They are learning! "Rethinking Diabetes Nutrition" - article from Clinical Endocrinology News
Aquawave
Posts: 260 Member
clinicalendocrinologynews.com/specialty-focus/diabetes/single-article-page/rethinking-diabetes-nutrition-no-more-carb-mixes/c79325afdf7932e69f7ee22e2db7d1e6.html
I hope I did this link properly. If not, google the discussion title.
I hope I did this link properly. If not, google the discussion title.
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Replies
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clinicalendocrinologynews.com/specialty-focus/diabetes/single-article-page/rethinking-diabetes-nutrition-no-more-carb-mixes/c79325afdf7932e69f7ee22e2db7d1e6.html
I hope I did this link properly. If not, google the discussion title.
Came through just fine. Thx!
Yep, they are learning. It is definitely progress, but she still seems to have a bit of that "dumb it down for the dense diabetic" air about her.
It would be nice to hear a diabetes care provider/educator say,
"Here's the basic info, here are additional tools and info for people who are motivated to learn and do more, and here are some techniques for capturing their attention and getting them interested in the first place."2 -
The people that frequent this discussion board are not the same as the majority of people sitting in the waiting room at my endo's office or my relatives who think all will be fine when the endo just gives them a new pill. Sheeple. They have no clue about food metabolism, nor do they want to learn. Diabetes education must be made simple, more importantly, strips must be given out and proper instruction on how to use them to eat to your meter. How hard is it to keep a food log and see what your two hour is? How hard is it for the Endo to pass out a forbidden carb food list?6
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I'll grant you that. If you're not motivated to keep your feet and eyes by the thought of not seeing your grandkids grow up, etc., then I don't suppose there's much to be done.
But for people who want something more than a "Keep Your Toes For Life" coloring book, genuine "educators" should be ready to rock!
(It took me 7 tries to find one - hooray! - and she says she's able to really grab a good 1/3 of her patients.. But she'd be charismatic in a morgue....}3 -
The people that frequent this discussion board are not the same as the majority of people sitting in the waiting room at my endo's office or my relatives who think all will be fine when the endo just gives them a new pill. Sheeple. They have no clue about food metabolism, nor do they want to learn. Diabetes education must be made simple, more importantly, strips must be given out and proper instruction on how to use them to eat to your meter. How hard is it to keep a food log and see what your two hour is? How hard is it for the Endo to pass out a forbidden food list?
Some think it's nearly impossible.
Even on here, if someone suggests using a blood meter to check ketones or blood sugar, it's very common to have comments about how someone couldn't possibly ever prick their finger. As if it's the worlds most painful experience or right up there with eating live cockroaches.
I have to admit (if it's not obvious
) this kind of comment makes me batty. As a mother of a T1D, who was deathly afraid of needles and even passed out when she got her ears pierced as a kid, you can do ANYTHING if you HAVE TO.
So, because it's my choice to check blood sugar or ketones with a blood meter, I figure I have zero complaints because I don't have to do it 5-10 times a day (or more if things get complicated) to survive on a daily basis. So, I can bear a tiny poke that'll cause me a milli second of discomfort if I think there's a benefit to my health and understanding of how my body works.
Sometimes we just need to get out of our own way and realize stuff is pretty simple when it comes down to it. We complicate it with "feelings". Lol
Ok, that made me sound really hard... But you know what I'm sayin right?11 -
The people that frequent this discussion board are not the same as the majority of people sitting in the waiting room at my endo's office or my relatives who think all will be fine when the endo just gives them a new pill. Sheeple. They have no clue about food metabolism, nor do they want to learn. Diabetes education must be made simple, more importantly, strips must be given out and proper instruction on how to use them to eat to your meter. How hard is it to keep a food log and see what your two hour is? How hard is it for the Endo to pass out a forbidden carb food list?
@Aquawave - A forbidden carb list is a good way to ensure complete lack of adherence to dietary plan in a food addict and/or lazy/indulgent person. Telling someone they can never again have a favorite food or food they are convinced they cannot live without (whether they truly can or not is another matter entirely) is a sure-fire way to keep them from ever trying dietary compliance.
Additionally, some folks cannot manage or afford the foods they need (alone or in conjunction with crap bought by other family members), while others cannot seem to grasp the combination of food, testing, and medicines. So I think that for the average thinking person, more info is great, but you've really got to get down to brass tacks for some folks - as well as decide, "this patient has expressed that they will never be compliant food wise. Do I keep hammering home how critical the food is - or do I give them a pill, since I know they won't manage the food side?" Most docs err on the side of caution to keep patients alive, etc.
Education is a problem across the world these days, and not just in nutritional science and such... It literally hurts my head to deal with folks who refuse to think...6 -
Bingo!
