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<blockquote data-quote="Scott-C" data-source="post: 1893045" data-attributes="member: 374531"><p>It's certainly good to have a healthy respect for complications, but it is also good to keep matters in perspective, otherwise it can become overwhelming.</p><p></p><p>Many T1s who develop complications will be the first to admit that a major driver of it was them "burning out": not bothering to take insulin, bg in the high teens and 20s for weeks, months.</p><p></p><p>My take on it is that I'll do a fair bit to keep in a tidy 4 to 7 range, but if I make a mistake, an occasional flier to 12 or 15 for a few hours isn't that big a deal in the wider scheme of things and is likely to have little or no impact on risk. That is a different situation entirely to the peeps running in the 20s.</p><p></p><p>We all have to find our own way but I think that sometimes the balance and fear of risks can drive people to a stage where quality of life is substantially reduced.</p><p></p><p>I disagree with Bernstein. I eat out a fair bit, and my venue and menu choices would be heavily restricted were I to go the Bernstein way. </p><p></p><p>With modern insulins, metering methods, understanding of insulin time patterns, there's a much, much wider choice of foods which can be eaten safely and stay in range, which he would rule out.</p><p></p><p>It is understandable that newly dx'd will have fears about complications, and it can seem attractive when Bernstein offers his "Diabetes Solution": that's what I'm after, says the newbie, a solution!</p><p></p><p>But when the solution involves more or less ruling out an entire food group?</p><p></p><p>Don't get me wrong here, I'm not suggesting we all start eating 16 inch stuffed crust pizza and a few doughnuts. I've certainly ruled out a few foods because they just don't work for me. It's a question of how far do you take it. I think taking it to the Bernstein extent of 30g per day is just too far to still have any semblance of a full life. </p><p></p><p>He just doesn't seem to understand the concept of eating modestly.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 1893045, member: 374531"] It's certainly good to have a healthy respect for complications, but it is also good to keep matters in perspective, otherwise it can become overwhelming. Many T1s who develop complications will be the first to admit that a major driver of it was them "burning out": not bothering to take insulin, bg in the high teens and 20s for weeks, months. My take on it is that I'll do a fair bit to keep in a tidy 4 to 7 range, but if I make a mistake, an occasional flier to 12 or 15 for a few hours isn't that big a deal in the wider scheme of things and is likely to have little or no impact on risk. That is a different situation entirely to the peeps running in the 20s. We all have to find our own way but I think that sometimes the balance and fear of risks can drive people to a stage where quality of life is substantially reduced. I disagree with Bernstein. I eat out a fair bit, and my venue and menu choices would be heavily restricted were I to go the Bernstein way. With modern insulins, metering methods, understanding of insulin time patterns, there's a much, much wider choice of foods which can be eaten safely and stay in range, which he would rule out. It is understandable that newly dx'd will have fears about complications, and it can seem attractive when Bernstein offers his "Diabetes Solution": that's what I'm after, says the newbie, a solution! But when the solution involves more or less ruling out an entire food group? Don't get me wrong here, I'm not suggesting we all start eating 16 inch stuffed crust pizza and a few doughnuts. I've certainly ruled out a few foods because they just don't work for me. It's a question of how far do you take it. I think taking it to the Bernstein extent of 30g per day is just too far to still have any semblance of a full life. He just doesn't seem to understand the concept of eating modestly. [/QUOTE]
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