants that we as a family frequent,
[quoted text clipped - 28 lines]
|
| Anyone else have similar experiences?  Am I on the right track on this?

You must be forgetting you're a T2, which means you have some if not
more then enough of your own insulin left to cover what foods you eat.
When a Diabetic decreases their glucose levels back down to a normal
range and takes off the fat, most times they are able to eat more like a
non-diabetic because their IR is dramatically decreased. Good for you
for getting to this point. Keep up the good work.

rk, t1
Lerp - 08 Dec 2007 10:38 GMT
On Dec 4, 9:34 pm, "Frisbee(R)" <billLASTN...@yahoo.com> wrote:
> Shortly after being diagnosed as Type II, I began reading the nutrition
> guides at various fast food restaurants that we as a family frequent,
[quoted text clipped - 28 lines]
>
> Anyone else have similar experiences?  Am I on the right track on this?

A few weeks ago I ate a big hamburger and a plate full of freshly made
french fries. I figured I was making a big mistake by killing all the
fries on my plate and then eating a few that were my wife's. I dreaded
the 2 hour test and behold, I was shocked to see my sugar level at
106. To maintain those numbers I think I should go to that restaurant
and repeat this meal 3 times per day.
Alan S - 08 Dec 2007 11:10 GMT
>> Anyone else have similar experiences?  Am I on the right track on this?
>
[quoted text clipped - 4 lines]
>106. To maintain those numbers I think I should go to that restaurant
>and repeat this meal 3 times per day.

What was your one-hour?

In a different thread I mentioned eating some battered fish,
broccoli and fries tonight. My one hour wasn't bad, at
6.3(113). However my two-hour was 4.9(88).

If you aren't testing at your peak, it doesn't mean much.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
krom - 08 Dec 2007 12:06 GMT
What lerp doesnt seem to grasp is that while perhaps HE can eat that no
probem..that same meal would put another person in extreem danger of
problems due to sky high numbers...

So to act like becuse he can scarf  not only a high carb meal but a days
calories in one sitting..is harmful to new people who dont get that he is
the exception and not the rule.

KROM

>>> Anyone else have similar experiences?  Am I on the right track on this?
>>
[quoted text clipped - 18 lines]
> --
> http://loraldiabetes.blogspot.com
Nick Cramer - 08 Dec 2007 12:25 GMT
> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 3 lines]
> calories in one sitting..is harmful to new people who dont get that he is
> the exception and not the rule.

My daughter has a big bag of stuff from El Polo Loco. Tomorrow I'll be
eating leftover breaded fried chicken, mashed potatoes  and  gravy,
biscuits and butter, maybe some cole slaw.

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
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Alan S - 08 Dec 2007 12:47 GMT
>> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 7 lines]
>eating leftover breaded fried chicken, mashed potatoes  and  gravy,
>biscuits and butter, maybe some cole slaw.

Envy. The only thing I could eat in that lot is the butter
and maybe, but not definitely, the coleslaw.

KFC is the worst fried chicken for me. My meter thinks that
ten of the eleven secret herbs and spices are sugars.

"Loco" seems apt, but for the diner rather than the
restaurant...

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
RodS - 08 Dec 2007 13:19 GMT
Not surprising one of the secrets is dried powdered potato.

  (- -)
=m=(_)=m=
RodS T2
Australia

>> My daughter has a big bag of stuff from El Polo Loco. Tomorrow I'll be
>> eating leftover breaded fried chicken, mashed potatoes  and  gravy,
[quoted text clipped - 14 lines]
> --
> http://loraldiabetes.blogspot.com
krom - 09 Dec 2007 05:43 GMT
I worked for kfc as a kid and have never eaten there since..lol.

The chicken is a odd shade of green pre fried..dunno why..but it so grossed
me out i never ate it again.
I also found most of the stuff over handled by people..the only safeish item
is the fried nuggets which came in frozen.
The gravy for example is made with wall of the giant deep fryer scrapings as
its cleaned..lol

KROM

> Not surprising one of the secrets is dried powdered potato.
>
[quoted text clipped - 21 lines]
>> --
>> http://loraldiabetes.blogspot.com
DonnaB shallotpeel - 08 Dec 2007 19:25 GMT
In alt.support.diabetes on Sat, 08 Dec 2007 23:47:38 +1100 in Msg.#
<ne4ll39rb8mlb3mpini4uhatbtghuqsogo@4ax.com>, Alan S
<loralgtweightandcarbs@gmail.com>  wrote:

> KFC is the worst fried chicken for me. My meter thinks that
> ten of the eleven secret herbs and spices are sugars.

My only problem with KFC chicken is that I should, but don't want to,
discard the chicken skin. So, I split the difference and discard it from
half & eat it from half. My only other problem with KFC is that I want to
eat 3 or 4 of their biscuits - but I eat one. I have no problem with their
slaw. I don't eat anything else from their menu, much as I would love to
have some of their brown gravy over their biscuits.

Still, I am able to manage to control myself while enjoying what I do
indulge in.

Signature

DonnaB shallotpeel, T2 since June 06, USA, last HbA1c 5.3

"Behind an able man there are always other able men." - Chinese Proverb

Alan S - 08 Dec 2007 20:41 GMT
>In alt.support.diabetes on Sat, 08 Dec 2007 23:47:38 +1100 in Msg.#
><ne4ll39rb8mlb3mpini4uhatbtghuqsogo@4ax.com>, Alan S
[quoted text clipped - 5 lines]
>My only problem with KFC chicken is that I should, but don't want to,
>discard the chicken skin.

I would have to do the same but not for the same reason. The
skin is no problem for me at all, the fat in that doesn't
bother me. The problem is the carbs in the coating for my
BG's and the probability of transfats in the deep-frying oil
which are also in the coating.

>So, I split the difference and discard it from
>half & eat it from half. My only other problem with KFC is that I want to
[quoted text clipped - 4 lines]
>Still, I am able to manage to control myself while enjoying what I do
>indulge in.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
DonnaB shallotpeel - 08 Dec 2007 22:45 GMT
In alt.support.diabetes on Sun, 09 Dec 2007 07:41:37 +1100 in Msg.#
<b60ml3hj3o9nv4mtuud9t8gt2d5b3qh1pr@4ax.com>, Alan S
<loralgtweightandcarbs@gmail.com>  wrote:

> >My only problem with KFC chicken is that I should, but don't want to,
> >discard the chicken skin.
[quoted text clipped - 4 lines]
> BG's and the probability of transfats in the deep-frying oil
> which are also in the coating.

I am not sure why you assumed I need to discard it for a different reason
than that. I mean, that is the reason.

