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<blockquote data-quote="AdamJames" data-source="post: 1642914" data-attributes="member: 459333"><p>Interesting opinions here, thanks.</p><p></p><p>It's certainly a minefield that needs to be waded through carefully in order for each of us to get a feel what is best for us as an individual, and of course any course of action will be a bit of a gamble.</p><p></p><p>I think the main article's main failing is its lack of making it clear exactly what type of patient they are thinking of. I have a (perhaps unfair) suspicion that they were deliberately trying to be a bit iconoclastic.</p><p></p><p>By contrast, the letter and rebuttal linked to at the top of the article are far better at making their thoughts and reasoning clear and is really more informative.</p><p></p><p>I think their effort to separate what's "important" and what's not, based purely on the health and happiness of the patients, certainly has merit. E.g. in their letter rebuttal, they have the attitude "so what if lack of bg control causes issues with eyes - all that's really important is vision loss, and that doesn't seem to be affected".</p><p></p><p>Whether or not their analysis is *correct* is another matter, but the *focus* I find appealing.</p><p></p><p>Anyway my personal takeaway from it is that I'm glad I'm losing weight rapidly and will continue to do so, as that can only be a good thing, not just for diabetes but for all sorts of reasons. There's no way I'm going to take my eye of blood sugar levels, but there is a bigger picture, and it's the usual one: try to be active, a healthy weight, eat sensibly and enjoy life.</p></blockquote><p></p>
[QUOTE="AdamJames, post: 1642914, member: 459333"] Interesting opinions here, thanks. It's certainly a minefield that needs to be waded through carefully in order for each of us to get a feel what is best for us as an individual, and of course any course of action will be a bit of a gamble. I think the main article's main failing is its lack of making it clear exactly what type of patient they are thinking of. I have a (perhaps unfair) suspicion that they were deliberately trying to be a bit iconoclastic. By contrast, the letter and rebuttal linked to at the top of the article are far better at making their thoughts and reasoning clear and is really more informative. I think their effort to separate what's "important" and what's not, based purely on the health and happiness of the patients, certainly has merit. E.g. in their letter rebuttal, they have the attitude "so what if lack of bg control causes issues with eyes - all that's really important is vision loss, and that doesn't seem to be affected". Whether or not their analysis is *correct* is another matter, but the *focus* I find appealing. Anyway my personal takeaway from it is that I'm glad I'm losing weight rapidly and will continue to do so, as that can only be a good thing, not just for diabetes but for all sorts of reasons. There's no way I'm going to take my eye of blood sugar levels, but there is a bigger picture, and it's the usual one: try to be active, a healthy weight, eat sensibly and enjoy life. [/QUOTE]
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