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Emergency Hospital Dash

KK123 said:
The problem is not everybody looks back at a million old threads especially newcomers or those rarely dipping in & out. They see one posted and it's easy to see type 2 and go straight into dietary advice. Most regulars on here do ask about medication people are on but not always. I agree with @lucylocket61 100%, it's not a criticism of the helpful people on here, it's simply a timely reminder. I say the same when people not yet diagnosed one way or the other are given dietary advice, it can be dangerous which is why the Mods quite often remind people of the fact we are not Doctors.
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I agree. Caution needs to be applied. It’s easy to miss an earlier post or thread.

I myself am treading carefully for other lines of reason. So am not in full blown keto mode. And am watching to see how things level out.
 
Personally I consider a small risk of death from a hypos to be better then a large risk of someone going blind or having their foot cut off. Hence it is about risk control, not being so fearful of a small risk that people don't get helped.

We already go to great effort to give people warning to make the risk as small as we can reasonably do. Other then stating that people on drugs with a risk of hypos should never change their diet, I don't see much more thst can be done.

Comment by moderator: Ringi has altered this post to remove/retract statistics, and replace them with text.
 
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ringi said:
Comment by moderator: Ringi later altered this post to remove/retract statistics, and replace them with text:

Personally I consider for example a 1% risk of death from a hypos to be better then a 10% risk of someone going blind or having their foot cut off. Hence it is about risk control, not being so fearful of a small risk that people get helped.
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Where are you getting your statistics from?
 
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ringi said:
Comment by moderator: Ringi later altered this post to remove/retract statistics, and replace them with text:

Personally I consider for example a 1% risk of death from a hypos to be better then a 10% risk of someone going blind or having their foot cut off. Hence it is about risk control, not being so fearful of a small risk that people get helped.
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Hmmm. I only partially agree with that. Caution does need to be applied.

However, in this case, and as far as I can tell most others, caution was applied. In the end we should all feel comfortable speaking freely, or there’s little point coming here. Perhaps we should all have a long disclaimer in our signatures that protects every conceivable reader from harm. Ultimately @Type-2-Havent-A-Clue recieved the necessary warnings regarding the interaction of medicines and low carbohydrate eating. Discussion to the contrary is misplaced in this thread :)
 
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ringi said:
Think of the number of people on this site who have had a trip to hospital due to a diet change in the last two years. (many less then I would have expected knowing the risks)
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I still strongly suspect my trip to the hospital in 2005 was down to diet change. Hard to prove of course.
 
ringi said:
Think of the number of people on this site who have had a trip to hospital due to a diet change in the last two years. (many less then I would have expected knowing the risks)
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Ringi, now you know I'm going to aks you to evidence your stats there.
 
Let's start making a list of everyone we know of on this forum who have had a "bad" hypos (eg needed 3rd party help and/or hospital) due to changing their diet in the last two years.

Other then this thread I can only think of one person, and that person turned out to be a complete fake.

It would be good to have a formal list, so we can learn from what has gone wrong.
 
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ringi said:
Start making a list of everyone you know of. Other then this thread I can only think of one that turned out to be a complete fake.

It would be good to have a formal list, so we can learn from what has gone wrong.
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Ringi - with respect, I did not make the statement, therefore it is not my place to justify it.

Please factually justify it, or please remove it.

I haven't seen it doesn't make it so. It just means you haven't seen it.
 
Jim Lahey said:
Hmmm. I only partially agree with that. Caution does need to be applied.
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But is more caution needed then we already have?

I would like to see better working for what we say about Gliclazide including details in when people should reduce dose etc, as just telling people to see their GP may not be enough. Ideally it can be left to someones GP once the person has been warned by us, but is that enough of a safety net?

If anything it seems easier when someone is on Inslin rather then Gliclazide!
 
