Yes, they show a decrease in HbA1c of around 1.5%. I agree, DAFNE is better than nothing and I'm pleased people feel that it improves their control.Sam, Just out of interest, the results that show DAFNE graduates still have relatively high HbA1C's, are they better than before they attended ? What I mean is, say the post DAFNE results avg 7's & 8's, could they have been 9's & 10's before ? Are those stats available or not ? I agree DAFNE needs updating but I still believe it's better than nothing. Most people I know who have attended have got something out of it. It never promised miraculous results and I can only speak for my course, it never advised high carbs, just "normal" eating, which is different for us all.
No need to apologise for my ignoranceSorry you didn't understand what I said. It was an answer to the previous post from Sam (and I know he reads the literature)
However, I'm sure that you can laugh about it elsewhere.
However, I'm sure that you can laugh about it elsewhere.
I agree Mo, a drop of 1.5% is great, but when it still gives the individual a high risk of complications, it's difficult to say its successful. My aim as a diabetic, as is your's, I'm sure, is to avoid complications.1.5% is quite significant and can hardly be deemed a failure. I totally agree the dietary advice needs overhauling but apart from that, it appears to be successful ?
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That's because the idea is to Adjust your insulin Dose to Normally Eat rather than to adjust your diet - it's in the even in the acronym; and you are free to apply the DAFNE techniques to whatever you want to eat.
Your criticism is about as intelligent as saying evolution is and because it doesn't explain the Big Bang. If indeed there was ever any evidence to conclusively show that your low carb ideas are correct than DAFNE graduates could easily apply what they have learned to eat a low carb diet so it sounds like you've completely missed the point of the course in your low carb rage.
If you are worried, you could try looking at the studies that found DAFNE to be effective rather than just making up excuses to ignore reality when it doesn't match your preconceived ideas... Unless you are saying that patients are lying about their hba1c in the treatment group.
Absolutely, a drop of 1.5% is great and absolutely there will be a drop in complication risk. But from the studies quoted in DAFNE, most can still expect to have a high risk of complications once they've completed DAFNE. That's not what anyone wants, surely?You're a far wiser man than myself Sam and I always respect your posts but I still think that an avg reduction in HbA1C's of 1.5% would surely lower risk of complications ? Agreed, still room for improvement but instead of slating DAFNE shouldn't we push to get it tweaked a bit ?
Certainly could be better but that's 25% success Smidge ! I know it's an estimate but if a quarter of all diabetics lowered their HbA1C's this can't be a bad thing surely ? I'm not suggesting DAFNE is great, I found much of it a struggle but I certainly benefited from it. I've said numerous times it needs updating but there's not much opportunity for education out there at present so would be a real shame to lose it.I have to say, that even though I was really disappointed with the DAFNE course and after my experience with it didn't believe it would get people to safe levels, I did hope that it might improve the control of most of the participants. Sadly, it didn't. Just two out of eight. For me, that's really not good enough.
Smidge
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