@_Sunny_Bunny_, you had a classic line a few months ago, something like,
"Who wouldn't eat a plate of horse poop every day if that's all they had to do to keep their legs or their eyeballs?"
We should all be glad for the technology and the few pennies it costs to stay on top of our BG. No idea how anyone gets by (or at least avoids insulin) without it!1 -
Also, they may finally be getting some factors of diabetes management right, but as most of us know, nearly everything they said about cholesterol and fiber is not true for the majority of people. (goes to take ibuprofen and magnesium due to this article hurting her head)0
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Sunny_Bunny_ wrote: »The people that frequent this discussion board are not the same as the majority of people sitting in the waiting room at my endo's office or my relatives who think all will be fine when the endo just gives them a new pill. Sheeple. They have no clue about food metabolism, nor do they want to learn. Diabetes education must be made simple, more importantly, strips must be given out and proper instruction on how to use them to eat to your meter. How hard is it to keep a food log and see what your two hour is? How hard is it for the Endo to pass out a forbidden food list?
Some think it's nearly impossible.
Even on here, if someone suggests using a blood meter to check ketones or blood sugar, it's very common to have comments about how someone couldn't possibly ever prick their finger. As if it's the worlds most painful experience or right up there with eating live cockroaches.
I have to admit (if it's not obvious ) this kind of comment makes me batty. As a mother of a T1D, who was deathly afraid of needles and even passed out when she got her ears pierced as a kid, you can do ANYTHING if you HAVE TO.
So, because it's my choice to check blood sugar or ketones with a blood meter, I figure I have zero complaints because I don't have to do it 5-10 times a day (or more if things get complicated) to survive on a daily basis. So, I can bear a tiny poke that'll cause me a milli second of discomfort if I think there's a benefit to my health and understanding of how my body works.
Sometimes we just need to get out of our own way and realize stuff is pretty simple when it comes down to it. We complicate it with "feelings". Lol
Ok, that made me sound really hard... But you know what I'm sayin right?
Yes, my son, now is in his 30's became morbidly obese after he moved out of the house 7 years ago. He is deathly afraid of needles, gets green and passes out. He is now diagnosed as pre-diabetic and on metformin. I have chatted with him, he can get strips, but he won't use them. On the bright side, he is eating less carbs and losing weight.
Ralflott, I think a coloring book called "Keep Your Toes For Life", should be a standard issue from the doctors office (with very graphic pictures".5 -
KnitOrMiss wrote: »Also, they may finally be getting some factors of diabetes management right, but as most of us know, nearly everything they said about cholesterol and fiber is not true for the majority of people. (goes to take ibuprofen and magnesium due to this article hurting her head)
( Except for the fiber part ) 0 -
@ KnitOrMiss. (I don't know how to do the @ thing.)
Back in the early 60's, my grandmother had a stroke, while in the hospital she was diagnosed diabetic, Adult onset. I was about 9 years old and read all the literature she brought home with her. She had a forbidden list that included carbs and salty foods, which she complied with. Modern days, I thought the pills did away with the carb restriction, but now know better.
Yes, there are people who, once told it is forbidden, will not comply. People still smoke. My step-grandchildren, two of which are type one, and in their late teens, are very rebellious. They do not adhere to their guidelines and smoke. What to do? They don't read on purpose, they just don't care. Maybe when they see their elders dropping dead left and right they might.1 -
Too many people see the T2D medicines as the "fix" for the problem! They look at all pills, for whatever issue, as a fix, so why can't they take this pill and eat whatever they want since the pill is fixing it? They don't have the knowledge to understand any differently! My own parents (that I've tried to teach differently!)believe the same thing!
It's become too much to teach in the physicians office. They just don't have time! Diabetes educators try, but still fall short! General understanding of health is needed before this education can "stick", and it's just not there for the majority!
Is very frustrating for this medical professional! When I ask a diabetic patient what is a normal bg, for them, and they have no idea because they don't test themselves?!? Yes, frustrating!6 -
Yeah, great to have pills... IF they work! Hard to know that if you don't test, eh?
Our culture is a *kitten* mess.3 -
The current guidelines that our Endo's nutritionist passes out are way too complicated. A little of this, a little that, weigh this, count that, more carbs are good, fat is bad. If her patients ate to their meter and individualized their own menu, she would be out of a job.1
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@Ralflott, I think a coloring book called "Keep Your Toes For Life", should be a standard issue from the doctors office (with very graphic pictures".
Slightly OT: I happened to be at the doc's yesterday (GI clinic, where there are a lot of uncomfortable people) and I asked the check-in clerk for a coloring book. He looked at me and said,
"I used to be an art teacher, but we got phased out. When I started here, we gave nice coloring books and new crayons to every kid who came in and every adult who asked. It was calmer and happier with art than without it."
