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Bureaucratic Frustration

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General fitness, health and nutrition
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13 January 2004
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Alan
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  1. I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few thoughts
    for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is an
    excess input of carbohydrates without an appropriate response by the body to produce insulin at
    the right time.

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    5. Excess use of drugs or insulin can have undesirable side effects.

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements but
    create minimal excess glucose is desirable.

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to assist
    determination of what is the appropriate maximum. Other testing, of energy levels and physical
    and mental health is needed to determine minimum requirements.

    When I think that way, I am astounded that so many doctors, scientists and dietitans have promoted
    very different treatments for so long, and government authoritities in many different nations still
    push the "3 or 4 15g carb serves at every meal" diet for diabetics together with drugs and insulin.

    What is it I am missing? I know the post-prandial studies are out there, why don't they read them?
    Why don't they see it? How do we (if any agree with me) change it?

    Venting frustration.

    Cheers Alan, T2, Oz dx May 2002, diet and exercise.
    --
    Everything in Moderation - Except Laughter.

  2. In article <[email hidden]>,

    Alan said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few
    thoughts for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is
    an excess input of carbohydrates without an appropriate response by the body to produce
    insulin at the right time.

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    5. Excess use of drugs or insulin can have undesirable side effects.

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements
    but create minimal excess glucose is desirable.

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to
    assist determination of what is the appropriate maximum. Other testing, of energy levels and
    physical and mental health is needed to determine minimum requirements.

    When I think that way, I am astounded that so many doctors, scientists and dietitans have promoted
    very different treatments for so long, and government authoritities in many different nations
    still push the "3 or 4 15g carb serves at every meal" diet for diabetics together with drugs and
    insulin.

    What is it I am missing? I know the post-prandial studies are out there, why don't they read them?
    Why don't they see it? How do we (if any agree with me) change it?

    Venting frustration.

    You're not missing much. I still am curious, though, as to what constitutes an "inadequate intake"
    of carbohydrates. What essential nutrient can you get from carbohydrates and from nowhere else and
    that you'd be missing if you cut carbs way back?

    Priscilla

  3. Alan said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    Quoted message said:

    I occasionally think sort of like Spock, much to the frustration of those around me. A few thoughts
    for others more experienced and qualified than me to consider:

    Quoted message said:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    Quoted message said:

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    Quoted message said:

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is an
    excess input of carbohydrates without an appropriate response by the body to produce insulin at
    the right time.

    Quoted message said:

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    Quoted message said:

    5. Excess use of drugs or insulin can have undesirable side effects.

    Quoted message said:

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    Quoted message said:

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements
    but create minimal excess glucose is desirable.

    Quoted message said:

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to
    assist determination of what is the appropriate maximum. Other testing, of energy levels and
    physical and mental health is needed to determine minimum requirements.

    Quoted message said:

    When I think that way, I am astounded that so many doctors, scientists and dietitans have promoted
    very different treatments for so long, and government authoritities in many different nations still
    push the "3 or 4 15g carb serves at every meal" diet for diabetics together with drugs and insulin.

    Quoted message said:

    What is it I am missing? I know the post-prandial studies are out there, why don't they read them?
    Why don't they see it? How do we (if any agree with me) change it? Venting frustration. Cheers
    Alan, T2, Oz dx May 2002, diet and exercise.

    You cannot see the trees for the wood mate.

    As an engineer you must understand that in any machine one little thing slightly askew changes the
    value of everything. If that little thing that is askew changes frequently then nothing will operate
    exactly as designed.

    There are so many variables and so many changes all the time that there is great difficulty in
    stating a 100% precise solution. the best that can be hoped for is an approximation that is as close
    to what we want. Add to that the sheer variety of machine design and external influences on each
    machine and there is one hell of a problem to try and resolve. The simple fact is that it is just
    too complex. Just about everything in life is the same.

