The US Preventive Services Task Force recommends that primary care professionals individualize the decision to offer or refer adults without obesity who do not have high blood pressure, abnormal cholesterol or blood sugar levels or diabetes to behavioral counseling to promote a healthful diet and physical activity. Existing evidence indicates a positive but small benefit of behavioral counseling for the prevention of cardiovascular disease in this population.I really do love it! look at, The US Preventive Services Task Force recommends best way to treat Americans, just consult them to practice healthy life style. It is best way, of cause, to 'prevent' then 'to treat', right? What about treatment? Do we have to have medical attention if we are diabetics type 2, obese because of food does not converted into energy due to limit of insulin secretion? What about high blood pressure? High cholesterol, resulted by Metformin and other Junk Medicine diabetics type 2 taken from the first visit to the doctor's office? Really, it is best way to ignore that we are ill people and we need medicine to survive, every day we need to take medicine. How medical primary pro meet our needs?
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In March 2017 I was in ED and then in hospital. Not for long. Just one night in hospital bed, why? did I got better after one night? Of cause not. But my blood sugar went out of any control, and if I will stay out of insulin injection more I would die in hospital not from wounds but from heart would stop to pump the blood, of clot would black the way to breath. My primary understood it, and he discharged me right to the next day. Really I even did not see him, there was another doctor who told he works behind my primary. Now what? It was March 2017. Usually we have to have follow up app with doctor withing one or two weeks. Not so fast. My primary canceled one my app after another, and only June 20 he show up in office to see me.
Really why it is so? There is the point. I do have very high blood sugar. To compensate it I need 300 units of insulin every day. In hospital I was not given even one unit. No insulin in ED, or in hospital. Really, I have to behave, and I did not.
In hospital there were no one visit of wound care doctor or nurse, why? I was admitted to hospital with wounds, so why there were no one attention to the primary cause of my condition?
Well, it is easy to prevent diabetes type 2 with right life style, but to prevent amputation we need wound care specialists. With this care probably there would not be so many amputations for diabetics type 2. Why it is type 2 diabetics do not control blood sugar level, and type 1 diabetics, so smart, just practice healthy life style and they take good care for diabetes type 1. even more then that, many diabetics so mart, they control diabetes with healthy life style, no medicine. Only one discrepancy in this statement, why they are diabetics? Probably they are no longer diabetics, so they do not need medicine or medical care. we need it. We cannot live without medicine.
Existing evidence indicates a positive but small benefit of behavioral counseling for the prevention of cardiovascular disease (CVD) in this population.Not really true. Of cause I do not take participation in any studies. I do run my studies, only for benefits of one patient, myself. So, I used to have membership in Bally Fitness Club since 2002. When first time I started to work out my heart rate was over the sky. One day it was above 200. All room started to spin around. For some reason tread mill stopped. I took some rest, and push machine back to work. Machine stopped, and I pushed it up, and up. Finally, one day, after I think full year work out my heart rate got NORMAL. I could not believe in my own eyes, but next day it was N and next time it was N.
I gave up my membership when I started to fall and was not able to go to work out anymore. Now I can get to club, but still I cannot dress or put on my shoe. I cannot go to work out anymore. It is interesting, would canceling help me to stay healthy? Oh I forgot, I am OBESE! This canceling is not for me. Stroke or heart attacks cannot be prevented for me. So sad!
Behavioral counseling interventions led to improvements in systolic and diastolic blood pressure levels, low-density lipoprotein cholesterol (LDL-C) levels, body mass index (BMI), and waist circumference that persisted over 6 to 12 months. The USPSTF found inadequate direct evidence that behavioral counseling interventions lead to a reduction in death or CVD rates.I still not able to get the point. If there is no high blood pressure or cholesterol, high blood sugar or obesity, then what are improvements? BTW, the canceling does not prevent CVD, right? Or, no, there are "inadequate direct evidence", and really what they are? Sure, money,
Materials provided by The JAMA Network Journals. Note: Content may be edited for style and length.So simple, follow money, and all the problem would be prevented. Why they still not able to prevent Global Warming? They should. They take so mush money to this prevention, but looks like then more they take then less they prevent, so money must follow up and up and up.
The same with diabetes type 2. Prevent diabetes type 2, or treat it in healthy way, and there would not be obesity, no need in canceling, and we will take more trips Adirondack then to Medical Clinic. We would need more National Parks then Obesity Prevention, and Behavior Therapy. What JAMA suppose to publish? Where money would come from? If there is no drama then there is no money. So, it is better to "prevent" then to treat our wounded legs and ill pancreas.
Perfect solution for the complicated problem.
via Ravenvoron
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