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I LOVE using mindful coloring as a relaxing or refocusing thing, too, @RalfLott!!! Takes me back, for sure. I need to get my hands on one of the books with the ... ahem ... colorful metaphors in it!
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KnitOrMiss wrote: »I LOVE using mindful coloring as a relaxing or refocusing thing, too, @RalfLott!!! Takes me back, for sure. I need to get my hands on one of the books with the ... ahem ... colorful metaphors in it!
There are some fun ones out there now. They're great!
I personally went with a "creatures of Harry Potter" one. Unfortunately, I already colored the two instances of the phoenix, though.
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As a type 1 diabetic who was told at age 10 by a CDE (Certified Diabetes Educator) that I had more training than most doctors on type 1 diabetes, I'm appalled at some of what I hear from type 2's. Much of my training can easily be transferred and applied to type 2 (I also am experienced with type 2 as I have had both for most of my life), and I can't believe it when I hear certain things. The diabetic care industry in some ways promotes incorrect thinking by promoting carbs (I see this literally all the time - for example, whole wheat is not better than white... it is all equally heavy carb and will raise BG just the same).3
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KnitOrMiss wrote: »I LOVE using mindful coloring as a relaxing or refocusing thing, too, @RalfLott!!! Takes me back, for sure. I need to get my hands on one of the books with the ... ahem ... colorful metaphors in it!
Hahaha. Really colorful!
It was by far the most memorable part of the trip!
Another small glimpse into the world of medical anthropology.....
(I may need to cook up a few good lines to send the office managers to scare them about the imminent and ruthlesd "Bring Back the Coloring Books" campaign that will follow if they don't act quickly.)1 -
DED @ "go to diabetes jail"!
Still reading, brb1 -
Wait,, how do you test ketones with a blood meter!?!?!0
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ProCoffeenator wrote: »Wait,, how do you test ketones with a blood meter!?!?!
You use the Precision XTRA meter and the test strips for ketones. Insert the test strip into the meter, poke your finger, squeeze enough blood out to fill the strip, put the strip against the blood to take it into the strip, and wait for results.0 -
@ProCoffeenator - Some of them test blood ketones. You can get one free online, but the strips are crazy expensive. Often, if you pay out to get a meter, the strips are less... It's a compromise. But if you want to test regularly and cost effectively, a Ketonix/breath device may be a better option... @DittoDan has some great info on those.0
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Bingo!
@_Sunny_Bunny_, you had a classic line a few months ago, something like,
"Who wouldn't eat a plate of horse poop every day if that's all they had to do to keep their legs or their eyeballs?"
We should all be glad for the technology and the few pennies it costs to stay on top of our BG. No idea how anyone gets by (or at least avoids insulin) without it!
Ummm I would definitely take blindness over a daily plate of horse poop. But fortunately that's not a choice i have to make. Daily finger pricking every few hours though, no biggie, and I was terrified of needles 10 years ago and still have to close my eyes when they draw my blood. You just have to find good lancets and a decent stabby thingy, mine doesnt hurt at all, and i'm a big baby when it comes to pain.0 -
Cake or death = /=
Manure or blind
???
There must be things about horse manure I don't understand....
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Great thread everyone! People need to get back to realizing that T2D is a MANAGEABLE disease. It is not something we have to medicate ourselves with because "oh theres no cure". NO, Type 1 diabetics have no insulin production and they NEED a cure but T2D can be managed. For some reason, people want to see diabetes either as fatalist or as no big deal. For those who think diabetes is no big deal need to visit an old folks home and see how miserable it is to be without a LIMB, or BLIND, or worse, like my poor aunt, BOTH. Sorry for the caps, I get worked up because I was only one those people with my head in the sand until I had a health epiphany. I WANT TO LIVE. And live well! I refuse to succumb to something so easy to manage or even reverse. <gets off soap box>8
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Cake or death = /=
Manure or blind
???
There must be things about horse manure I don't understand....
Me too! I'd eat the poop if it would cure me of a deadly illness. Seeing my dad go through chemo and radiation... I'm pretty sure he would've chosen the poop too if it were the cure
Maybe I could handle a spoonful a day if it were the cure for blindness and I had such an issue. 1 -
For all the other artistes out there... My favorite colouring book - I got it as a medical textbook when I was doing my Physio Rehab work. Was great for copying and giving out to clients so they understood what was happening mechanically with their bodies.
It's actually a great memory aid and learning tool for medical students.
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My kids gave me this one for Mother's Day:
The only reason I haven't been testing is that I can never remember if I'm supposed to do it 2 hours after I START eating, or 2 hours after I FINISH. I'm such a dork.
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post meal testing should be done 2 hours from the time you started to eat1
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MyriiStorm wrote: »My kids gave me this one for Mother's Day:
I must find this. My youngest daughter would LOVE it!1
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