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At 19:20 06/10/2004 +0000, you wrote:

>At our last meeting of the diabetic group the dietician said it does affect

>blood sugar levels. He said weight loss was very important. Today my Dr

>told me

>that diabetics lose at 1/2 the rate others do<

>

>Hi Glory,

>

>Your doctor's information is not accurate. I've lost 96 lbs and have kept most

>of it off for over a decade. The weight loss, which is ongoing, has not made

>the tiniest difference in my bgs.

hi dianne and glory,

i wanted to chime in with my hubby's results. (he is type II) he lost

weight thru exercising about 5 years ago and went from 260 to 210. blood

sugars: identical. he then went on actos. gained the weight back over a

4-year period. blood sugars: identical range, but fewer spikes.

also, working in medicine, my physician colleagues who are more educated

about diabetes say that " sometimes " weight loss in type II diabetics will

result in improved numbers, but that what patients absolutely MUST do is

become obsessed with the number on their meter. that is ultimately the

measure of their good health and future lack of complications.

kcd

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Carol,

My thoughts exactly....

Sandy H.

I admit that I really do not understand " doctor logic " . It

just seems

to me that the A1c is the cumulation of all those daily

numbers,

otherwise what is there to average? And I don't understand

why doctors,

mine included, can't get it - that if the daily numbers

start going

wonky and we can do something, in between 3-month tests, to

correct the

situation, why would we want to wait until after the 3

months is up to

do something about it?

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Oh goodie - somebody posted a long diatribe about how they're (bgs and

A1cs) not related to each other. I believe that about as much as I

believe that all the Pacific Rim earthquakes aren't related to Mt. St.

Helens blowing off steam. But, to each his/her own.

Carol

Sandy wrote:

> Carol,

> My thoughts exactly....

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I believe the point was that the numbers on your meter are only

*PART* of the equation. You are only testing at very specific

moments in time. For some people, who only test perhaps twice

a day, the number may have very little correlation to their HbA1C

-- because they're only getting a very small portion of the picture,

and they don't know if their BS are on the way up or down from

that point. (Some people peak 30 mins after a meal, some 1

hour after a meal. Some have a double peak).

If you're one of the folks who tests 8 times a day or so, yes, your

HBa1C might be very much in line with what your meter says. If

you test mostly your fasting blood sugar, and then again before

bed, after you've not eaten for several hours, you don't have any

clue what's happened for the majority of your day -- thus, it is

possible to have great meter readings and a very high HBa1C.

While we'd like to think that everyone finds it important to test

frequently, that's obviously not the case by comments made by

some folks on the list. And then there's those who have issues

such as the gastroparesis, as well, which truly delay

carbo-dump many hours after eating, etc. etc. etc.

In short, it's important to test regularly at home, and also to get

your HBa1C tested every 3-4 months.

SulaBlue

> > Carol,

> > My thoughts exactly....

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Oh, oopsie - I though the discussion was about doctors who discourage

home testing - at least that's the point I was addressing - didn't know

the topic had changed. Scuse me, please. Carol

SulaBlue wrote:

>

> I believe the point was that the numbers on your meter are only

> *PART* of the equation.

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Er, there was one. I think *I'm* the one who's confused. I thought

this was in reference to 's post about how his wife had

great meter readings but not so hot HBa1Cs.

My bad!

SulaBlue

> Oh, oopsie - I though the discussion was about doctors who

discourage

> home testing - at least that's the point I was addressing - didn't

know

> the topic had changed. Scuse me, please. Carol

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evening Carol

l seem to be lucky with my doctor finely ..had to look around before l found

him too..

When my sugar levels goes up and stays up no matter what l do..

l call and talk to his nurse..she then calls me back l adjust the meds..

l have never had to wait for my 3 month checkup to get this done..

that would have made me grgrgr..anyway ..

So if your doctor get's his nose out joint...to bad it your Diabetes not his

.. You are the important one...remember the doctor's work for us..not the

other way around...lol even some times they do no think so

Just my 2 cents worth ...

Rita

I admit that I really do not understand " doctor logic " . It just seems

to me that the A1c is the cumulation of all those daily numbers,

otherwise what is there to average? And I don't understand why doctors,

mine included, can't get it - that if the daily numbers start going

wonky and we can do something, in between 3-month tests, to correct the

situation, why would we want to wait until after the 3 months is up to

do something about it? I know my doc gets his little nose out of joint

when I indicate that I do not believe in his omnipotence, but I have to

put up with him, so he has to put up with me. Several times my meter

has been the first indication that an infection or cold or other problem

is getting started because it reacts about two days before overt

symptoms appear. Fortunately I have a Memorial Prompt Care doctor who

pays attention to those things and the other guy can wait and hear about

it later. It was using the meter and paying attention that finally got

my chronic sinus infection dealt with.

Carol

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Carol,

That's what I was talking about, and I believe you responded

to my message :-) I had said my doctor didn't want me to do

home testing... just wanted me to take the A1C every 3 mos.,

but my nurse practitioner insisted that I test regularly.

Thank goodness for her...

Sandy

---------------------

Oh, oopsie - I though the discussion was about doctors who

discourage

home testing - at least that's the point I was addressing -

didn't know

the topic had changed. Scuse me, please.

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Carol,

Personally, I like my doctor, but I don't like taking a lot

of meds, so we don't always agree. It's my opinion that

it's my body, and I get to decide what meds I take. I know

he got his " nose out of joint " when I took myself off

Glucophage, because I firmly believe it's what caused my

liver enzymes to be elevated. Then, he wouldn't put me on

insulin, so I went to an endo who would.

Sandy

------------------------------------------------

I know my doc gets his little nose out of joint

when I indicate that I do not believe in his omnipotence,

but I have to

put up with him, so he has to put up with me.

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