    Pete

    Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide
    + Asprin 210lbs at Dx to target 174lbs achieved. Now 171lbs. To mail: aspen3 at freeuk.com

  4. cc'd by email good try BUT, not correct

    You are mixing a number of misconceptions
    1) The relationships are by far not linear, in fact they are extremely complex, and without discrete
    solutions. As I recall, insulin ALONE is a 3rd order Lorenz function!
    2) You are mistaking diet theories with diet facts. Despite the absolute statements of the diet
    wars people, NO ONE has anything resembling proof on ANY fro the diet theories. They are
    THEORIES, not facts
    3) There are a LOT of other relevant factors - exercise, amount of sleep, alcohol, other meds,
    metabolic differences.... and probably some we haven't even thought of.

    If it was possible to put this all in a computer and come out with a nice little chart WHICH WORKS
    CONSISTENTLY - It would have been done a long time ago.

    As you go on, you may find these results even harder to judge. For example, I usually have pretty
    good control.. Yesterday at about 2:30 I was at a clients, and I started feeling low - so I ate an
    ENTIRE candy bar. I went back to being on hold with tech support for an hour - at which time I went
    down to 53 !!! after a candy bar!!! I would have expected 253 as more likely - SO I had a package of
    c cheese crackers and a cup of black coffee - that brought it back to 98 in an hour - I stayed
    between 80 and 98 for the rest of the evening, DESPITE dinner..

    Alan said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few
    thoughts for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is
    an excess input of carbohydrates without an appropriate response by the body to produce
    insulin at the right time.

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    5. Excess use of drugs or insulin can have undesirable side effects.

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements
    but create minimal excess glucose is desirable.

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to
    assist determination of what is the appropriate maximum. Other testing, of energy levels and
    physical and mental health is needed to determine minimum requirements.

    When I think that way, I am astounded that so many doctors, scientists and dietitans have promoted
    very different treatments for so long, and government authoritities in many different nations
    still push the "3 or 4 15g carb serves at every meal" diet for diabetics together with drugs and
    insulin.

    What is it I am missing? I know the post-prandial studies are out there, why don't they read them?
    Why don't they see it? How do we (if any agree with me) change it?

    Venting frustration.

    Cheers Alan, T2, Oz dx May 2002, diet and exercise.
    --
    Everything in Moderation - Except Laughter.

  5. "Alan" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few
    thoughts for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is
    an excess input of carbohydrates without an appropriate response by the body to produce
    insulin at the right time.

    If this were the only thing, then it would be this simple. *Unfortunately*, simply counting carbs
    isn't enough. Some carbs hit a lot faster than others, others are part of a large and greasy meal
    slowing digestion, etc., etc., and this factor is juggled against lots of others such as exercise,
    sleep, mealtimes, etc.

    Describing the process in these simple terms is like describing juggling as "Toss three balls in the
    air. Catch them. Repeat." And for us diabetics, it's juggling with only one hand or one hand in a
    boxing glove....

  6. "Alan" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few
    thoughts for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is
    an excess input of carbohydrates without an appropriate response by the body to produce
    insulin at the right time.

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    5. Excess use of drugs or insulin can have undesirable side effects.

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements
    but create minimal excess glucose is desirable.

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to
    assist determination of what is the appropriate maximum. Other testing, of energy levels and
    physical and mental health is needed to determine minimum requirements.

    When I think that way, I am astounded that so many doctors, scientists and dietitans have promoted
    very different treatments for so long, and government authoritities in many different nations
    still push the "3 or 4 15g carb serves at every meal" diet for diabetics together with drugs and
    insulin.

    What is it I am missing? I know the post-prandial studies are out there, why don't they read them?
    Why don't they see it? How do we (if any agree with me) change it?

    What're you missing Al? Not a thing. it's what many of us have been saying for Christ
    knows how long.

    Everything in moderation, but with the emphasis on LESS carbs than normal

    Test, record and act on the results.

    Diabetes management in a nutsack.

    Beav

  7. "Priscilla Ballou" wrote ...

