Management of hyperglycaemia in type 2 diabetes, 2018. October 15, 2018

Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

https://link.springer.com/article/10.1007/s00125-018-4729-5

      It is a new guidance by ADA how to treat diabetes type 2, or, according to new recommendations, how to treat people with diabetes type 2. In ether way, it still the same, what treatment I will have as I am diabetic type 2.  As we all do know, education is very important part of our treatment. We all have to know what is going and how to cope with it. So, I try to be educated as much as I can.
      The point with education is also what is education and when education become Brain Washing. It is important to see differences, and do not mix one with other. So, I try to be opened mind and keep own brain clean.

The goals of treatment for type 2 diabetes are to prevent or delay complications and maintain quality of life (Fig. 1). This requires control of glycaemia and cardiovascular risk factor management, regular follow-up and, importantly, a patient-centred approach to enhance patient engagement in self-care activities [1]. Careful consideration of patient factors and preferences must inform the process of individualising treatment goals and strategies  

      Why the goal of treatment is to prevent complications of diabetes type 2? If treatment is effective then complications will not come, right? I am all the time very confused when I read medical publications. Looks like my brain works differently then one MD or Med Pro do have. If we do not have Flu then there is no complications of Flu. If Flu is effectively treated then there is no complications of Flu.
       It is all different with diabetes type 2. Treatment is not to treat medical condition. It is never the goal. The goal is all the time prevention. It is not possible to "prevent" without eliminating cause of condition. Regardless how hard we try to "prevent" what will happen in future this future will come. If today we go to swim in ocean in ice water, then we do have no chance to prevent complications this cold ice water will bring to us.
      I understand it is too long and too wide in posting, still, it is obvious for me that goal in treatment of diabetes must be different then prevention of complications.
     Next.
     To prevent complications of diabetes type 2 ADA recommend:

• control of glycemia. How to control high blood sugar is not the goal of this recommendations. The goal is ... really what is the goal and what all this recommendations are about? 
• regular follow-up. Sorry, I did not get the humor. How MD can control regular follow-up? As I do remember it is how diabetic follow or not follow MD orders, and follow treatment plan. As usual, I am very confused, this recommendations to whom, MD or Diabetic type 2? Usually we do not read the protocols and recommendations for Med.Pro. Regardless how well I do know what MD must do, it is not I who set the tone in clinic. 
• "a patient-centred approach to enhance patient engagement in self-care activities". This about what? Should I treat myself? If so then why MD has payment?

      I try to read all the publication and all recommendations, and still, I do not see, what my MD get from this recommendations? How ADA recommend treat diabetes type 2?

Regular self-monitoring of blood glucose (SMBG) may help with self-management and medication adjustment, particularly in individuals taking insulin. SMBG plans should be individualised.

        The question is, how to adjust medication according to the reading of glucose meter? This is very difficult task, and what? what are recommendations by ADA? Nothing. Somehow we have to adjust our medication till ADA recommend the type of medication we take. How one will adjust Metformin? It is tablet which had been Rx in dose of 500mg., 1000mg.  one or two times daily. What I suppose to do if sugar above 200 mg/dl fasting? What dose to take if fasting sugar is 87 mg/dl? Say me, what I suppose to do? There are no any way that any medication but Insulin to be adjustable.
      It is all the time the same: ADA collect donations, and MD do the job, and Diabetics type 2 suffer and die painfully. Diabetes epidemic, or pandemic, or forever it is called must be treated with medicine. Right medicine. This medicine is on market today. All what we need just use it. Try to take a look at the recommendations link I posted and see, how MD or diabetic type 2 can benefit from this recommendations. What ADA recommend?
     Best way to help to us and to yourself, never donate to ADA. They collect millions and recommend that we have to treat ourselves with life style modifications, control blood sugar as it is behavior misconduct.

DSMES is a key intervention to enable people with diabetes to make informed decisions and to assume responsibility for day-to-day diabetes management.

       Really, this recommendations to whom? If we do have diabetes type 2 it is our responsibility to get rid of high sugar in blood. So, what ADA for? It is simple huge propaganda machine when victims blamed to protect genocide. Just keep in mind, roughly 70,000 diabetics type 2 lost lives every year. Only due to diabetes. The mortality of all cause is around 200,000 every year.     

via Ravenvoron