Signature

DonnaB shallotpeel, T2 since June 06, USA, last HbA1c 5.3

"Coffee should be black as hell, strong as death, and as sweet as love." -
Turkish proverb

Alan S - 08 Dec 2007 22:47 GMT
>In alt.support.diabetes on Sun, 09 Dec 2007 07:41:37 +1100 in Msg.#
><b60ml3hj3o9nv4mtuud9t8gt2d5b3qh1pr@4ax.com>, Alan S
[quoted text clipped - 11 lines]
>I am not sure why you assumed I need to discard it for a different reason
>than that. I mean, that is the reason.

My mistake. Most people I know discard the skin to minimise
chicken fat. But not me - or you:-)

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
DonnaB shallotpeel - 08 Dec 2007 23:04 GMT
In alt.support.diabetes on Sun, 09 Dec 2007 09:47:28 +1100 in Msg.#
<hm7ml3ti8sk2uhuv46rai2lrdlfuc10839@4ax.com>, Alan S
<loralgtweightandcarbs@gmail.com>  wrote:

> My mistake. Most people I know discard the skin to minimise
> chicken fat. But not me - or you:-)

Gotcha. It's that delicious breading, SIGH, that I need to go without.

Signature

DonnaB shallotpeel, T2 since June 06, USA, last HbA1c 5.3

"Danger and delight grow on one stalk." - English Proverb

jeissner777@aol.com - 08 Dec 2007 13:51 GMT
> My daughter has a big bag of stuff from El Polo Loco. Tomorrow I'll be eating leftover breaded fried chicken, mashed potatoes  and  gravy,
> biscuits and butter, maybe some cole slaw.

No breaded fried chicken at El Pollo Loco.
They grill it.
http://www.elpolloloco.com/index.html

But you can pig out on the mashed potatoes and biscuits.

Jay
Lerp - 08 Dec 2007 13:20 GMT
> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
> probem..that same meal would put another person in extreem danger of
> problems due to sky high numbers...

We all eat to our meter. On this occasion, I binged okay? I will ask
you for
your opinion first before I eat out with my wife again okay? I was
merely stating
that I was suprised I survived that outing with a decent number. I
don't test fate.

> So to act like becuse he can scarf  not only a high carb meal but a days
> calories in one sitting..is harmful to new people who dont get that he is
> the exception and not the rule.

I readily admit it was the exception okay? New diabetics don't need to
test every :30
minutes like you guys do.

> KROM
>
[quoted text clipped - 22 lines]
>
> - Show quoted text -
Alan S - 08 Dec 2007 20:46 GMT
>> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 14 lines]
>test every :30
>minutes like you guys do.

On that we differ. When they are new is exactly when
diabetics need to test like some of us do. Not necessarily
every 30 minutes, but certainly at as many post-prandial
peak times as possible.

It's later, when the personal database of foods, exercise
and BG's effects has been created that the testing can
become occasional "maintenance" tests.

However, most newbies quickly find when their peaks commonly
occur and don't waste post-prandial tests on off peak times.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
DonnaB shallotpeel - 08 Dec 2007 22:42 GMT
In alt.support.diabetes on Sat, 8 Dec 2007 05:20:14 -0800 (PST) in Msg.#
<88180849-d323-4e7c-a527-362fec08938b@b1g2000pra.googlegroups.com>, Lerp
<diabeticlerp@gmail.com>  wrote:

> I readily admit it was the exception okay? New diabetics don't need to
> test every :30 minutes like you guys do.

Okay, I don't know people who test every half hour. And, I've not tested
every half hour. BUT, when you are new, that is exactly when you need to
test more often - if you are testing for meaningful results.

Signature

DonnaB shallotpeel

"Coffee has two virtues: it is wet & warm." - Dutch proverb  [from H.L.
Mencken's Dictionary]

krom - 09 Dec 2007 05:57 GMT
The point to early multi testing is to learn each person OWN peaks and get
an idea of what does what to them.
I only test maybe 3 times a day now but more if im sick or trying a new food
or feeling off.

Trust me im happy for those who can eat carby things and be fine..i just
know most cant and when two or three people constantly post that those who
cant control thier DM with eating alot of carbs are low carb zelots and
insult them it gives a new person the wrong idea and is very dangerous.

Me..i can eat carbs and take alot more meds..or reduce my carbs and replace
them with veggies and low spiking fruits and take no little to no meds.
I prefere to take in as little chemicals as i can while maintaining good
control.
Another may feel thats too hard to follow and take the meds..whatever the
bottom line is control.

Nobody is attackign you..just pointing these things out not just for you but
lurkers.

You also must realise you for whatever reason aligned yourself with a person
who came here posting porn and trolling the group under multi names and
another who lied about being a type two diabetic to push HIS agenda and who
also lives to fight with certain other posters.
Thats your choice to do so but you must understand the bad "vibes" against
those two isnt directed at you..i got in the middle of a war when i came
here and it took me steppping back and learning on my own what the posters
where about and the history of them.

KROM

>> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 42 lines]
>>
>> - Show quoted text -
Kurt - 09 Dec 2007 06:23 GMT
> The point to early multi testing is to learn each person OWN peaks and get
> an idea of what does what to them.
[quoted text clipped - 20 lines]
> another who lied about being a type two diabetic to push HIS agenda and who
> also lives to fight with certain other posters.

You are a sheep who has bought into the groupspeak and have no
firsthand knowledge about what you are posting.  You weren't here when
any of that happened yet you criticize and attack Tom and I because of
what you have been told.  Once upon a time Tom was one of those
lurkers and newbies you profess to be so concerned about and if you
look at what really happened when he came in here you will see he was
not the only one at fault.  Like most history, it gets distorted with
time.  Alan has posted links to the discussion - because he just loves
doing that - but usually fails to include the way Tom was attacked
that caused him to react the way he did.  It's not a one sided story
as you have been brainwashed to believe.

As far as my lie of being a Type 2...yes, in ONE post I did say I was
a Type 2.  I admitted to it after Ozgirl found that one post and I
regret that I wrote that to Arnie.  That was 5 years ago. Is there
ever a time to let things go?  I may not be the most popular poster in
here, but with the exception of that one post I always speak the
truth.  But it seems like you and a few others want to discredit
everything Tom or I have to say because it doesn't jibe with how you
see the world.  So you focus on sh.t that happened here many years ago
as a way to show that we are wrong and your way is right.  How honest
have you been?  No way of knowing because you, like most in here, are
an anonymous person who types words while being in a place of complete
and total anonymity.  That is the world of Usenet.

> Thats your choice to do so but you must understand the bad "vibes" against
> those two isnt directed at you..i got in the middle of a war when i came
> here and it took me steppping back and learning on my own what the posters
> where about and the history of them.