    You're not missing much. I still am curious, though, as to what constitutes an "inadequate intake"
    of carbohydrates. What essential nutrient can you get from carbohydrates and from nowhere else and
    that you'd be missing if you cut carbs way back?
    _________________________________________________________________

    It's not the carbs, but the nutrients contained in that food that we need. Vitamins in fruit and
    fiber in grains, for example. The carbohydrates themselves offer no nutritional value on their own;
    they simply break down into sugar. Therefore your premise is correct, if we can obtain the nutrients
    from another source, then carbs are not essential. The actual value of carbohydrates is linked to
    training and exercise as it is an excellent source of immediately available fuel.

    Arnie -

  8. On Sat, 08 Nov 2003 08:46:08 +0000, Pete <[email hidden]>

    Quoted message said:

    You cannot see the trees for the wood mate.

    As an engineer you must understand that in any machine one little thing slightly askew changes the
    value of everything. If that little thing that is askew changes frequently then nothing will
    operate exactly as designed.

    There are so many variables and so many changes all the time that there is great difficulty in
    stating a 100% precise solution. the best that can be hoped for is an approximation that is as
    close to what we want. Add to that the sheer variety of machine design and external influences on
    each machine and there is one hell of a problem to try and resolve. The simple fact is that it is
    just too complex. Just about everything in life is the same.

    Pete

    Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide
    + Asprin 210lbs at Dx to target 174lbs achieved. Now 171lbs. To mail: aspen3 at freeuk.com

    Hi Pete.

    I wasn't suggesting we have a cure or solution. Just that what we recommend, in my opinion, is a
    safer and better method of T2 management than that directed by the apparent experts. Additionally,
    what we suggest is complementary, not in lieu of, the medical advice; the major point of dispute
    is dietary.

    Further, their method is actually harmful in those cases I am personally aware of, but the people
    concerned, like some newbies here, will not accept any criticism of revered authority.

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

  9. Ted Rosenberg said:

    cc'd by email good try BUT, not correct

    You are mixing a number of misconceptions
    1) The relationships are by far not linear, in fact they are extremely complex, and without
    discrete solutions. As I recall, insulin ALONE is a 3rd order Lorenz function!
    2) You are mistaking diet theories with diet facts. Despite the absolute statements of the diet
    wars people, NO ONE has anything resembling proof on ANY fro the diet theories. They are
    THEORIES, not facts
    3) There are a LOT of other relevant factors - exercise, amount of sleep, alcohol, other meds,
    metabolic differences.... and probably some we haven't even thought of.

    If it was possible to put this all in a computer and come out with a nice little chart WHICH WORKS
    CONSISTENTLY - It would have been done a long time ago.

    As you go on, you may find these results even harder to judge. For example, I usually have pretty
    good control.. Yesterday at about 2:30 I was at a clients, and I started feeling low - so I ate an
    ENTIRE candy bar. I went back to being on hold with tech support for an hour - at which time I went
    down to 53 !!! after a candy bar!!! I would have expected 253 as more likely - SO I had a package
    of c cheese crackers and a cup of black coffee - that brought it back to 98 in an hour - I stayed
    between 80 and 98 for the rest of the evening, DESPITE dinner..

    Hi Ted

    I completely agree about the complexities involved. I also get flummoxed when what is expected is
    not what occurs. And I accept that I'm still a newby here who can see only the tip of a very
    large iceberg.

    On diet theories, I'm stating the facts based on a research study of one (me) and anecdotal evidence
    here. I accept that that is a little short of a scientific study.

    What I am suggesting, obviously not clearly enough, is that our experience here should be utilised
    by those who advise the general population - ADA, DA, NHS etc, instead of ignored or actively
    discouraged.

    We don't have a cure, but we do have some management methods which may improve the lives of other
    diabetics, in some cases quite dramatically. But the inertia of bureacratic policy change continues
    to push diets and control methods which IMO are harmful to some if not most of those using them.

