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Thoughts on why doctors often prescribe meds for T2 diabetes
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<blockquote data-quote="ButtterflyLady" data-source="post: 912791" data-attributes="member: 43498"><p>I agree, the doctors do not have the time/energy to drive these patients into change. But also, perhaps they know that all they can do is give information, and you can lead a horse to water but you can't make them drink. It would not be a good use of their time to drive patients into change, when people need to do that themselves, with the help of accurate info from doctors. I agree with others here in that a lot of doctors are not giving accurate info. So, they are letting down their side of it.</p><p></p><p>GPs have to know about an enormous range of illnesses, and that means they can't have in depth knowledge about all of them. For most people with T2 diabetes, there isn't much a GP needs to know. Knowing when to refer to a specialist is important.</p><p></p><p>I agree that in most cases, T2 can be controlled so that HbA1c can be brought down to the non-diabetic range. I don't call that reversal though, or say that the person is no longer diabetic. I think some doctors (like mine) understand this and it would be great if we could say most or all doctors understood it. </p><p></p><p> Ideally I would spend the rest of my life with my HbA1c in the non-diabetic range. For some people that isn't possible, because of individual medical factors that perhaps we don;t yet understand. I don't know if it will be possible for me, for all of the next 30-40 years, assuming I live that long. I hope it will, but I'm wary of making definitive statements like "T2 is not forever" and "it can be reversed" because I don't think we can know for sure that is the case for everyone.</p></blockquote><p></p>
[QUOTE="ButtterflyLady, post: 912791, member: 43498"] I agree, the doctors do not have the time/energy to drive these patients into change. But also, perhaps they know that all they can do is give information, and you can lead a horse to water but you can't make them drink. It would not be a good use of their time to drive patients into change, when people need to do that themselves, with the help of accurate info from doctors. I agree with others here in that a lot of doctors are not giving accurate info. So, they are letting down their side of it. GPs have to know about an enormous range of illnesses, and that means they can't have in depth knowledge about all of them. For most people with T2 diabetes, there isn't much a GP needs to know. Knowing when to refer to a specialist is important. I agree that in most cases, T2 can be controlled so that HbA1c can be brought down to the non-diabetic range. I don't call that reversal though, or say that the person is no longer diabetic. I think some doctors (like mine) understand this and it would be great if we could say most or all doctors understood it. Ideally I would spend the rest of my life with my HbA1c in the non-diabetic range. For some people that isn't possible, because of individual medical factors that perhaps we don;t yet understand. I don't know if it will be possible for me, for all of the next 30-40 years, assuming I live that long. I hope it will, but I'm wary of making definitive statements like "T2 is not forever" and "it can be reversed" because I don't think we can know for sure that is the case for everyone. [/QUOTE]
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