You seem to do little but criticize others in this newsgroup.
Seriously, just about every post you make is commentary about others
who you disagree with.  No doubt you have probably posted something of
use to other diabetics, but I have to say that when I see your name I
suspect it will either be whining about something Tom or I have posted
or it will be to fan the flames of an argument.  So maybe you should
step down from your moral high ground and consider your own
contributions.  You always decry anything I have to say that might be
negative, but ignore the constant insults thrown towards me.  Kind of
makes your high horse have wobbly legs...if you know what I mean.

How about you let Lerp make up his own mind about who he talks to.  If
he finds me as appalling as you do, he certainly seems like someone
with the intelligence and spine to cut me off.  Does he really need
your guidance in terms of who to speak to in this newsgroup?  Like
most people in here, I am civil to him because he is civil to me. It's
as simple as that.

And while I'm getting a few things off my chest.  Spellcheck your
posts...you come off as being very illiterate.  You mock Guy for that,
but he has conditions that cause him to have a lot of typos. What's
your excuse?

Kurt
"Killfile me now, avoid the rush"
Alan S - 09 Dec 2007 11:38 GMT
> So you focus on sh.t that happened here many years ago

Wonderfully Freudian:-)

Have a nice day, Kurt.

Cheers, Alan
krom - 09 Dec 2007 15:30 GMT
LOL..what a moron you are i have never mocked guy for spelling that was
sombody else and i have always said that he was liekly high or low when he
posts garbled messages and said that i can tell if i am high or low because
my dislexia really kicks in..so you flat wrong abotu that and most all in
yer post.

Here is my take on you..

You prob came here as a troll..made up persona..liked the attention so
decided to remake yourself over.
You spend all your time harping on alans posts and when called out as a
troll will spam the group with cut and past "information" posts to look semi
credable..in which you rarely discuss if sombody does respond.

You refuse to answer the most basic question which is this:
If you as a type one diabetic control with insuline and use alot less eating
low spike and high nutriton why would you harp on another poster who is
doing just that?

If gantlet is in control of his type two with diet and exercise then why
does he and you troll alan who recomends exactlly that?

Since you never answer this you are a troll...a pathetic one at that.
I never claim to be a guru or try to offer more then support..you however DO
claim to know more about type twos then the type two's in the group.

Your a sad sack loser who's self worth is based on if lerp and gantlet like
you..lol.

Me..i post what i whatever i feel like and dont care if anyone likes it or
not.

Your a cute lil fella keep a trying..some day the other one will drop for ya
kurt..maybe..

KROM

"Kurt" <kurtwheeling1965@hotmail.com> wrote
And while I'm getting a few things off my chest.  Spellcheck your
posts...you come off as being very illiterate.  You mock Guy for that,
but he has conditions that cause him to have a lot of typos. What's
your excuse?

Kurt
"Killfile me now, avoid the rush"
DonnaB shallotpeel - 09 Dec 2007 15:36 GMT
In alt.support.diabetes on Sat, 8 Dec 2007 22:23:25 -0800 (PST) in Msg.#
<0a0a12d5-8d67-44e0-b3fe-c5d1f6059f4f@e25g2000prg.googlegroups.com>, Kurt
<kurtwheeling1965@hotmail.com>  wrote:

> You are a sheep who has bought into the groupspeak

krom? A sheep? Not likely.

> As far as my lie of being a Type 2...yes, in ONE post I did say I was
> a Type 2.  I admitted to it after Ozgirl found that one post and I
> regret that I wrote that to Arnie.  That was 5 years ago. Is there
> ever a time to let things go?

People can & do move on - if there's reason to.

> I may not be the most popular poster in
> here, but with the exception of that one post I always speak the
> truth.  But it seems like you and a few others want to discredit
> everything Tom or I have to say because it doesn't jibe with how you
> see the world.

Actually, you're describing yourself & Tom & your approach to what others
here post.

> You seem to do little but criticize others in this newsgroup.

Now that is patently untrue.

> ... No doubt you have probably posted something of
> use to other diabetics, but I have to say that when I see your name I
> suspect it will either be whining about something Tom or I have posted
> or it will be to fan the flames of an argument.

Then that is your own perspective that is in your way.

> ... I am civil to him because he is civil to me. It's
> as simple as that.

I am civil to everyone but trolls, spammers, etc. Heck, most people here are
civil to most people here!

Signature

DonnaB shallotpeel

"Write down the advice of him who loves you, though you like it not at
present." - English Proverb

Gantlet - 09 Dec 2007 18:49 GMT
Hello Kurt:

I don't have enough respect for most that insult me here to even bother
defending myself  or returning the insults.( most times)
I have a feeling the person you are replying to here we know from another
name..
Also now that I sit on the side lines for most of these flame fests its
pretty easy to see who is full of BS and who is not.
that is also another reason why I don't bother.
Sorry to say that I do not have the time to point out just how many things
that are said about you that are just not true.
Lerp was given a small taste of what newbie's get when they disagree what
people like him will never know is that if it wasn't for those of us that
stay and get insulted year after year his treatment would have been much
worse and it wouldn't have only been Alan saying he smells a rodent but many
others would have welcomed him the same way.
In a way we won.  we give people like Lerp the welcome they expected when
they came here and maybe he will stay and welcome the next newbie that is
treated like a rodent in a support group.

Signature

Tom

www.TomsDiabeticDiary.com

Chat in peace with other diabetes at the American Diabetes Associations Web
Site.
http://community.diabetes.org/n/pfx/forum.aspx?nav=index&webtag=amdiabetesz&redi
rCnt=1


Information You Can "Trust" From Your American Diabetes Association
www.diabetes.org

Information on Specific Types of Fat.
http://www.diabetes.org/nutrition-and-recipes/nutrition/foodlabel/specific-fats.jsp

On Dec 8, 9:57?pm, "krom" <thekromremoverem...@hotmail.com> wrote:
> The point to early multi testing is to learn each person OWN peaks and get
> an idea of what does what to them.
[quoted text clipped - 25 lines]
> who
> also lives to fight with certain other posters.

You are a sheep who has bought into the groupspeak and have no
firsthand knowledge about what you are posting.  You weren't here when
any of that happened yet you criticize and attack Tom and I because of
what you have been told.  Once upon a time Tom was one of those
lurkers and newbies you profess to be so concerned about and if you
look at what really happened when he came in here you will see he was
not the only one at fault.  Like most history, it gets distorted with
time.  Alan has posted links to the discussion - because he just loves
doing that - but usually fails to include the way Tom was attacked
that caused him to react the way he did.  It's not a one sided story
as you have been brainwashed to believe.