    At the very least, a study of the concept of diet modification resulting from post-prandial testing
    could be done. We see some recent studies about post-prandial testing assisting in diagnosis; I
    can't remember seeing any references here concerning post-prandial and better control, with or
    without meds.

    Oddly enough, with the money involved in the US in test strips, one would wonder why the strip
    manufacturers aren't actively supporting such a study. Hopefully some lurker looking for a research
    grant just read that :-)

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

  10. What you might do is study the Atkins diet and people who have been on it and find out what happens
    to their bodies in time if they stay on it. That might answer your question because I don't thionk
    it's a question of nutrients. Richard

    Priscilla Ballou said:

    In article <[email hidden]>, Alan

    Quoted message said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few
    thoughts for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is
    an excess input of carbohydrates without an appropriate response by the body to produce
    insulin at the right time.

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    5. Excess use of drugs or insulin can have undesirable side effects.

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements
    but create minimal excess glucose is desirable.

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to
    assist determination of what is the appropriate maximum. Other testing, of energy levels and
    physical and mental health is needed to determine minimum requirements.

    When I think that way, I am astounded that so many doctors, scientists and dietitans have
    promoted very different treatments for so long, and government authoritities in many different
    nations still push the "3 or 4 15g carb serves at every meal" diet for diabetics together with
    drugs and insulin.

    What is it I am missing? I know the post-prandial studies are out there, why don't they read
    them? Why don't they see it? How do we (if any agree with me) change it?

    Venting frustration.

    You're not missing much. I still am curious, though, as to what constitutes an "inadequate intake"
    of carbohydrates. What essential nutrient can you get from carbohydrates and from nowhere else and
    that you'd be missing if you cut carbs way back?

    Priscilla

  11. Nico Kadel-Garcia said:

    If this were the only thing, then it would be this simple. *Unfortunately*, simply counting carbs
    isn't enough. Some carbs hit a lot faster than others, others are part of a large and greasy meal
    slowing digestion, etc., etc., and this factor is juggled against lots of others such as exercise,
    sleep, mealtimes, etc.

    Describing the process in these simple terms is like describing juggling as "Toss three balls in
    the air. Catch them. Repeat." And for us diabetics, it's juggling with only one hand or one hand in
    a boxing glove....


    Point taken and agreed. See my longer replies on the other "threadlets".

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

  12. Beav said:


    "Alan" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    I'm fairly new at this T2-management business. I'm also a very rusty retired engineer.

    I occasionally think sort of like Spock, much to the frustration of those around me. A few
    thoughts for others more experienced and qualified than me to consider:

    1. To a simplistic person, it's obvious that hyperglycaemia is not good for long-term health.

    2..Hyperglycaemia is an excess of glucose in the bloodstream.

    3. A number of things can cause an excess of glucose in the bloodstream. One of those things is
    an excess input of carbohydrates without an appropriate response by the body to produce
    insulin at the right time.

    4. Excess input can be countered either by decreasing the input, or acting on the excess with
    insulin or drugs to minimise the effect.

    5. Excess use of drugs or insulin can have undesirable side effects.

    6. Inadequate intake of carbohydrates can also have undesirable side effects.

    7. Therefore, calculation of the approriate intake of carbohydrates to meet minimal requirements
    but create minimal excess glucose is desirable.

    8. Testing and monitoring blood glucose levels, after input of carbohydrates, is necessary to
    assist determination of what is the appropriate maximum. Other testing, of energy levels and
    physical and mental health is needed to determine minimum requirements.

    When I think that way, I am astounded that so many doctors, scientists and dietitans have
    promoted very different treatments for so long, and government authoritities in many different
    nations still push the "3 or 4 15g carb serves at every meal" diet for diabetics together with
    drugs and insulin.

    What is it I am missing? I know the post-prandial studies are out there, why don't they read
    them? Why don't they see it? How do we (if any agree with me) change it?

    What're you missing Al? Not a thing. it's what many of us have been saying for Christ knows
    how long.

