The popularity of physiologic and intensified conventional insulin replacement therapies is increasing. Numerous recent studies have demonstrated that physiologic therapy does reduce the risk of the chronic complications of diabetes. Therefore, for people with type 1 diabetes, as well as many with type 2 diabetes requiring insulin, designing physiologic insulin replacement programs is becoming increasingly popular. Yet, physiologic insulin replacement therapy is not appropriate for everyone." Joslin's Insulin Deskbook by R.S. Beaser, MD and Staff of Joslin Diabetes Center. 2008. ISBN: 1-879091-30-5 punished by Joslin Diabetes Center.It is clear that more and more diabetics type 2 no longer trust in doctors that we afraid of needles and in no way will take insulin. No longer this propaganda works and insulin Rx going up and up. Joslin Diabetes Center no longer able to keep diabetics on short lush Starvation Diet. Dr. Banting's discovery takes its path, finally. By diabetic's educators try to keep its power and pretend, they can effect and shape our mind. No longer this work. Now we do have info which in past was available only to professionals.
I got a lot of books, text books and other publications from the past, 1934, 1941, 1952, and so on. My interest is, when and how insulin was replaced by life style modifications programs, by whom? Who was in the first row of these discoveries, diabetes type 2, insulin resistance, and so so on? These books already out of print, but still they are on market, and we can get them on Amazon. I am attracted to the First Edition. In next editions there are ghost writers can effect publication. So, what is the reason to buy old revised books? It is not novels, it is medicine. So, I keep my eyes on the market when and where book show up, and the price, if it still affordable?
I proud by my Amazon Library. Many books are in very good shape and very neat, like a new. Some of them is not so good. Usually I pay just reasonable price. Some books cost just $0.01. Beautiful book, with colorful illustrations on the expensive papers in hardcover, just $0.01! This is book for my opera collection. Yes, there are shipping, $3.99 flat rate of any size or any weight of shipping.
So, back to the MD and his book how to initiate insulin replacement therapy. Very simple, do not take insulin replacement therapy at all. Just take insulin, and replace it by nothing such as Invokana or Starvation diet. Insulin in injections will do almost the same job as our natural insulin. Just be patient, and keep good track of all your life. Do your log book.
I put in my log book all what I need to remember: blood sugar readings and insulin dose and time of injections, headache or bad mood, dreams or stress or sick days, all what effect my numbers, what I better to remember if I need to recall it. I keep in my log book insulin delivery time and price and number of boxes; medical app. and my expression of it was this good or it was not so, how doctor was polite, how nurse was aggressive, and so on; I put all medicine I take in this book so I do have this info in case I need to recall it in future. I keep all my log books, do not discharge any one of them. These log books are not one in meter box. It is too small and inconvenient. I use common notebook, I love to use.
Next step in insulin therapy, find the doctor who Rx insulin, not Insulin Resistant doctor. Best way to say if you try to get first insulin box is, " I am insulin dependent diabetic. I run out of insulin," Just do know what type of insulin you use and how do you do it. It is very easy. Just open any book, and there are all info you need.
Next step, do not take high dose on first shot. Just a few units. Also it will work very well to get first insulin box. If one as myself need 300 units daily, it is difficult to get. My doctor asked CVS if I really take this dose. But to start with 11 units, I did started with 11 units in 2011, it is much easy. Doctor would not have hard time to Rx so small dose of insulin.
Start with low dose, such as 11 units, and add 3 more units if sugar still higher then normal every third day. It is not good idea to add units every day. Some med pro suggest this way. I do prefer three days at least to get idea how to deal with a new medicine.
I very worried when I just started to take insulin. I did not know how to deal with it, and I did not have medical insurance, so no doctors visits. I was on my own. I worried if I take high then limit dose of insulin. Now I do know, there is no limit what dose of insulin is high or low. It is only how insulin control blood sugar level.
I do not try to bring down high numbers in speedy way. It is absurd when Dr.Oz pretend he can cure diabetes type 2 within 21 days, or even 11 days. I don't stand the goal that type. My goal is to survive, be able to live as well as I can, be as independent as I can, and try to get better with time, does not matter how long it will take.
Personally, I do not take different types of insulin. I tried, it did not work for me well. I take only one type of insulin, long acting insulin Lantus Solo Star. So, insulin is all the time in my blood, and I do not need to take injections with every bite I take. The result of this treatment, I am no longer hungry. I eat as everyone non-diabetic. When sugar was high but not so high as it is around fatal level I was hungry and trusty. I started to eat and got more hungry then before my first bite. Now I do not have this condition. I can take meal at home, go to Metropolitan Opera, return home, and have another meal. Not possible when one on constant diet or on oral medicine. Still, protein bar and OJ all the time in my handbag.
"Next, the practitioner must decide to what degree his or her practice can initiate and manage physiologic insulin replacement program itself versus how much should be referred out."It is not someone who should decide what diabetic need or do not need. It is the matter of blood sugar control. If high numbers out of control, do not play with carbs and calories. Just take another doctor who will know how to treat diabetic type 2 and keep diabetic alive and sound. We should not be dependent upon practitioner needs. we already do have high dependency. It is our moral duty to protect our rights to live healthy and well. Do I really need to go out to provide another medical business and to spread money net? I do not think so. So, it is better to find the doctor who does not work as SpiderMed, but as a practitioner who do know the job he or she paid for.
"The primary care provider must be comfortable, at minimum, recognizing when problems arise with the treatment program."So, finally I got the point for whom the book addressed. If it is to the primary care providers then why there are so many pages how to take insulin shot, how to put needle on the insulin pen, and so on. Why doctors still not able to know it after so many years of studying in medical schools and resident programs? If still the book is for us, diabetics, then why I have to care if provider comfortable with therapy he or she Rx for me?
Personally, I do not come to medical clinic to comfort health care provider. This is out of any mind! Still, MD is so comfortable to conclude his book with advises like this one. I haddone with this book. It started from nothing it finished with the same, nothing valid.
via Ravenvoron
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