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Type 2 Diabetes
Nutritionist tomorrow
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<blockquote data-quote="2131tom" data-source="post: 445838" data-attributes="member: 85280"><p>It's easy to be intimidated by professionals but they're trained to be impersonal about individual cases so, in reality, you can't really upset them if you're polite in your approach but firm in the stance you may then decide to take. </p><p></p><p>The best ones will respect your position and ask you how you've arrived at it. You can reply: "through reading, listening, questioning, observing what works for me and how I'm feeling, and seeing the empirical (good word to throw into a medical conversation, that) results I'm getting - weight, BG, HbA1c, cessation/lack of symptoms" etc. They may then make comments about the possible problems (if there are any) with your diet, or suggest modifications.</p><p></p><p>None of that should be in the form of commands or threats; it should be backed-up with some reasons, however concise they may be. I know they'll often cite lack of time and that they're busy people (but aren't we all?).</p><p></p><p>If they fail that test, then IMHO they're not worth consulting. It's your body and ultimately you're the one who has to live with the consequences of what's being done to it; they should never forget that they can simply walk away.</p><p></p><p>Finally, there's a huge difference between a clinician feeling they're constantly having their time wasted by someone who goes to see them every week, argues each time and never follows any advice, and someone else that they only see 3-4 times a year but who, in between times, is desperately trying to get better and wants to help themselves by intelligently researching their problem, and is following a course of action that's patently working well.</p><p></p><p>Good luck with the consultation. There are one or two levers you can pull, if you're really stuck: IME, if you can fix them with a long (but friendly) gaze - so that every time they look up from their notes you're looking at them - you'll usually have the upper hand. Alternatively, if you're really stuck, there's nothing like a long, considered silence from you to make the other party think they've lost the plot</p><p></p><p>Let us all know how you go ......</p></blockquote><p></p>
[QUOTE="2131tom, post: 445838, member: 85280"] It's easy to be intimidated by professionals but they're trained to be impersonal about individual cases so, in reality, you can't really upset them if you're polite in your approach but firm in the stance you may then decide to take. The best ones will respect your position and ask you how you've arrived at it. You can reply: "through reading, listening, questioning, observing what works for me and how I'm feeling, and seeing the empirical (good word to throw into a medical conversation, that) results I'm getting - weight, BG, HbA1c, cessation/lack of symptoms" etc. They may then make comments about the possible problems (if there are any) with your diet, or suggest modifications. None of that should be in the form of commands or threats; it should be backed-up with some reasons, however concise they may be. I know they'll often cite lack of time and that they're busy people (but aren't we all?). If they fail that test, then IMHO they're not worth consulting. It's your body and ultimately you're the one who has to live with the consequences of what's being done to it; they should never forget that they can simply walk away. Finally, there's a huge difference between a clinician feeling they're constantly having their time wasted by someone who goes to see them every week, argues each time and never follows any advice, and someone else that they only see 3-4 times a year but who, in between times, is desperately trying to get better and wants to help themselves by intelligently researching their problem, and is following a course of action that's patently working well. Good luck with the consultation. There are one or two levers you can pull, if you're really stuck: IME, if you can fix them with a long (but friendly) gaze - so that every time they look up from their notes you're looking at them - you'll usually have the upper hand. Alternatively, if you're really stuck, there's nothing like a long, considered silence from you to make the other party think they've lost the plot Let us all know how you go ...... [/QUOTE]
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