dbr10
Well-Known Member
Both numbers are too high.
Both numbers are too high.From https://www.nice.org.uk/guidance/ng28/ifp/chapter/blood-glucose-and-target-levels
The HbA1c target for most people with type 2 diabetes is 48 mmol/mol (or 6.5%),From https://www.nice.org.uk/guidance/ng28/resources/type-2-diabetes-in-adults-management-1837338615493
Give more drugs if over 58 mmol/mol (7.5%)
Without proper medical care. At least some of the suffering could probably be avoided.Recorded and hope to watch it tonight.
How very sad for the individual involved, diabetes can be so cruel............................
Switching to concern about fat.So if that was recommendation back then why did doctors stop telling people that was the best way to control diabetes there must have been a reason
I not do LCHF. I dont see it as being pushed as the Holy Grail. I see it as being recommended as a first thing to try, as per the excellent post by @daisy1, as it seems to work, to a degree, for most people at first. Then they can do as I have done and tweak the ideas to suit their own physical response to it. It also give a working understanding of testing and what foods to tweak and avoid.No I don't I know that not everyone is LCHF just referring to the ones who are. Myself I do more moderate carb and lower fat but LCHF it is rather regarded as the Holy Grail here. I hope your way HCLF works for you if it does perhaps you could say so here because many people who do not do LCHF are very reluctant to say so as some have had some nasty remarks made to them We need more to tell us how they manage their diabetes if it is not LCHF
like they did for generations with stomach ulcers, you mean?No one is infallible even doctors can make mistakes but you would not expect it to be the whole medical profession.
Yes of course I will write about HCLF here - whether it works or not. It's no use just posting about what works, we need to hear about what doesn't work too. I fully expect it to work in respect of controlling BGs because I have done it before (and posted about it before) The problem was I didn't find it sustainable last time and switched to LCHF as a longer term option. The main problem for me will be to find the right amount of fat, last time I had almost none and suffered badly because of that. I have always said that both LCHF and HCLF work and that it's the combination of carbs and fats together that is most problematic. When I say I will do HCLF, I mean nearly all veggies and a spoonful of olive oil. I don't mean low fat yoghurts and other processed produce or breads and potatoes etc The reason I switch diets from time to time is to try to shock my body into losing weight and to help reduce my insulin resistance.No I don't I know that not everyone is LCHF just referring to the ones who are. Myself I do more moderate carb and lower fat but LCHF it is rather regarded as the Holy Grail here. I hope your way HCLF works for you if it does perhaps you could say so here because many people who do not do LCHF are very reluctant to say so as some have had some nasty remarks made to them We need more to tell us how they manage their diabetes if it is not LCHF
I dont know if this helps, but I am finding that the type of fat i eat is very important. Goose fat, organic olive oil, organic butter and cheese, and modicum of full fat mayo seem ok. I am still experimenting though.Yes of course I will write about HCLF here - whether it works or not. It's no use just posting about what works, we need to hear about what doesn't work too. I fully expect it to work in respect of controlling BGs because I have done it before (and posted about it before) The problem was I didn't find it sustainable last time and switched to LCHF as a longer term option. The main problem for me will be to find the right amount of fat, last time I had almost none and suffered badly because of that. I have always said that both LCHF and HCLF work and that it's the combination of carbs and fats together that is most problematic. When I say I will do HCLF, I mean nearly all veggies and a spoonful of olive oil. I don't mean low fat yoghurts and other processed produce or breads and potatoes etc The reason I switch diets from time to time is to try to shock my body into losing weight and to help reduce my insulin resistance.
Yes I will experiment too. I think I will go against animal fats and experiment with the others this time, but I'm not sure till I put one foot in front of the other.I dont know if this helps, but I am finding that the type of fat i eat is very important. Goose fat, organic olive oil, organic butter and cheese, and modicum of full fat mayo seem ok. I am still experimenting though.
I would expect that mostly it is only people with poor control who are sent to tertiary care hospitals.
No wrong.... I havent got poor control if according to my consultants I'm still in the top 5% of diabetics.