As far as my lie of being a Type 2...yes, in ONE post I did say I was
a Type 2.  I admitted to it after Ozgirl found that one post and I
regret that I wrote that to Arnie.  That was 5 years ago. Is there
ever a time to let things go?  I may not be the most popular poster in
here, but with the exception of that one post I always speak the
truth.  But it seems like you and a few others want to discredit
everything Tom or I have to say because it doesn't jibe with how you
see the world.  So you focus on sh.t that happened here many years ago
as a way to show that we are wrong and your way is right.  How honest
have you been?  No way of knowing because you, like most in here, are
an anonymous person who types words while being in a place of complete
and total anonymity.  That is the world of Usenet.

> Thats your choice to do so but you must understand the bad "vibes" against
> those two isnt directed at you..i got in the middle of a war when i came
> here and it took me steppping back and learning on my own what the posters
> where about and the history of them.

You seem to do little but criticize others in this newsgroup.
Seriously, just about every post you make is commentary about others
who you disagree with.  No doubt you have probably posted something of
use to other diabetics, but I have to say that when I see your name I
suspect it will either be whining about something Tom or I have posted
or it will be to fan the flames of an argument.  So maybe you should
step down from your moral high ground and consider your own
contributions.  You always decry anything I have to say that might be
negative, but ignore the constant insults thrown towards me.  Kind of
makes your high horse have wobbly legs...if you know what I mean.

How about you let Lerp make up his own mind about who he talks to.  If
he finds me as appalling as you do, he certainly seems like someone
with the intelligence and spine to cut me off.  Does he really need
your guidance in terms of who to speak to in this newsgroup?  Like
most people in here, I am civil to him because he is civil to me. It's
as simple as that.

And while I'm getting a few things off my chest.  Spellcheck your
posts...you come off as being very illiterate.  You mock Guy for that,
but he has conditions that cause him to have a lot of typos. What's
your excuse?

Kurt
"Killfile me now, avoid the rush"
DonnaB shallotpeel - 09 Dec 2007 18:57 GMT
In alt.support.diabetes on Sun, 09 Dec 2007 18:49:25 GMT in Msg.#

> I have a feeling the person you are replying to here we know from another
> name..

Not anyone else who has been here since I've been here.

> Also now that I sit on the side lines for most of these flame fests its
> pretty easy to see who is full of BS and who is not.

I don't find there to be much flaming going on here, personally, but I
absolutely agree that it is pretty easy to see who is full of it & who is
not!

LOL

> that is also another reason why I don't bother.

If only.

> In a way we won.

Too bad you think of it as something to win or lose. To me the only war here
is the war against diabetes. YMMV.

Signature

DonnaB shallotpeel

"Worries go down better with soup than without."  - Jewish Proverb

Lerp - 09 Dec 2007 12:03 GMT
> The point to early multi testing is to learn each person OWN peaks and get
> an idea of what does what to them.

I just told you how well I did with a once in a while deviation in
this very thread and you
were quick to criticize me. It appears you think you know how I will
respond to
certain foods better than I do.

> I only test maybe 3 times a day now but more if im sick or trying a new food
> or feeling off.
[quoted text clipped - 3 lines]
> cant control thier DM with eating alot of carbs are low carb zelots and
> insult them it gives a new person the wrong idea and is very dangerous.

You guys seem to be bent on telling me how poorly I am doing when my
meter
and A1C say the opposite.

> Me..i can eat carbs and take alot more meds..or reduce my carbs and replace
> them with veggies and low spiking fruits and take no little to no meds.
[quoted text clipped - 69 lines]
>
> - Show quoted text -
krom - 09 Dec 2007 15:36 GMT
Nope you were with kurt and gantlet bashing those who dont or cant eat alot
of carbs as being wrong.
I simply pointed out that was a lame thing to do...that just because YOU can
scarf crap food it doesnt make those who chose to eat a low spike diet bad.
You kept arguing that because YOU could eat whatever you wanted that WE were
posting lies.

You asked why we were so fired up about testing and  we told you ...what you
do with that info is on you.

If you want to have a poor me complex like kurt and gantlet feel free but
dont act like people trying to explain to you thier resoning as somhow being
mean.

KROM

> I just told you how well I did with a once in a while deviation in
> this very thread and you
[quoted text clipped - 102 lines]
>>
>> - Show quoted text -
Nicky - 09 Dec 2007 12:19 GMT
>> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 6 lines]
>that I was suprised I survived that outing with a decent number. I
>don't test fate.

Yeah, but you see, we're surprised that you thought that was a decent
number. Testing at 2 hours is pointless for discovering damage,
without also knowing what your peak was. The idea is to both limit
your spike - which protects your eyes, nerves and kidneys - AND limit
the area under the curve, which reflects on your A1c and protects
against heart attack and stroke. Knowing your 2-hour without any idea
of what your peak was, is pretty pointless.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Lerp - 09 Dec 2007 12:39 GMT
> >> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
> >> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 19 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25

You guys here know my sugar; what was my peak? And any doctor will
tell you 106 at 2 hour is very good.
Andy W - 09 Dec 2007 20:21 GMT
In article
<ddf83774-aa93-4a33-b834-abda8488d0b3@i29g2000prf.googlegroups.com>,

> You guys here know my sugar; what was my peak? And any doctor will
> tell you 106 at 2 hour is very good.

I don't know about any "one hour test club" -- I think most people are
just reacting to your insistence that 106 was the end of the story. You
haven't said if you know that whatever you ate only affects you within 2
hours. Do you know for a fact that you didn't run up to 150 at 3 hours?
I've had whole-wheat pasta and wine many times and never tested past 2
hours. I thought my numbers were great. Then someone here commented on
the pasta effect and I thought I'd try it out. I was floored to see that
for the first FOUR hours I was under 130 and then at hour five I ramped
up to 160. I had no idea I did that. Now I do.

And luckily, I can still eat said pasta. I just know that about 4-5
hours after I eat it I need to exercise. So, I learned something useful.

I think all of this is just people pointing this out and you seemingly
very annoyed that anyone would question you.

If you know that that food's spike is done and gone by 2 hours, great!
No issues here. If you never tested past 2 hours and just assume all is
fine, then it's your body and your risk. Your A1C is good so it's a good
bet that you're doing OK. Me, I'm newly dx'd and I'm testing where I can
to learn what I can. The stakes are too high to do otherwise. Once I
have this all mentally mapped out, I'll only test when I know I have to.
I'm not there yet. If you are, great.

-AW
Signature

Andy
T2 dx 7/2007; D&E, 500mg Metformin 1/day
DX A1C: 13.2%, no new A1C yet,  BMI 31 (and dropping)

Argue for your limitations and you get to keep them.