In @Type-2-Havent-A-Clue 's case, he has entered his Gliclazide medication in his profile settings. It is there for all to see. I saw it because I looked for it - and I was the first respondent on this thread, so it was clear to everyone that followed that he was a Gliclazide user. Or should have been. Where it all goes belly up is when people do not fill in their profile details and fail to mention their medication in their post. It means we have to ask and then wait for a reply, which may not be forthcoming immediately. In my view it should be compulsory to enter the type of diabetes and the medication taken.
 
ringi said:
But is more caution needed then we already have?

I would like to see better working for what we say about Gliclazide including details in when people should reduce dose etc, as just telling people to see their GP may not be enough. Ideally it can be left to someones GP once the person has been warned by us, but is that enough of a safety net?

If anything it seems easier when someone is on Inslin rather then Gliclazide!
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Hi Ringi, I do get your point but I imagine it would be very hard for any of us to start telling people when to reduce their dosages of anything. That would set a very dangerous precedent and would not be ratified by this forum I'm sure. I think that all that can be done is what we do now, to take care when we are talking about advising people to change their diet and check their circumstances medically before we post or (like most do) write a word of warning if we don't know what medication they are on. I personally don't think you can be too cautious when advising someone who is on medication known to lower glucose specifically, we are always cautious when we know a person is on insulin. My own personal view is that hypo's are not to be taken lightly, the risk is different for everyone but there is still a risk of fatality from ONE hypo, ignoring that would be like playing Russian roulette.
 
ringi said:
But is more caution needed then we already have?

I would like to see better working for what we say about Gliclazide including details in when people should reduce dose etc, as just telling people to see their GP may not be enough. Ideally it can be left to someones GP once the person has been warned by us, but is that enough of a safety net?

If anything it seems easier when someone is on Inslin rather then Gliclazide!
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Sigh..... "Insulin."
Alas, even with the caveat of the usual "consult with HCP. Remember, to reduce carbs, reduce insulin."
Even with a spot on basal dose. & geting the timing of the bolus like clockwork. A newly diagnosed T1 with the "honeymoon" pancreas micreancy happening.?
The above "sampled" advice advice given as well as impractical if not dangerous at this point. (Operating a vehicle at the time of a low anyone?) would actually defeat the "object" of a low carb diet or keto managment with all the hypo treating caused by the spasmodic beta cell production..

With all that in mind, once one has exogenous insulin on board a new T1. It could be just as "wild a ride" radically changing the diet without settling in to a little "experience" as someone would on Glic.

The forum ethos rules are quite simple. We can't advise on stopping prescribed medication. Nor changing doasage.
Neither can anyone diagnose a member.

Hope the bold type helps clarify. ;)
 
The reason I said "if anything it seems easier when someone is on inslin" is that people with type2 on inslin seem to have already had the risks explained to them, and have often had training on how to adjust their own dose etc before comming to this forum.

Glic seems often to be seen as "fire and forget" by GPs when giving out the prescription and is not treated with the same care as inslin.
 
Tipetoo said:
I agree with this, and it can be set at Admin level on this forum software.
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Or member's sig. On personal profile. There's also thread tagging. (Specifics.) Or just casually mentioning meds prescribed in the OP? :)
 
Personally I think it all works just fine as it is, without forcing users to fill in mandatory fields of information which some may consider private. Not a fan of unnecessary legislation. We have here a case of a forum member who ended up in hospital. That forum member had already been warned by several other members about the dangers of low carb and diabetes medications. OP could have had “I take insulin” tattooed on his/her forehead and the outcome would have been no different. But that’s just my perspective on things.
 
ringi said:
But could we just people to keep it updated if the software forced people to fill it in?
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Once diabetes type and medication is set, forget it, unless it needs updating.

My has not changed in ~four years.
 
Tipetoo said:
I have them in both profile and sig. next...
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Indeedy! That's why questions are asked when a diagnosis or meds are not represented to clarify & members are respectfully corrected by a mod or other member if there has been an "oversight."

@ringi , I fear you're in danger of "out posting" the OP... With regards to the subject matter of your messages. It could also be construed as derailment.. Forum rules also "chaperone" where this may lead...

The OP had a "2.6er." On Glic.
 
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