    Everything in moderation, but with the emphasis on LESS carbs than normal

    Test, record and act on the results.

    Diabetes management in a nutsack.

    Beav


    Thx Beav - for reading it all and understanding what I'm actually frustrated about.

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

  13. On Sat, 8 Nov 2003 00:14:17 -0500, "Arnie Macy" <[email hidden]>

    Quoted message said:


    It's not the carbs, but the nutrients contained in that food that we need. Vitamins in fruit and
    fiber in grains, for example. The carbohydrates themselves offer no nutritional value on their own;
    they simply break down into sugar. Therefore your premise is correct, if we can obtain the
    nutrients from another source, then carbs are not essential. The actual value of carbohydrates is
    linked to training and exercise as it is an excellent source of immediately available fuel.

    Arnie -


    Thx Arnie, I mainly agree.

    My point was really about the inertia of the authorities, not our differences on carb proportions.
    We may argue about proportions here, but I do think there is general agreement that our various
    Diabetes Authorities recommend a diet way above what any (or almost any, shadow) of us would
    recommend.

    They also have no inkling of the importance the majority of us place on post-prandial testing.

    If I am incorrect saying "the majority", feel free to correct me.

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

  14. Alan said:


    Hi Ted

    I completely agree about the complexities involved. I also get flummoxed when what is expected is
    not what occurs. And I accept that I'm still a newby here who can see only the tip of a very large
    iceberg.

    On diet theories, I'm stating the facts based on a research study of one (me) and anecdotal
    evidence here. I accept that that is a little short of a scientific study.

    What I am suggesting, obviously not clearly enough, is that our experience here should be utilised
    by those who advise the general population - ADA, DA, NHS etc, instead of ignored or actively
    discouraged.

    We don't have a cure, but we do have some management methods which may improve the lives of other
    diabetics, in some cases quite dramatically. But the inertia of bureacratic policy change
    continues to push diets and control methods which IMO are harmful to some if not most of those
    using them.

    At the very least, a study of the concept of diet modification resulting from post-prandial
    testing could be done. We see some recent studies about post-prandial testing assisting in
    diagnosis; I can't remember seeing any references here concerning post-prandial and better
    control, with or without meds.

    Oddly enough, with the money involved in the US in test strips, one would wonder why the strip
    manufacturers aren't actively supporting such a study. Hopefully some lurker looking for a
    research grant just read that :-)

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

    It took many years for my endo to come around to PP testing. I'm talking only about my case, for all
    I know she doesn't recommend PP tests for any of her patients. Recommending a patient test 5 - 8
    times a day could be an insurmountable obstacle for a doctor. Look at all the problems some newbies
    here have testing at all!

    Patient compliance is a frustrating part of a doctor's life. I know my endo finds it *very*
    frustrating, she's told me so. Heck, I look at my own 9 years with diabetes and I wasn't terribly
    compliant for too long a period of time. It was these groups that helped me to realize I don't have
    a death wish and I don't want to have the horrible complications that non-compliance hastens.

    Vicki

  15. Ssorry Bob, you are using an ANECDOTES, not research study

    WHY do you think that the ADA advises something else than you do. They have lots of studies, and
    lots of years of data YOU have an absolutely worthless anecdotal piece on information "I think
    it works "

    YOU are wrong - but, due to the complexity of the problem, even with all their data and experience,
    THEY are not perfect, or have a simple solution. MANY more people get good results on the ADA than
    on the ultra low carb - bu many people get results on the low carb - and THEY are hyped by the fad
    diet scammers like Bernstein, who sell LOTS of books.

    To succeed, we use Hobsin's method - that is, we make small changes in a direction which seems to
    work for us. Test often, and try to come up with what works for us as individuals.

