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Have the rules changed again, or am I out of date?

Can anyone point in the direction of Bernstein having published any of his base data which would withstand, or has withstood, analysis by a peer group review?
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Pubmed gives 33 citations for RK Bernstein. Most tof the references are old and are on a variety of diabetes topics from feet to hypos with a couple of individual case studies. More recent entries refer to letters or observations.
Graham's example is not a piece of research but an argument for further research.
However, I found one small study on which he collaborated. This was published in 'Metabolic Syndrome and Related Disorders (2003). It was a retrospective analysis of 30 of his patients .The charts selected for the study were based on an 'assessment of the patients ' ability to comply with the regimen' and that had 'available follow up data' (form your own opinion on the methodology)
http://www.diabetes-book.com/articles/ONeill2003.pdf
 
Graham

Try this,

Bernstien suggests that when you have a sensivity to insulin, so the dose you need to counter act his small mumber theory of 6-12-12 is undeliverable by your pen or syringe, instead of advising to increase you carb content or transfer to an insulin pump which can deliver very fine doses of insulin, he suggest that you dilute your insulin!!! With the avaiablity of pumps one has to question the crediability of a medical professional who advices his patients to take what could be a dangerous route of diluting insulin, as possibilities of cross-comtamination, incorrects dilution both in concentration and correct product being used, can lead to dangerous situations...

Try the fact that the link you given, isn't lancet or the BMJ is it? Try looking at the names behind the studies, there are several there that are also reconsided for floging there ideologies, Mr Bernstien conclusion is based from a biased prosepctive of the data! As we all know you can get idnentical data to say totally different things depending on your view point!

As to standing in the medical profession, well this is self proclaimed, and have not been accredited to them by there peers, unless of course they have a similar book to sale?
 
Wow!

I hadn't intended to ignite such a firestorm!

Firstly, as others have noted, BG is not the same as A1C.

Secondly, as I noted earlier, I'm a pre-diabetic T2, so my comments should be read in that context.

I have, for instance, tested as low as 3.6 and have experienced no real problems (not just my feelings, checked with others too). Only problem, in fact, was that I'd get some modest 'rebound' spikes if I dipped a bit low, so changed from Met to Glucobay. The Standard Deviation of my readings has fallen from 0.7 down to 0.2 - even though my averages have stayed the same since the change to Glucobay.

Since my BG never really climbed that high to begin with, I guess that may be why I don't suffer any hypo or false hypo symptoms.

In my *particular* case, I suspect it is not possible to have a real hypo, since I'm just diet/exercise/minimal Glucobay controlled. Certainly, my doc has never showed any concern about me trying to get lower, only preached about the evils of hyperglycemia.

My A1C has been slowly falling - more or less as my weight dropped. Since my weight stabilised, so too has my A1C at 4.7

I know very little about T1 - other than it is a completely different disease to T2 - and still more different to pre-dT2.

That so, most of the angst and confusion seems to have arisen from T1s or insulin using/stimulating T2s getting needlessly concerned about a pre-dT2 trying to keep his numbers as low/normal as possible.

From all that I've read - and heard from my doc- keeping my BG/A1C as low as possible is the most sensible thing I can do - once again, let me emphasise that I consider this to be true in my *particular* circumstance.

an unrepentent - Mark

MESSAGE to MODS: is it possible to have a Pre-D discussion area in order to try and avoid this sort of conflict in the future?
 
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