Jackie Patti - 10 Dec 2007 07:53 GMT
> Me, I'm newly dx'd and I'm testing where I can
> to learn what I can. The stakes are too high to do otherwise. Once I
> have this all mentally mapped out, I'll only test when I know I have to.

Agreed.

Signature

http://www.ornery-geeks.org/consulting/

Nicky - 09 Dec 2007 22:57 GMT
>You guys here know my sugar; what was my peak? And any doctor will
>tell you 106 at 2 hour is very good.

If I ate that meal, my peak would have been around the 250 mark, and
at about 2 1/2 hours I would be hypo. As you're not testing, both you
and any doctor who told you that was an OK reading are living in cloud
cookoo land.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Kurt - 08 Dec 2007 17:38 GMT
> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
> probem..that same meal would put another person in extreem danger of
> problems due to sky high numbers...

Extreme danger?  That's exaggerating just a bit, don't you think?

> So to act like becuse he can scarf �not only a high carb meal but a days
> calories in one sitting..is harmful to new people who dont get that he is
> the exception and not the rule.

There is a lot of "advice" posted here by individuals that might not
be good for others.  This is a place where people should share their
stories but you insult new people by thinking that they will just
follow the herd like mindless sheep.  Although, now that I thin of it,
there seem to be many who come in here and do just that.

That's why it's important that people don't try to control their
diabetes by what they read from a book or on the Internet.  Working
with a professional who understands one's particular needs will avoid
them being in "extreme danger" by being under the hypnotic trance that
Lerp has put them in. :)

Kurt
Alan S - 08 Dec 2007 21:11 GMT
>> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 10 lines]
>stories but you insult new people by thinking that they will just
>follow the herd like mindless sheep.

Sorry, you're mistaking this place for a waiting room.
That's where you find mindless sheep.

This isn't a waiting room. It's an active room.

>  Although, now that I thin of it,
>there seem to be many who come in here and do just that.
>
>That's why it's important that people don't try to control their
>diabetes by what they read from a book or on the Internet.  Working
>with a professional who understands one's particular needs

Therein lies the difficulty.

I had this surreal image in my mind; there we all are in the
Diabetes 101 class with the ADA dietician...

OK class, put up your hands if your medical professional
understood your particular needs when you were newly
diagnosed.

You can put your hands down now. Yes Kurt, I did notice you.
Anyone else? I'm waiting....

Now put your hands up if applying the "test, test, test"
advice you read on alt.support.diabetes caused any dangers
of any kind to your health.

Come on class, are you listening to me? I'm not seeing many
hands. OK Tom, you can put your hand down now. Kurt, you
shouldn't put up both hands, it isn't fair. Oh, sorry,
there's one in the back...can't quite see who it is...

Now put your hands up if applying the "test, test, test"
advice you read on alt.support.diabetes improved your health
and you discussed that with your medical professionals and
were advised to "keep doing what you are doing".

Hmmm.

OK, you can put your hands down now. And there was no need
to stand on your chairs and cheer.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Frank t2 - 08 Dec 2007 22:11 GMT
"Alan S" <loralgtweightandcarbs@gmail.com> a écrit  ...

>>> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>>> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 54 lines]
> OK, you can put your hands down now. And there was no need
> to stand on your chairs and cheer.

Darn. NOW you tell me not to cheer ?
Nicky - 09 Dec 2007 12:16 GMT
>Now put your hands up if applying the "test, test, test"
>advice you read on alt.support.diabetes improved your health
[quoted text clipped - 5 lines]
>OK, you can put your hands down now. And there was no need
>to stand on your chairs and cheer.

Oh, yes, there is. As loudly and often as we can! :D

Nicky. (Next cheer coming out next month, on a Oxford Uni site of
patient stories.)
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Frank t2 - 11 Dec 2007 23:27 GMT
"Nicky" <ukc802466929@btconnect.com> a écrit ...

>>Now put your hands up if applying the "test, test, test"
>>advice you read on alt.support.diabetes improved your health
[quoted text clipped - 10 lines]
> Nicky. (Next cheer coming out next month, on a Oxford Uni site of
> patient stories.)

OK, Nicky .. now I have to know .. .WHICH site ?

I went to Brookes Uni up in Headington (top of the hill)

F

> T2 dx 05/04 + underactive thyroid
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25
Nicky - 18 Dec 2007 18:32 GMT
>OK, Nicky .. now I have to know .. .WHICH site ?

dipex.com - not there yet, checked earlier today.

>I went to Brookes Uni up in Headington (top of the hill)

OMG - so did I, when it was Oxford Poly :D  

And had digs over the butcher in Headington, opposite the 50p-a-seat
arts cinema - what you could do with a student grant in those days!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Frank t2 - 18 Dec 2007 21:09 GMT
"Nicky" <ukc802466929@btconnect.com> a écrit  ...

>>OK, Nicky .. now I have to know .. .WHICH site ?
>
[quoted text clipped - 6 lines]
> And had digs over the butcher in Headington, opposite the 50p-a-seat
> arts cinema - what you could do with a student grant in those days!

GRANNNYYYYYYYYY  !
;))

> Nicky.
> T2 dx 05/04 + underactive thyroid
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25
Jackie Patti - 09 Dec 2007 16:56 GMT
> OK, you can put your hands down now. And there was no need
> to stand on your chairs and cheer.

If the low carb/low fat war must continue, I prefer it be amusing like
this post was!  ;)

Signature

http://www.ornery-geeks.org/consulting/

Tim Shoppa - 09 Dec 2007 22:03 GMT
> >> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
> >> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 34 lines]
> You can put your hands down now. Yes Kurt, I did notice you.
> Anyone else? I'm waiting....

Alan -

 You are showing a remarkable lack of understanding of how at least
some of us here were diagnosed, and the extremes we've been through.

 When you're diagnosed while going in and out of coma as a result of
DKA, or you've made a couple of ER trips in an ambulance, then you
have the experience to judge what "Extreme Danger" is.

 Otherwise you're just an inexperienced newbie.

Tim.
Alan S - 09 Dec 2007 23:08 GMT
>> >> What lerp doesnt seem to grasp is that while perhaps HE can eat that no
>> >> probem..that same meal would put another person in extreem danger of
[quoted text clipped - 47 lines]
>
>Tim.

Are you sure you meant that for me? I wasn't commenting on
the "Extreme Danger" post. Kurt was.

However, regardless of that, I don't see any point in
discussing whether type 2 is more dangerous than type 1.
They are both bloody dangerous in different ways and such an
argument seems particularly pointless to me. You face some
dangers that are more direct and immediate at times, we face
more insidious dangers over time, some of which you also
face to a different degree.

