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<blockquote data-quote="pleinster" data-source="post: 1485653" data-attributes="member: 221545"><p>I get that. I am not trying to be awkward; I just don't accept studies (and there have been a number of them) which make claims based on certain kinds of data that do not appear to take into account all the potential factors. That doesn't just apply to medical or scientific surveys. Simply being included in the NEJM does not make it gospel fact - otherwise every single conclusion reached by medical academia would have stood the test of time. Theory is not fact...and I am sure there will be other academic opinions as there always are. Historically, many conclusions have been drawn following what was supposedly a tightly controlled all-encompassing survey - until later data and evidence have suggested otherwise. This has been particularly true of the medical community at an academic level over the decades. I would also add that while stopping the survey early due to higher mortality rate in one group may be used to indicate probable outcomes, it is more accurately inconclusive as it has been stopped early (whatever that may indicate). It stops short of strict empirical evidence. I am only saying...evidence can be used to represent opinion quite effectively but the bulk of us don't actually get to analyse all the data and all the potential reasons at a sophisticated level. All surveys are open to debate - always. </p><p></p><p>I also know full well that oral agents are different from insulin - obviously. </p><p></p><p>No offence intended. I was simply expressing a view. I choose to govern my own blood sugar levels through a less than entirely strict low carb diet (avoiding meds as I am on plenty for other medical issues), ignoring the largely financially motivated NHS advice that I don't need to test myself and that I should stick to a nice "healthy" balanced diet. Each to their own. Medical PhD students can get published over my sorry remains.</p></blockquote><p></p>
[QUOTE="pleinster, post: 1485653, member: 221545"] I get that. I am not trying to be awkward; I just don't accept studies (and there have been a number of them) which make claims based on certain kinds of data that do not appear to take into account all the potential factors. That doesn't just apply to medical or scientific surveys. Simply being included in the NEJM does not make it gospel fact - otherwise every single conclusion reached by medical academia would have stood the test of time. Theory is not fact...and I am sure there will be other academic opinions as there always are. Historically, many conclusions have been drawn following what was supposedly a tightly controlled all-encompassing survey - until later data and evidence have suggested otherwise. This has been particularly true of the medical community at an academic level over the decades. I would also add that while stopping the survey early due to higher mortality rate in one group may be used to indicate probable outcomes, it is more accurately inconclusive as it has been stopped early (whatever that may indicate). It stops short of strict empirical evidence. I am only saying...evidence can be used to represent opinion quite effectively but the bulk of us don't actually get to analyse all the data and all the potential reasons at a sophisticated level. All surveys are open to debate - always. I also know full well that oral agents are different from insulin - obviously. No offence intended. I was simply expressing a view. I choose to govern my own blood sugar levels through a less than entirely strict low carb diet (avoiding meds as I am on plenty for other medical issues), ignoring the largely financially motivated NHS advice that I don't need to test myself and that I should stick to a nice "healthy" balanced diet. Each to their own. Medical PhD students can get published over my sorry remains. [/QUOTE]
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