Replies to This Discussion

Permalink Reply by Brian (bsc) on February 29, 2012 at 4:47am

My doctor has used the fructosamine when my A1c seemed repeatedly "off." There have been fewer studies to establish what a good range is and how the frutosamine maps to average blood sugar.

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Permalink Reply by Cosumne Jan on February 28, 2012 at 3:33pm

paliminovet - I got better advice about diabetes from my cat vet than I ever have from a doctor. The vet assumes that I will take care of my animal if I have correct information and good instruction. Why can't my doctor give me the same credit for having a brain, and at least some reliable information about taking care of myself?

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Permalink Reply by Randy on February 28, 2012 at 3:42pm

A very good question indeed. It's almost like "If you were dumb enough to get this disease, then you can't possibly be smart enough to understand what I should tell you Let alone take care of your health." I know that is how several professionals came off to me.

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Permalink Reply by palomino on February 28, 2012 at 4:19pm

I hope you never went back to them, that's the wrong attitude for them to have. :/

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Permalink Reply by palomino on February 28, 2012 at 4:15pm

I don't know the right answer to that..

But for me personally, if I ever see a doctor that doesn't take my concerns or me seriously.. then I won't be seeing that doctor again, period. I'm not afraid to ask questions.

Honestly, this happened with a medical resident that I was seeing initially. When I came in for recheck 3 days after being in the emergency room, he basically could not answer any of my questions though he seemed interested in my case.

In his defense, he set an appointment up for me to meet with one of the older physicians in the practice who knew a lot more.

But I wouldn't have run my follow-up appointment the way the resident ran it...

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Permalink Reply by christy on February 28, 2012 at 3:43pm

Those ranges given are "normal" ranges. What normal levels would be in a non-diabetic. So for your bg management your numbers may be considered good by your endo, however they are still going to fall outside of what is considered a normal lab value for someone who isnt diabetic.

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Permalink Reply by Zoe on February 28, 2012 at 4:17pm

It's always amusing when you lab results say "at risk for diabetes"!

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Permalink Reply by acidrock23 on February 28, 2012 at 5:07pm

Or Dr. Bernstein...

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Permalink Reply by palomino on February 28, 2012 at 5:12pm

What, you don't bow down to Dr. Bernstein??? :O

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Permalink Reply by acidrock23 on February 28, 2012 at 5:16pm

I certainly respect his considerable achievements and ability to steer a different and successful path. I believe he's said something to the effect that people with diabetes deserve to have normal blood sugars. I'd agree with that although I'm not quite on his "solution"?

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Permalink Reply by palomino on February 28, 2012 at 5:21pm

Eh, it's just that I checked into his books after people recommended them... and honestly, even just reading the previews, I didn't feel that his recommendations were very well founded. Too many changes and advances in insulin therapy during his lifetime to use him as a model for how to live with T1.. IMHO.

Of course when someone restrict carbs to an insanely low degree they'll get better BG control.. but to each his own.

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Permalink Reply by Zoe on February 28, 2012 at 5:35pm

Yes, Dr. Bernstein isn't for everyone. I respect him, even though I don't low carb (I call myself low/moderate - under 100)

Much of it didn't interest me and at least the version I have (updated 2003) seemed dated in some ways. But what I do feel he was a "diabetes revolutionary" and dared to fly in the face of the medical establishment and the ADA which right there brings my respect. I think we all choose what to do for our blood sugar levels, and some of us have it chosen for us by a more difficult management ("the luck of the draw"). But the idea that we can have "good" A1C's defined as less that the standard <7.0 - is radical and I agree. For me, perhaps I most like his "principal of small numbers". In an "you can eat whatever you want and bolus for it world" he says that less carbs = less insulin = less chance to miscalculate and go too high or too low. That makes lots of sense to me. I do very much like

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