ConradJ
Well-Known Member
- Messages
- 753
- Location
- Aylesbury, Bucks.
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- The hassle and ignorance of diabetes.
I've seen different figures quoted in different places. Generally, for two hours after eating, up to 10 would be considered okay as long as it comes down to normal ranges before four hours are up. I've also seen 11 and 12 quoted but, personally, I like it to stay under 10.
Edit: I just spoke to my nurse, I'm calling her hourly with BG readings since I just started on the pump. She mentioned in the call that they expect BG to rise 2.8 an hour after eating, even if you have given the correct bolus. Thought I'd mention that here
there's no reason why you can't stay below 8.0 mmol two hours after eating without going hypo. This is what I've been experiencing since cutting back on the Carbs.
But Bernstein is a quack. He claims he invented Basal/Bolus...he didn't. He claims he invented the home BG meter...he didn't. He just keeps dreaming things up to sell books. He might on occasion say something remotely relevant, but often it's utter trash to sell books, like his current line of re-branding the Atkins diet he's selling.
Sorry, your numbers don't add up. You claim you stay below 8.0 mmol two hours after a meal yet show your HbA1c of 7.8%, which equates to an average BG of 9.8 mmol. Sorry, if you are averaging 9.8 mmol that's not a good level for anyone no matter what diet you are on.
With levels this out of control I would highly recommend that you stop complaining at people doing DAFNE and the very good training it gives, and actually go and sign up for the course as it seems you need it looking at those levels.
By that thinking, the NHS is setting us all up for complications
Wish my wait was just a year. I've learnt everything from this wonderful site, reading books on carb counting and lots of tears through trial and error. Diagnosed Type1 aged 55 nearly 4 years ago by admittance to hospital with DKA, My area health authority does not offer DAFNE. Have looked at the online version and it was helpful, but only really understood it because of previous book reading and asking questions and reading people's experiences on here
For someone who hasn't done the course to say it is setting us up for complications is utterly incorrect. It's giving people the tools to deal with the condition while also not limiting their options. It's quiet frankly freedom to live a normal life without the limits being imposed by this condition. That is a good thing and frankly something all of us should have access too, and without people complaining about how bad it is and what complications it will lead to when it is actually doing the exact opposite.
As for Bernstein he claims he invented the home BG meter in his Diabetes University videos, tape 1 actually. He claimed he invented basal/bolus in 1972 as well. He's said it a few times though, and a quote from and interview he did here he repeats them: http://diabeteshealth.com/read/2013/06/05/7886/11th-qanda-with-dr--richard-bernstein/
"He invented blood sugar self-monitoring and basal/bolus insulin dosing, when he was an engineer."
Which as we all know, is utter rubbish.
As for getting them available to patients that goes back to one of the early BG meters inventors Anton Clemens, the guy who got the patent for them anyhow. The University of New York in 1978 did studies on how it affected T1's if they had access to test equipment, and from that study Ames (who Clemens worked for, and then developed from) smaller and more compact meters. Bayer actually beat them to market though using data from the same study in 1981. While these devices where able to be used at home due to the small size, and could be acquired (am sure I have one of the early ones in a cupboard somewhere complete with it's red leather handbag) they never received certification by the FDA and CDC for home use in the US till 1986 (thankfully the NHS didn't care and were allowing us to have them a long time before that!). But this was after lobbying by the meter companies, Bernstein, and others.
So was he involved, a little bit yes. Did he invent it? No not at all.
For someone who hasn't done the course to say it is setting us up for complications is utterly incorrect. It's giving people the tools to deal with the condition while also not limiting their options. It's quiet frankly freedom to live a normal life without the limits being imposed by this condition.".
My contention with DAFNE (and by the way, I have attended a cut-down version on 'Carb-Counting', which did enlighten me a to a variety of facts and figures concerning carb values of foods that I had long believed did not possess any carbs), is that it only covers an elementary level of education about living with Type 1 Diabetes.
As a result of such long standing programmes, HCPs and diabetics have often mislead themselves into thinking that Carb-counting and correct dose adjustment is all that is needed to gain good control when - as many online examples can testify - it is not, which then leads to the HCP 'accusation' towards the patient that they must be doing something to make it all go wrong.
It's easy it is to find flaws in the current level of 'education' around diabetes, however I am sure that just as when Bernstein published his findings, it was done with the best intentions and put together with what was considered to be the best information available at the time. The trouble is that time, technology and science has moved on and the finances aren't available to wipe away years of dogma. What is thriving however is a community of pwd who are now sharing information and experiences through social media. Collectively this is an extremely powerful tool and voice. Bernstein challenged the entire way of thinking about diabetes - and he was just one man. Apologies that it may seem like a shameless plug, but why don't you get 'hands on' and join the pwd conference in March? http://www.gbdoc.co.uk/gbdoc/Conference_2015.html Who knows where it could lead.....
The Conference sounds interesting and innovative. I hope it works as a format. I think it will. If I lived near Nottingham, I'd be buying a ticket.
Teaching Wildlings to use sharp pointy needles? Sounds dangerous!Heh ! Me too ! Way too far thoughWe " North of The Wall where the Wildlings Roam " lot need such a conference ourselves
Signy
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