Treatment of diabetes back to 1988 and now. Post 1. February 22, 2019

Pathology of diabetes, symptoms of diabetes, and many other issue are very important. But the reason we all need to know is only one, how to control diabetes, how to treat diabetes, how to stay healthy or at least functional with diabetes.
So, let us see, what medical providers suggest to us.
"The successful treatment lasts for lifetime and the patient must be treated not only now but for the future, restoring the physiological condition to as normal as possible." (page 75)

World Book of Diabetes in Practice.
volume 3.
edited by L.F. Krall
Published November 1988
Elsevier
 What is the treatment?

"This is one of the most critical aspects of treatment and, for this reason, should be considered first. it is necessary a continuous education process for the diabetic and his family involving their physical and emotional problems, looking forward to the patient's health and happiness." (page 75)

         I am flattered! Looks like my health really under good attention. To good to be true. In stead to look at papers how doctors and all medical team care for people with diabetes, I took a look at CDC Mortality tables. Diabetes type 2 is number 7 cause of Death around The Globe. In NYC where I do live, it is number 4 cause of Death. Also what I do know from all medical publications I read online Diabetics type 2 gone less then 10 years after being diagnosed with Diabetes type 2. This make me wonder, what kill 80,000 American diabetics every year? Is this diabetes, or it is treatment diabetic do have? Just pay attention to the data: in  NYC diabetes is #4 cause of Death. It is higher then in any developed country. Probably diabetics in that countries do not have so many clinical visits as diabetics do have in NYC?

"The proper diagnostic of type  of diabetes is very important before prescription of a diet or any other treatment." (page 76)

Sorry, it is difficult for me to get humor when it is said about diabetes.  As I posted many many times, what is diabetes type 2 and how it was diagnosed?
Level of sugar is one tool for any one type of diabetes.
We all do have age. In present time youngest diabetic type 2 was diagnosed at age of 2 years. Needless to say that every one with elevated level of sugar would be candidate to be diagnosed with diabetes type 2. But what about other types of diabetes?
Diet. My favorite part of treatment.
      At first we should know that once type of diabetes was stamped it never changes. So, if diabetic has type 1 diabetes and need 7 units of insulin daily dose, then diabetic with other types of diabetes such as FCPD or LADA, or any other Unknown type of diabetes would be diagnosed as type 2 diabetic, and treated with Life style modifications, Healthy diet. What I still do not understand, how diabetic's type 1 diet is different from diabetic's type 2 diet? When we say it is Restriction diet I suppose it is Starvation diet, yes? If so then there is risk to develop malnutrition type of diabetes. What is not possible is to reduce high glucose level in blood. Diabetics die regardless of diet we do have. Even we do not eat at all, we still die, and level of sugar in blood still abnormally high.
        Every time I come to clinic, any clinic to any MD, I do have the same discussion, diet and weight Loss Surgery. I an 400 pounds lady, a lot to discuss. What I wish to ask all of those MD, can they say to what I do not know? Would they please to say something new? Now there is the question, do they recommend different diets for their every day patients? No. They sing the same song over and over, and they forgot that one month or three song ago they already sang this song for me. They do not mind. They just ready to sing it over and over till patient in room patiently listen. What else they may to say? Nothing. This song make them feel, they are doing important job, they educate patient, and they deserved high payment as medical provider. In  contrary, they are just cheap cooks.
      There is another interesting question I wish to ask: do they eat what they recommend to patients? Many of them are obese.

"Dietary therapy must supply caloric requirements for carbohydrate, protein and fat both in proper quantities and at regular intervals. This is to maintain both homeostatic mechanism and ideal body weight. There has to be special consideration for adequate intake of vitamins and minerals.
When possible, nutritionist or dietitian should enplane and amplify physician' prescriptions and in follow-up make any needed changes i diet to achieve the desire nutritional goals." (page 76)

         How does it sound? At first, "when possible....", so if it is not possible then diabetic type 2 must do this calculation alone? Before count all that fats and proteins and calories intake, one must remember the cost of all products. So, if we take into consideration, what one may buy there are big differences in products. The question is, are they have the same value in calorie, in fat or protein? Not at all. Best food is healthy food, and it is expensive. Not every one diabetic can afford it. The matter of fact, diabetics cannot afford it at all. 
       Now about calories, timing, and all proteins and vitamins and so so on.  For how long one will count what is in which one? Of cause, there are tables, and of cause .... but diabetics are full job working class, with family and children. As it is usual in America if one has job then be ready to work overtime. 
       Lastly what I wish to say, it is  in this book, just read it, every diabetic has headaches. For some of us these headaches are very severe. Also take all that calculations, add nerves effected by diabetes and add depression every one diabetics do has. Do not stop calculation we are not finished yet. Every diabetic has BP, high cholesterol, and take medicine which kill but never hill. Add time we have to spend in medical clinics, just follow - up visits to take dirty Barking Therapy that we are fatty and have to lose weight. Also never forget, we are talking about ill people who are ill from the birth and whose all organs and every cell effected by diabetes. 
     Sorry, I was going to add medicine we take but it is too much stress for me right now. I hate diets!!!!!!!!!!! All of them and every one. The talk rise my blood sugar. I am done for today.

via Ravenvoron