    That is what makes the doctor who TELLS you what to do so dangerous. If they tell you what and why,
    accept that YOU can make small changes, and work with you, telling you WHY you are wrong when you
    are. Then you can get fairly good control

    Your assumption that there is something like a sim[ple cookie cutter solution not only doesn't work,
    but it is a VERY bad idea -

    Alan said:
    Ted Rosenberg said:

    cc'd by email good try BUT, not correct

    You are mixing a number of misconceptions
    1) The relationships are by far not linear, in fact they are extremely complex, and without
    discrete solutions. As I recall, insulin ALONE is a 3rd order Lorenz function!
    2) You are mistaking diet theories with diet facts. Despite the absolute statements of the diet
    wars people, NO ONE has anything resembling proof on ANY fro the diet theories. They are
    THEORIES, not facts
    3) There are a LOT of other relevant factors - exercise, amount of sleep, alcohol, other meds,
    metabolic differences.... and probably some we haven't even thought of.

    If it was possible to put this all in a computer and come out with a nice little chart WHICH WORKS
    CONSISTENTLY - It would have been done a long time ago.

    As you go on, you may find these results even harder to judge. For example, I usually have pretty
    good control.. Yesterday at about 2:30 I was at a clients, and I started feeling low - so I ate an
    ENTIRE candy bar. I went back to being on hold with tech support for an hour - at which time I
    went down to 53 !!! after a candy bar!!! I would have expected 253 as more likely - SO I had a
    package of c cheese crackers and a cup of black coffee - that brought it back to 98 in an hour - I
    stayed between 80 and 98 for the rest of the evening, DESPITE dinner..

    Hi Ted

    I completely agree about the complexities involved. I also get flummoxed when what is expected is
    not what occurs. And I accept that I'm still a newby here who can see only the tip of a very large
    iceberg.

    On diet theories, I'm stating the facts based on a research study of one (me) and anecdotal
    evidence here. I accept that that is a little short of a scientific study.

    What I am suggesting, obviously not clearly enough, is that our experience here should be utilised
    by those who advise the general population - ADA, DA, NHS etc, instead of ignored or actively
    discouraged.

    We don't have a cure, but we do have some management methods which may improve the lives of other
    diabetics, in some cases quite dramatically. But the inertia of bureacratic policy change
    continues to push diets and control methods which IMO are harmful to some if not most of those
    using them.

    At the very least, a study of the concept of diet modification resulting from post-prandial
    testing could be done. We see some recent studies about post-prandial testing assisting in
    diagnosis; I can't remember seeing any references here concerning post-prandial and better
    control, with or without meds.

    Oddly enough, with the money involved in the US in test strips, one would wonder why the strip
    manufacturers aren't actively supporting such a study. Hopefully some lurker looking for a
    research grant just read that :-)

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

  16. Alan said:

    On Sat, 08 Nov 2003 08:46:08 +0000, Pete <[email hidden]> wrote:

    Quoted message said:
    Quoted message said:

    You cannot see the trees for the wood mate.

    Quoted message said:
    Quoted message said:

    As an engineer you must understand that in any machine one little thing slightly askew changes the
    value of everything. If that little thing that is askew changes frequently then nothing will
    operate exactly as designed.

    Quoted message said:
    Quoted message said:

    There are so many variables and so many changes all the time that there is great difficulty in
    stating a 100% precise solution. the best that can be hoped for is an approximation that is as
    close to what we want. Add to that the sheer variety of machine design and external influences on
    each machine and there is one hell of a problem to try and resolve. The simple fact is that it is
    just too complex. Just about everything in life is the same. Pete

    Quoted message said:

    Hi Pete.

    Quoted message said:

    I wasn't suggesting we have a cure or solution. Just that what we recommend, in my opinion, is a
    safer and better method of T2 management than that directed by the apparent experts. Additionally,
    what we suggest is complementary, not in lieu of, the medical advice; the major point of dispute
    is dietary.

