Re: Meters/Testing: was-the bgs not the weight.

[Guest guest]

Well, I did say it was just a guess. Maybe I should have said it this

way: I type about 40 reports a shift. Most nights, at least 5 of those

are for diabetes-related complications.

Vicki

Re: Re: Meters/Testing: was-the bgs not the

weight.

> Wow! Vicki, 1 in 5? That is pretty high for sure. Too bad we just

can't set our meters

> to the right numbers and be ok, LOL!!!!!!!!! However, I guess all the

hard efforts are

> worth it in the long run. But the short run is sure hard at times.

> Lou

>

> whimsy2 wrote:

> >

> > Oh, well, an ADA publication What do you expect?

> >

> > You say " the vast majority of diabetics die of heart disease " . This

may

> > or may not be statistically true...I would venture to say that most

of

> > 'em die of kidney disease Maybe it's a tie. Nonetheless, the base

cause

> > of both of these are uncontrolled BGs. If more diabetics were well

> > controlled, less of 'em would die of heart disease or kidney

disease.

> > Period.

> >

> > I work as a medical transcriptionst for a major hospital system - 4

> > hospitals in this medium sized city -- and I would guess that, based

on

> > the reports I type, at least one in five patients are hospitalized

for

> > diabetes-related complications. Which they would not have if their

BGs

> > had been well controlled.

> > Vicki

> >

> >

[Guest guest]

> All doctors need to pay special

> attention to the kidneys and the

> heart and weight of their type 2

> diabetic patients. BGs are just

> the starting point.

That was my point except that I was

extending it to include diabetes self-

management in that conclusion. If you

are going to self-manage, why limit

it to blood glucose? That was my

point: diabetes self-management does

not need to be glucocentric either.

> I don't know how it is in Germany

> where you live, but I doubt the vast

> majority of type 2s gain good control

> within 6 months or 12 months or

> ever, actually.

Again, I will look for some reliable

statistics on the subject. You don't

sound very optimistic!

> And I don't think doctors expect that,

> either.

I was talking about what they aim for,

not what they expect.

> Most diabetics do NOT gain good

> control in 6 months.

I don't know how many achieve it, nor

what they consider to be " good control "

but I can find out, I guess.

Regards

[Guest guest]

, the American medical system is in dire straits. The ADA guidelines for

control are an A1c of 7. Most doctors do not have the time, nor the energy, to

invest in the education that would make even that a wide achievement. Maybe 25%

of diabetics have reached that level. Not too long ago Edd posted the numbers

elsewhere, maybe he can again. Then, going lower you find fewer and fewer

people meeting the goals.

Many doctors here still believe anything under 180 is fine.

Complications from diabetes account for many premature deaths.

Entering the mix is our system of insurance, primarily in the hands of HMOs

which are for profit organizations. Then there are the 44 million Americans

without insurance at all. They don't test, they cannot afford medications, and

no one takes on the responsibility for educating and caring for them.

Remember that we who are on lists are the cream of the crop, we are the

motivated ones.

Helen

[Guest guest]

In a message dated 8/25/04 10:57:09 AM Eastern Daylight Time,

jlnhjm@... writes:

> The ADA guidelines for

> control are an A1c of 7. Most doctors do not have the time, nor the energy,

> to

> invest in the education that would make even that a wide achievement. Maybe

> 25%

> of diabetics have reached that level. Not too long ago Edd posted the

> numbers

> elsewhere, maybe he can again. Then, going lower you find fewer and fewer

> people meeting the goals.

>

> Many doctors here still believe anything under 180 is fine.

>

my last hba1c was 7.9, in june i was told it was " a little up from the

one before " i was real busy and didn't ask what the #s were.

I found out about 2 weeks ago.

the hba1c prior to that was 6.0 that's a BIG increase!!!