What is the point of those comparisons? We would just be
running around arguing about the best cabin to be in when
all the lifeboats leave the Titanic.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest: The Diabetes Revolution?
Nicky - 09 Dec 2007 23:18 GMT
>  You are showing a remarkable lack of understanding of how at least
>some of us here were diagnosed, and the extremes we've been through.
>
>  When you're diagnosed while going in and out of coma as a result of
>DKA, or you've made a couple of ER trips in an ambulance, then you
>have the experience to judge what "Extreme Danger" is.

So, what are YOU not counting - heart attack? BTDT. Neuropathy? BTDT.
I'm never likely to have a hypo 999 run - but playing my disease is
worse than yours is stupid.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Jackie Patti - 10 Dec 2007 08:02 GMT
>   You are showing a remarkable lack of understanding of how at least
> some of us here were diagnosed, and the extremes we've been through.
[quoted text clipped - 4 lines]
>
>   Otherwise you're just an inexperienced newbie.

Then, I've been an inexperienced newbie for almost twenty years then as
I've never had a DKA episode.  I was unaware that was the *only* type of
"extreme danger" diabetics could suffer.  I rather thought my MI was
kind of extreme, so it's good to know nothing extreme can happen to me
cause I'm a T2.

Tim, you have *different* health challenges than me; that doesn't make
mine irrelevant.

T2s suffer the same complications from elevated bg over time that T1s
do, plus added damage from high serum insulin levels.  No, we don't
suffer the extremes of lows and highs that T1s can experience, but that
hardly makes T2 an unserious disease.

Signature

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Harold Groot - 10 Dec 2007 10:28 GMT
One thing I haven't really seen discussed in this thread is WHY the
ADA (and other groups) make some of the recommendations they do.

Here in a.s.d we have a self-selected group of people who are largely
motivated and proactive.  (Those who are apathetic rarely bother to
seek out extra information here.)

Doctors, on the other hand, don't get to select.  They deal with a
pretty random population of diabetics.  If you talk to doctors or
groups like the ADA you will find that in those =random= groups
patient compliance is rather low.  Some will make some effort at
compliance, quite a few others will make almost no effort at
compliance, only a small number will attempt to really take control of
this disease.  

Because of this huge non-compliance issue, the advice given to the
general populace is NOT the optimal path to take.  The reasoning of
the ADA is that because the optimal path is more difficult, even fewer
people would comply with it than with what they recommend - and when
they failed to comply, a large number would give up and not make ANY
effort at compliance.  So the general ADA advice is a balance.  It
boils down to "Here's something that is =relatively= easy to follow.
We think that it will give the best OVERALL results in the general
population because more people will actually try to follow it.  We
will advocate a non-optimal course of action that still does SOME good
and that a reasonable number of people will follow.  This gives more
benefit to the population at large compared to if we were to advocate
the best course of action that only a small number will follow."

So the advice on testing times, numbers to consider "good" and so on
are based on what they think they can get a larger number of apathetic
people to shoot for.

But as I said, here on a.s.d we have a different situation.  Almost
everyone here is highly motivated.  We have spent a lot of time trying
to find out what is the best approach FOR MOTIVATED PEOPLE rather than
the best approach for LARGELY APETHETIC people.

So in general for T2s most of us recommend additional testing to find
out how we react as individuals.  In general we look to keep spikes as
low and for as short a duration as practical.  Instead of shooting for
the "Barely adequate to avoid some complications" numbers we shoot for
"Let's have a decent chance at avoiding all complications" numbers.

Just in the last year the ADA has ADMITTED that the reason they didn't
recommend a lowcarb diet (in spite of knowing that it reduced blood
sugar levels) is because they thought it would be "too hard" for most
people to stick with.  

I would much rather have the full information and be able to make my
choices accordingly.  For a long, long time the ADA refused to admit
that a lowcarb diet helped AT ALL.  So we may finally be turning the
corner.  

Personally, I'm much better at compliance with diet than I am with
exercise.  But in realizing this I also get to say "Never mind the
wishy-washy plan given to the apathetic general public, tell me what
the optimal plan is."  If the optimal plan includes major points
ABCDEF, well, maybe I've got a particular problem with C and E (you
can assume E=Exercise if you like <g>).  But maybe I can really do
ABDF very well.  So FOR ME, a plan featuring points ABDF heavily and
CE only lightly (ce) will probably do better than their general
"Here's something we hope everyone will find easy enough"
recommendation of just ab.  For me, ABcDeF will probably be both more
effective AND be something I can stick with.  But while my plan of
ABcDeF may be more effective than their plan of ab, for another person
a plan of aBCDEf might be better.  And so on.

Fortunately, I'm only IGT (Impaired Glucose Tolerance), not T2.  At
this point no doctor has EVER recommended that I test.  But I wanted
to avoid having this progress on to fullblown T2 diabetes.  So I've
bought my own meter and strips, changed my diet, lost 20 pounds and
tested - and in general I've kept a progressive disease from getting
any worse for 15+ years.  My odds of avoiding complications are pretty
good - and certainly MUCH better than if I had waited until I had a
formal diagnosis of T2 diabetes to begin making changes.

So remember - most doctors and groups like the ADA set their
recommendations and targets for the lowest common denominator, the
mostly-apathetic low-compliance patients they see over and over.  That
does NOT describe this group.  I may fail to go the =completely=
optimal route (that would involve more exercise and dropping more
weight), but what I =have= accomplished is =far= better than what the
standard ADA advice I was given ("No problem, just get tested again in
a few years") would have resulted in.
Nicky - 10 Dec 2007 12:51 GMT
>So remember - most doctors and groups like the ADA set their
>recommendations and targets for the lowest common denominator, the
[quoted text clipped - 4 lines]
>standard ADA advice I was given ("No problem, just get tested again in
>a few years") would have resulted in.

Good post, Harold.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
krom - 10 Dec 2007 14:08 GMT
Ecellent post harold thank you.

KROM

> One thing I haven't really seen discussed in this thread is WHY the
> ADA (and other groups) make some of the recommendations they do.
[quoted text clipped - 81 lines]
> standard ADA advice I was given ("No problem, just get tested again in
> a few years") would have resulted in.
Oleg Lego - 10 Dec 2007 14:35 GMT
>One thing I haven't really seen discussed in this thread is WHY the
>ADA (and other groups) make some of the recommendations they do.
[quoted text clipped - 81 lines]
>standard ADA advice I was given ("No problem, just get tested again in
>a few years") would have resulted in.

Well said Harold! I will admit that I was somewhat baffled by the
recommendations of the various Diabetic Associations, by the "that's
good enough" guidelines of various doctors and meter manufacturers,
and I had already figured out that the Associations were trying for
the maximum compliance for the masses. You put it into words, and I
thank you for it. Your post is a keeper.

