Scam from Andrew Ahmann, endocrinologist at Oregon Health & Science University in Portland, Oregon

Ultra-Long-Acting Basal Insulin: Who Benefits? 

http://ift.tt/2v3rYU4

Andrew J. Ahmann, MD, MS

Disclosures

August 17, 2017

In this disclose the saner is, the   author, MD. There is no one who benefit from this publicatiobn but author only. let us take a look at the publication.

I think many clinicians listening to this have recognized barriers to insulin therapy, particularly in patients with type 2 diabetes. We know that there is provider inertia. Many of us are reluctant to move on to insulin, which may be due to the complexity of teaching patients how to use it.

Scam. How provider teach diabetic to take insulin? Really it is nurse who do the job.  What left to provider? Just inertia. With insulin provider at leas have to make face that he count dose of insulin. In reality it is diabetic who do the job. Show me, how provider can count dose of insulin? Based on what criteria? Weight. So, my 400 Lb : 4 = 100 units. 400 pounds is really very big lady. What MD suggested?

With degludec, we can get larger doses. We can get 160 units in our heavy patients who require more insulin. In the future, I suspect that this will be true for the U300 insulin as well.

       So, what really MD is talking about? Just pushing scam. Personally I take 300 units daily. Highest dose was 434 units withing 24 hours. No low sugar. Really my sugar was too high, and only increased dose of insulin curbed the rise in blood sugar level. I take Lantus Solo Star, only this type of insulin.

You really have to think about the barriers and dangers for the patient who has a higher risk for cardiovascular disease in regard to hypoglycemia risk, and for older patients who inherently have higher risk for cardiovascular disease and are more prone to hypoglycemia.      

True? Scam. MD has no one idea diabetes what is it?
       For your education, my dear MD, you have to know that age and low sugar is not connected. So, to pretend that older patients has higher risk to get low sugar is Pure Scam. Low sugar depend from the level of our pancreas destroyed. From this level of development the time diabetic would  still live, or development of complications, such as cardiovascular disease, highly dependable. Diabetics type 2 live for adulthood till our sugar getting to the fatally high level. Then with MD attention we leave this world less then withing ten years. Interesting, why?

 For instance, [blood glucose levels] going down too low at night and still not in control in the morning would be a reason that we might consider going to these longest-acting insulins with the least likelihood of nocturnal hypoglycemia.

   Say me, what MD, endocrinologist, really talking about? If blood sugar going down at night then say me, how it would be controlled in the morning?Just interesting question, how it would be controlled?

This is really I do not like to go to hospitals. At first, they usually stop my insulin therapy.So sugar rush over the sky. All types of complications ready to be developed. They simple discharge my from hospital, and then I have to do my best to stay live.
    MD with fatty face like this one will teach me how to count carbs and do work outs. Why he is so fatty anyway, and has no insulin therapy? Every time I am ib clinic or in ER I told I have to undergo weight los surgery, so I would be diabetes free if I would lose weight. But he is really very very fatty. Why he is not diabetic? Probably it is huge Medical Scam that diabetes is resulted by high body mass. At least with this Scam they are all the time can pretend, they do the job.

I think they (diabetics) would be for patients who insist that if they go on insulin, they want the product with the least hypoglycemia risk. In some cases we can honor this, and in other cases—for financial reasons, for instance—we can't.

       Well, there is no one way that  low blood sugar would be prevented. If treatment work, sugar go up and down. Then higher high level then low it drops.
      Financial reason. My insulin cost $2000 every month.Say me, what MD is ready to Rx it? I can say, even my health plan ready to pay, MD way tooooooo resistant to Rx 300 insulin for one day insulin shot.
It is much better to Rx Metformin, $4 month supply and let my legs and hands and arms be amputated. At least those money $$$$$$$ will drop into MD pocket, and MD has no benefits when one Rx insulin.

Really what MD suggest to me? Do not smoke. LOL
Eat right.
lose weght
be active. take walk at least 30 min a day.
LOLOLOL. No one of this work to reduce severe edema. Legs wrap do the job. It is one wrap for one leg, and I need two of them for a every week, cost $5, $10 for one wrap, (+ unna Boots) + medicine to apply on wounds, and all it every week at least. It is more then $50 every month.

via Ravenvoron