Replies to This Discussion

Permalink Reply by BadMoonT2 on April 29, 2012 at 7:14pm

To be poor, poorly educated and diabetetic in the United States is a set up for poor outcomes.

+1

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Permalink Reply by Zoe on April 29, 2012 at 7:27pm

I was basically just thinking out loud, Maurie. Though, unfortunately I don't think your doctor is typical?

Yes, unfortunately, there are many people struggling with the obstacles you describe.

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Permalink Reply by still_young_at_heart on April 29, 2012 at 7:35pm

I'm sure he's not "typical" as he's senior staff at the Joslin but I'm not sure how atypical he is for an endo. I would guess it's a much bigger problem with primary care physicians and T2s. The patient can't really play around too much with oral drugs and there doesn't seem to be much effort placed in helping people eat to meter.

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Permalink Reply by Zoe on April 29, 2012 at 7:43pm

I don't have any data about endos, but there does seem to be a lot of anecdotal reports on here of endos that are giving outdated information combined with limited time spent and lack of respect for their patients' knowledge and abilities. But there does seem to be especially a culture of lowered expectations for Type 2's by the medical profession.

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Permalink Reply by acidrock23 on April 29, 2012 at 7:54pm

but even Joslin, despite its position as a leader, doesn't guarantee "success" as there are some members here who've reported going there and not being entirely happy with their results/ management? If you have a population of patients who struggle to meet your standards of success, is it, to paraphrase Nietzsche, more likely that the patients are failing because the patients are "bad" or that the patients are because the doctors and their flying monkeys are bad? It seems like the goals are not aggressive enough. If you are > 7, then 7 is an appropriate goal but it's not your final goal. The goal should be to continue to feel better and improve, not just your numbers but your ability to understand what's going on and take steps to control things? I think that if you feel good when your BG is 100, then your A1C goal should be 5.0 (101 avg) not 6.5 (154 avg) (using this chart: http://healthy-ojas.com/diabetes/a1c-glucose-chart.html).

Goals may not necessarily require money and education but access to insurance is important.

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Permalink Reply by Stuart on April 29, 2012 at 10:06pm

Hello

Your fifth question has a spelling error in it? I believe you meant the word TASK rather than the word tast perhaps?

Stuart

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