Signature

Larry, T2, Saskatchewan, Canada.
DX 24 Aug 07. D&E
Metformin 2000mg, Ramipril, Simvastatin
Dx A1c 8.1 : Latest 5.1

Kurt - 11 Dec 2007 00:13 GMT
> One thing I haven't really seen discussed in this thread is WHY theADA(and other groups) make some of the recommendations they do.

Well, this has come up in here quite often, almost on a weekly basis
in one form or another.  And since I've been labeled the ADA's
cheerleader I'll try to address your questions.  But since I have no
offical affiliation with them, other then respecting the organization,
it will strictly be IMO.

> Here in a.s.d we have a self-selected group of people who are largely
> motivated and proactive. �(Those who are apathetic rarely bother to
> seek out extra information here.)

I agree. However, because of that we here don't represent the average
diabetic and that's the group the ADA and other professional groups
must contend with.

> Doctors, on the other hand, don't get to select. �They deal with a
> pretty random population of diabetics. �

I'd venture a guess that most of the diabetics that doctors see are
not very compliant when it comes to doing what is needed to control
this insidious disease.

>If you talk to doctors or
> groups like theADAyou will find that in those =random= groups
> patient compliance is rather low. �

Agree.

>Some will make some effort at
> compliance, quite a few others will make almost no effort at
> compliance, only a small number will attempt to really take control of
> this disease.

Agree.   �

> Because of this huge non-compliance issue, the advice given to the
> general populace is NOT the optimal path to take. �

If by that you mean they must be realistic with who they are dealing
with and set goals that are minimum rather than maximum I would say
that you're correct.

>The reasoning of
> theADAis that because the optimal path is more difficult, even fewer
> people would comply with it than with what they recommend - and when
> they failed to comply, a large number would give up and not make ANY
> effort at compliance. �

It's possible, although if you really look at what the ADA recommends
they try to encourage more than just minimal compliance.  For
instance, they advise that a patient should strive for an a1c that's
lower than 7...and add that closer to near normal numbers is what the
real goal is.  Ironically, almost a year ago today, Morris wrote an
excellent post that deals with one of your concerns about the ADA and
more stringent advice.

http://groups.google.com/group/alt.support.diabetes/msg/812f7b17f14451bd

>So the generalADAadvice is a balance. �It
> boils down to "Here's something that is =relatively= easy to follow.

Relatively easy for someone who is proactive, not for someone who is
apathetic.

> We think that it will give the best OVERALL results in the general
> population because more people will actually try to follow it. �We
> will advocate a non-optimal course of action that still does SOME good
> and that a reasonable number of people will follow. �This gives more
> benefit to the population at large compared to if we were to advocate
> the best course of action that only a small number will follow."

I think that's part of their methodology, but they also lean heavily
on advising that each person is different and we should work with our
doctors to determine our individual needs and goals.  If a doctor
knows that you or I are very proactive and can achieve better numbers
then they will, or at least should, encourage us to do that.  We also
would take it upon ourselves to to that anyway.  I've never had a
doctor tell me that I test too much, or my A1c is too low, or I ask
too many questions.  The ADA site is a general information center and
should not be used as a medical clinic where you get treated.  It has
no idea what you Harold, or me Kurt need in terms our diabetic
control.  Those specific issues should be determined by our doctors.

> So the advice on testing times, numbers to consider "good" and so on
> are based on what they think they can get a larger number of apathetic
> people to shoot for.

There minimums certainly seem to be.  Yet, many people fail to reach
even those.  This is not just isolated to people with diabetes.  For
many years health organizations have encouraged people to eat better
and exercise more.  I bet if you polled 100 people all of them could
tell you that it's healthier to eat more fruits, vegetables, fish,
lean meats and stay away from junk food...they know this is what they
should be doing, but they don't do it.  Same with exercise. Same with
smoking.  How can these organizations enforce someone's willpower and
personal discipline?

> But as I said, here on a.s.d we have a different situation. �Almost
> everyone here is highly motivated. �We have spent a lot of time trying
[quoted text clipped - 11 lines]
> sugar levels) is because they thought it would be "too hard" for most
> people to stick with. �

That and the fact that it's still not determined what the effects of
eating low carb are in the long run.  Freckles (Don) asked recently if
anyone could provide a link to a prolonged, major, non-commercial
study commending the safety and effectiveness of a low-carb diet over
a period of many years.  Lots of words later, no one has provided such
a link.

> I would much rather have the full information and be able to make my
> choices accordingly. �For a long, long time theADArefused to admit
> that a lowcarb diet helped AT ALL. �So we may finally be turning the
> corner. �

They are cautious about promoting something that is still relatively
new and relatively vague.  If you ask those same 100 people what a low
carb diet is you'll no doubt get 100 different answers.

> Personally, I'm much better at compliance with diet than I am with
> exercise. �But in realizing this I also get to say "Never mind the
> wishy-washy plan given to the apathetic general public, tell me what
> the optimal plan is." �

You should get that from your doctor, preferably an endocrinologist,
and not the ADA's website.  And you should ask what the optimal plan
is for Harold Groot.

>If the optimal plan includes major points
> ABCDEF, well, maybe I've got a particular problem with C and E (you
[quoted text clipped - 16 lines]
> good - and certainly MUCH better than if I had waited until I had a
> formal diagnosis of T2 diabetes to begin making changes.

So I guess then I am wondering why you seem so put off by what the ADA
is doing for people who actually have diabetes.  Not beign critcial,
but it seems like you aren't their target audience.

> So remember - most doctors and groups like theADAset their
> recommendations and targets for the lowest common denominator, the
> mostly-apathetic low-compliance patients they see over and over. �

Well, I would agree they cast a broader net, but not exactly as you
have described it.  How far into the site did you look?  If you just
checked out the first page of every category then it might explain why
you describe them that way.

>That
> does NOT describe this group. �I may fail to go the =completely=
> optimal route (that would involve more exercise and dropping more
> weight),

Congrats on the weight loss, that's a huge factor no pun intended.:)
But to me, exercise is as important to someone with diabetes (and
someone without) as medication and diet.  The benefits of a good
exercise plan pays huge dividends with one's health.

>but what I =have= accomplished is =far= better than what the
> standardADAadvice I was given ("No problem, just get tested again in
> a few years") would have resulted in.

The ADA site told you that?  Or a doctor?

Kurt
Harold Groot - 11 Dec 2007 02:09 GMT
>>but what I =3Dhave=3D accomplished is =3Dfar=3D better than what the
>> standardADAadvice I was given ("No problem, just get tested again in
>> a few years") would have resulted in.