Thanks for the heads up. I will look out for it on catch-up.Did anyone see the latest episode of GP's Behind Closed Doors yesterday. There was a diabetic man having a dressing put on his foot as he had recently had a toe removed it was the third one to be removed. The nurse said his diabetes is controlled but he gets infections that will not heal and could lead to him having his foot removed. It seems even with controlled diabetes some people are still more predisposed to complications than others
££££££ $$$$$$$$$ Ancel Keys, selective data corrupted by funds from big food companies, bad science , big money poured into demonising fats, scientists/doctors who speak out against 40 years of flawed nutritional advice silenced, popular media ignorance, and all at the same time as an explosive growth in obesity/diabetes in the same time frame. The timeline of Low Fat nutritional advice, and growth of obesity/diabetes track together very closely. Doctors go by their training (flawed science underpinning their knowledge in this field) and trot out the current NHS advice (flawed by bad science and vested interests) to people who follow the wrong path (flawed and likely to cause progressive decline, which reinforces progressive element) to manage their condition. I dont believe its malice, its ignorance - the biggest killer of all. When you get something so wrong, for so long, that has probably ruined a lot of peoples lives, how can you ever come out and say you got it wrong ? - so instead, the lies persist - I hope in my lifetime , the scandal is exposed.So if that was recommendation back then why did doctors stop telling people that was the best way to control diabetes there must have been a reason
Sorry I haven't heard about thatlike they did for generations with stomach ulcers, you mean?
https://en.wikipedia.org/wiki/Timeline_of_peptic_ulcer_disease_and_Helicobacter_pyloriSorry I haven't heard about that
Given how the medical profession receives its wisdom, yes, I would expect that a large majority would make the mistake. Given the information dissemination model that is used, and the time available to investigate and educate, choices have to be made, and governments generally drive those choices.No one is infallible even doctors can make mistakes but you would not expect it to be the whole medical profession.
@Pinkorchid I too watched the same program, we seem in the minority. Thanks for bringing it to our attention.Did anyone see the latest episode of GP's Behind Closed Doors yesterday. There was a diabetic man having a dressing put on his foot as he had recently had a toe removed it was the third one to be removed. The nurse said his diabetes is controlled but he gets infections that will not heal and could lead to him having his foot removed. It seems even with controlled diabetes some people are still more predisposed to complications than others
Thank you for posting this. I am aware I have a slight vascular problem on one foot. Your post is very informative.@Pinkorchid I too watched the same program, we seem in the minority. Thanks for bringing it to our attention.
Diabetes controlled - I took this to mean HbA1c within their range.
The nurse (or 'voice over') did say that the man had vascular problems too, presumably of the lower limb.
What I know - there are vascular complications of diabetes (although not often discussed on this forum.)
Vascular problems result far more often in amputations, then do neuropathic ones. This is so.
Having seen many legs/feet/toes amputated in my time... neuropathic problems tend to affect the big and little toes, where most pressure occurs, also the ball of the foot where bony prominences cause pressure from underneath footwear. Vascular problems result from the area supplied by that artery. Because the man's foot that we saw showed the middle toes missing, along with the sloughy appearance/general discolouration, that tells me they were amputated for vascular reasons.
I am now going for a little lie down, don't think I've made so long a post before
@Pinkorchid I too watched the same program, we seem in the minority. Thanks for bringing it to our attention.
Diabetes controlled - I took this to mean HbA1c within their range.
The nurse (or 'voice over') did say that the man had vascular problems too, presumably of the lower limb.
What I know - there are vascular complications of diabetes (although not often discussed on this forum.)
Vascular problems result far more often in amputations, then do neuropathic ones. This is so.
Having seen many legs/feet/toes amputated in my time... neuropathic problems tend to affect the big and little toes, where most pressure occurs, also the ball of the foot where bony prominences cause pressure from underneath footwear. Vascular problems result from the area supplied by that artery. Because the man's foot that we saw showed the middle toes missing, along with the sloughy appearance/general discolouration, that tells me they were amputated for vascular reasons.
I am now going for a little lie down, don't think I've made so long a post before
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