    Quoted message said:

    Further, their method is actually harmful in those cases I am personally aware of, but the people
    concerned, like some newbies here, will not accept any criticism of revered authority. Cheers
    Alan, T2, Oz

    I see, there is no conflict, i obviously read slightly askew......:-)))

    Pete

    Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide
    + Asprin 210lbs at Dx to target 174lbs achieved. Now 171lbs. To mail: aspen3 at freeuk.com

  17. In article <[email hidden]>,

    Richard W. Price said:

    What you might do is study the Atkins diet and people who have been on it and find out what
    happens to their bodies in time if they stay on it. That might answer your question because I
    don't thionk it's a question of nutrients.

    My question was basically rhetorical, a challenge to Alan (who aparently believes that carbs are
    essential) to back that up. He hasn't.

    I keep seeing people making assumptions about the necessity of eating carbs based on decades of
    brainwashing, and I am challenging it whenever I can.

    I have no concerns about the longterm effects of not eating white rice, pasta, potatoes, white
    bread, cake, pies, cookies, and so on. Gosh, I might get a Devils Food cake deficiency! Oh, dear.
    That's worrisome. NOT.

    Priscilla

  18. "Alan" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    On Sun, 9 Nov 2003 20:34:08 -0000, "Beav"

    Quoted message said:
    Quoted message said:


    Thx Beav - for reading it all and understanding what I'm actually frustrated about.

    I wonder if those same docs would recommend a pint of bitter or a scotch with each meal if we
    were alcoholic? Seems to me that recommending carbs with every meal for us diabetics, is much the
    same thing.

    Cynicism rules :-))

    Beav

  19. In article <[email hidden]>,

    Vicki Beausoleil said:

    It took many years for my endo to come around to PP testing. I'm talking only about my case, for
    all I know she doesn't recommend PP tests for any of her patients. Recommending a patient test 5 -
    8 times a day could be an insurmountable obstacle for a doctor. Look at all the problems some
    newbies here have testing at all!

    It may take a few malpractice suits to convince her that *some* of her patients just need the
    information and are willing to participate in their own treatment. To withhold information as
    vital as the importance of PP testing from a newly diagnosed diabetic is pretty clearly
    malpractice, to my eye.

    Priscilla

  20. Ted Rosenberg said:

    Ssorry Bob, you are using an ANECDOTES, not research study

    WHY do you think that the ADA advises something else than you do. They have lots of studies, and
    lots of years of data YOU have an absolutely worthless anecdotal piece on information "I think
    it works "

    YOU are wrong - but, due to the complexity of the problem, even with all their data and experience,
    THEY are not perfect, or have a simple solution. MANY more people get good results on the ADA than
    on the ultra low carb - bu many people get results on the low carb - and THEY are hyped by the fad
    diet scammers like Bernstein, who sell LOTS of books.

    Hi Ted

    Alan here. [censored] for tat- I did call iron Tom by your name once accidentally.

    I don't think you actually read what I wrote, presuming this is a reply to me.

    I'm not advocating "ultra low carb" or "fad diets" or anything of the sort. If I advocate anything
    here, it is "test,test,test". One of the fascinating things when I look back on this thread is how
    various posters have focussed on snippets rather than the summary.

    What I am expressing is a level of frustration with the present diabetes authorities in our various
    countries at their slow acceptance of change. Whether I am, or we are, right or wrong is irrelevant.

    What is relevant is that there is sufficient evidence here that modifying the diet of a T2 based on
    post-prandial testing can significantly improve control of both excessive blood glucose levels and
    general health. At least sufficient to warrant detailed scientific investigation of the subject.

    Additionally, there appears to be increasing evidence in the scientific studies that post-prandial
    "spikes" may be as important as HbA1c in predicting long-term complications; but I find no advice
    from those authorities on dietary ways to minimise those spikes, and very little concerning diurnal
    variations such as the "dawn effect". Consequently, they continue to promote an even spread of, to
    me, high carbohydrate input over all meals including breakfast.

    I'm not sure why that keeps haring off into discussions of ultra fad diets - or reactions to those
    discussions.

    Cheers Alan, T2, Oz dx May 2002, diet and not enough exercise.
    --
    Everything in Moderation - Except Laughter.

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