>The ADA site told you that?  Or a doctor?
>Kurt

The doctor that diagnosed me as having IGT.
Chris Malcolm - 11 Dec 2007 12:28 GMT
>>>but what I =3Dhave=3D accomplished is =3Dfar=3D better than what the
>>> standardADAadvice I was given ("No problem, just get tested again in
>>> a few years") would have resulted in.

>>The ADA site told you that?  Or a doctor?
>>Kurt

> The doctor that diagnosed me as having IGT.

In Feb of this year the ADA published an encouraging consensus
statement about the treatment of IGT, in which they recommended that
care should be taken to diagnose it, and that it ought be treated just
like diabetes, because then there is a good chance of stopping the
development of diabetes.  They also noted that some "diabetic"
complications develop in the IGT phase before things have bad enough
to fit the current diabetes diagnosis crriteria, and that these can be
prevented if IGT is treated like diabetes.

http://care.diabetesjournals.org/cgi/content/full/30/3/753

It seems to be taking them a little while, however, to incorporate
that encouraging insight into their general educational materials,
treatment guidelines, and so on.

In other words, the ADA web site recommends that your IGT be treated
exactly as you are treating it, but only if you know exactly where to
look, because it isn't easy to find. What is easy to find on the ADA's
web pages is their out of date advice which ignores their own
consensus report. So even if your doctor had been right up to date
with the ADA's web pages for the education of doctors and other
medical professionals he wouldn't necessarily have come across this
new stuff.

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/]

Harold Groot - 11 Dec 2007 02:53 GMT
>>but what I =3Dhave=3D accomplished is =3Dfar=3D better than what the
>> standardADAadvice I was given ("No problem, just get tested again in
>> a few years") would have resulted in.

>The ADA site told you that?  Or a doctor?
>Kurt

Follow-up:

As I said in my last post, the doctor who made the diagnosis.

It's probably worth noting that the threshold for diagnosis with
"actual diabetes" was significantly higher back those 15+ years ago.
So when I took that GTT and scored "above normal, below diabetes"
(IGT), I had a more significant gap between my numbers and the
diabetic threshold numbers of the day.  Thus the "wait a few years and
get tested again" approach may have made SOME sense back then.  But
without the lifestyle changes I made the odds are quite high that my
numbers would only have gone higher.

Today I have pretty much the same numbers as back then and I'm still
in the IGT range - but the threshold for diagnosis with diabetes has
been lowered at least twice during those years.  So today I am
considered a lot CLOSER to being diabetic then I was back then.  But
it's because the medical community has generally come around to MY way
of thinking (that early action is better).  

Still, when my blood sugar was recently tested by a doctor at a random
time (i.e. not pre-arranged fasting and not for diabetes, this was for
something unrelated) and it came in higher than "normal", the doctor
said "You probably ate something before the test.  If this happens
again a year from now you should get it looked at."  Note that he
didn't ask me if I actually HAD eaten anything the day of that test.
He also did not ask me if I had eaten recently on the day we were
discussing the earlier test results (which could lead to suggesting
that I take another test immediately) nor did he suggest arranging for
a fasting blood sugar test (let alone a GTT).  Just "if it happens
again a year from now..."

I haven't been back to that doctor since.
krom - 10 Dec 2007 14:06 GMT
I have gone as low as 38..granted i likely wouldnt have gone into a comma
but if i was driving death could be a likely result or in the shower or
walking stairs..and heck it just feels bad!

So yeah i dont get why some type ones wish to poo poo type twos..certain if
left unchecked both result in death regardless..

KROM

> T2s suffer the same complications from elevated bg over time that T1s do,
> plus added damage from high serum insulin levels.  No, we don't suffer the
> extremes of lows and highs that T1s can experience, but that hardly makes
> T2 an unserious disease.
rk - 11 Dec 2007 03:32 GMT
| >   You are showing a remarkable lack of understanding of how at least
| > some of us here were diagnosed, and the extremes we've been through.
[quoted text clipped - 18 lines]
| suffer the extremes of lows and highs that T1s can experience, but that
| hardly makes T2 an unserious disease.

No T2 is not an unserious disease, but DKA is brought on as a direct
cause of lack of insulin which is what Tim was talking about moreso.
Extreme dangers that arise from direct result of being diabetic. Your MI
may or may not be caused from a direct result of diabetes. Many folks
have MI's and they aren't diabetic. But folks don't go into DKA when
they aren't diabetic. And quite honestly, I'd rather have a MI any day of
the week then have to go through DKA ever again. Unless you've been
in DKA you have no idea the hell you go through.. you pray you'd die
just to get relief.

rk, t1
who's had her 4 bouts of DKA through no fault of her own
Jackie Patti - 11 Dec 2007 04:40 GMT
> | >   You are showing a remarkable lack of understanding of how at least
> | > some of us here were diagnosed, and the extremes we've been through.
[quoted text clipped - 24 lines]
> may or may not be caused from a direct result of diabetes. Many folks
> have MI's and they aren't diabetic.

My MI occured after a year of uncontrolled diabetes with no family
history of heart disease and at age 45, which is ridiculously young for
a female.

So yes, the conclusion was that it was diabetes-related, according to
the cardiologist and heart surgeon anyways.

> But folks don't go into DKA when
> they aren't diabetic. And quite honestly, I'd rather have a MI any day of
> the week then have to go through DKA ever again. Unless you've been
> in DKA you have no idea the hell you go through.. you pray you'd die
> just to get relief.

Have an MI; be my guest.  I personally did not find screaming and puking
all night long much fun.  But maybe you'll be lucky and have one of
those "silent" ones.  Or unlucky and be one of those who's first symptom
of heart disease is sudden death.  Not too "serious" at all.

Let me know after you've had a bypass (the full kind where they split
your sternum open, not the minimally-invasive kind) whether it was worse
than DKA.

So far, I'm six months into recovery and still in pain (though have been
off narcotics for 3 months).  I have no idea how long I'll be disabled,
it still takes hours to recover from stuff like running to the grocery
store.  I get maybe 4-5 good hours a day and that's it.

I'm just lucky I only have diabetes-lite instead of the "serious" kind.

Signature

http://www.ornery-geeks.org/consulting/

rk - 11 Dec 2007 20:38 GMT
| I'm just lucky I only have diabetes-lite instead of the "serious" kind.

then I guess you have an "unserious disease" after all.
Cheri - 11 Dec 2007 21:03 GMT
Jackie Patti wrote in message
<475e14b9$0$31572$470ef3ce@news.pa.net>...

>> But folks don't go into DKA when
>> they aren't diabetic. And quite honestly, I'd rather have a MI any day of
[quoted text clipped - 10 lines]
>your sternum open, not the minimally-invasive kind) whether it was worse
>than DKA.

Unbelievable, simply unbelievable that anyone would pooh pooh an MI,
or even make a statement that they'd sooner have an MI, t