I am reading Dr. Bernstein's book (finally) and am determined to manage my blood sugars as aggressively as he does. Problem is, how do you locate a doctor who is (a) philosophically inclined to help you do that, and (b) open minded enough not to be a prisoner of his/her own upbringing? (Medical upbringing, that is.) For me the problem is particularly acute because I live in a rural area where doctors are scarce to begin with. It's a tough nut to crack. Anyone have any light to shed on this?
Thanks to everyone for the good feedback. Next time I see my GP I will go armed with much more specific and detailed records than he has seen before (at least from me) and we'll have a real heart to heart. I don't want to prejudge him; we haven't had a conversation in that kind of depth and maybe he'll surprise me. One can hope. What I would really like would be referral to an endo, but that might be too much to hope for. Well, we'll see. In the meantime I'm going to try and interview some other doctors around here. You can't get lucky if you don't try.
And I have ordered a copy of Walsh's book. Thanks for that tip too.
I'm in Los Angeles, king of strange diets, and finding an endo to support LCHF has been a huge chore. I ended up emailing Bernstein's Publisher, Steve Freed for a reference. The logs I take are 2 weeks worth of 10 readings a day, my CGM logs, 2 week food diary and those flat trends that result from LCHF eating.
My new Endo (a very well known one in D circles) was taken aback. Her comment, "Wow, you're really doing it (controlling D)."
I never had a real problem with the diet thing. Most doctors are clueless when it comes to diet. They can tell you to eat something, but they don't control your food and they would just as well fob off the whole diet thing to a dietician or nutritionist. The real problem for me was that I wanted "normal" blood sugars and the majority of doctors want you to have "mediocre" numbers. All my doctors were fine if I had an A1c of 6-7%, they considered that just peachy keen. But a normal blood sugar does not reflect an A1c of 7% or even 6%, it is really about 5%. And that is where I had trouble. I had to fight to get medication. I had to fight for any tests. And when it came to insulin, I had no luck and eventually just started on my own with R and NPH I bought at Walmart. My new endo thinks I am doing great, is a fan of low carb diets and thinks that the low 5s is fine as long as I manage hypos. But I don't know whether she would have initiated insulin therapy (Bernstein would).
Tim -- You pinpointed my #1 concern: finding a doc who will prescribe insulin. I haven't even finished Bernstein's book yet, but everything you said mirrors my thinking exactly. 6.0, even if I could do it, is not acceptable. I have already figured out that insulin has to be part of the answer. I've never really been teed off at the medical profession before, but I'm beginning to be genuinely angry with the stubborn, closed-minded way they cling to their indoctrinated beliefs in defiance of plain simple logic.