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Telling the truth

  • Thread starter Thread starter AnnieC
  • Start Date Start Date
I can't lie, I always look guilty if I lie. I learnt years ago not to lie- besides to lie you have you have a good memory and mines ****.
I tell them what I eat, I tell them its low carb reasonable fat, they aren't interested to be honest.
 


It would seem that you have a problem with your doctor patient relationship.

If you cannot tell him what you are doing what is it that stops you? Surely the whole relationship is based on mutual respect for each other. He may not agree with you but then you have to explain why you are doing it and why it suits you. He should listen to your explanation and then he can put forward his arguments and even if you agree to disagree there should still be a level of respect left. If you cannot respect each other then it is time to change your doctor. He does not have overall control, you are free to make informed decisions.

There have been times when I have had to explain to my doctor why I want him to change my medications for other health issues and he listens, tells me why he thinks I should continue, I tell him why I think I should not and we come to a mutual arrangement. It might be that I persevere for a short time to see if things improve or that he is willing to change the medication or to refer me to a Specialist.

You will not only need your doctor for diabetes management, there are other health problems that we may experience throughout life. It should not be a battle every time you see him. Some people think that going in all guns blazing will solve the poor relationship but does it?
 
I would never ignore my docs advice but I would research it just to satisfy my curiosity. Dietary advice will always be a bone of contention on this forum but surely without a doc many of us wouldn't still be here. I've watched doctors carry out surgical procedures at the side of the road in the pouring rain and it amazes me every time. There will always be some doctors who have lost their passion or who could maybe be more compassionate but the majority I see are amazing. Much of the problem I think is time/budget constraints. Not enough time actually spent talking with their patients. I think that's why many docs just push pills, easier to write a prescription than get to the root cause of a problem and create alternative plans.


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LCHF is such a lousy term. The 'High Fat' element is bound alarm HCPs. More accurately, it is low carb and high protein and it is somewhat kinder than the Zero Carb and Protein Only diets of the 1970s and 80s. LCHF is essentially an Atkins diet modified for type 2 diabetics.

The main problem that I have with it though is the assumption that, if you want to avoid carbs, as most type 2s do, you have to fill your belly with something. Most of us want to lose weight, so why not low carb and low fat/protein, ie an old fashioned calorie controlled diet? It does work when combined with an increase in physical activity.

Regarding the latter, walking is good for otherwise sedentary people but once you have a certain level of fitness, jogging on the level won't help much. Games are better, games which involve lots of short sprints, soccer, squash, handball, tennis, rugby. OK, you can replicate these in a gym by doing things like shuttle runs but they are so boring all you do is think about how hard it is. Racing, as in cross country racing, is much better than jogging. Cycling uphill, as in road racing or mountain biking is much better than steady pace cycling in a gym. And most of these sports/games which include shorter periods of more intense workouts - try playing water polo - are much cheaper than joining a gym.

Particularly demanding, but great fun, is underwater rugby.
 
I try to be as truthful as possible but I end up taking the path of least resistance.. I've never been good at arguing or debating ....
 
I try to be as truthful as possible but I end up taking the path of least resistance.. I've never been good at arguing or debating ....
Thats me exactly just smile and nod in the right places but not actually lie.Thankfully not in that situation yet
 
I think if you tell your GP or DN that you are eating "high fat " they think in terms of eating nothing but lard and cream whereas most of use eat fat as part of our healthy DB friendly diet not eating low fat but good fats
CAROL
Yes I think they do mentally see us sitting in front of a pile of greasy burgers pouring fat over them like it's gravy lol
 
I can´t see the point in lying and I haven't the energy anyway.

When I come to that bridge I will just show my recorded bg readings together with the food belonging to the different tests. They will speak for themselves. If needed, I will point to the high, carb-related readings and ask: Is this the bg level you want me to have?

If fat becomes an issue I will point out the basics in nutrition regarding macro nutrients and energy.

As a matter of fact I rather look forward to this discussion with GP/DSN .
 
At my first clinic appointment in this country the nurse asked whether I eat a healthy diet. I said it's one which she wouldn't consider healthy but which works for me. Looking at my blood, eye, heart and foot test results she had to agree. But she urged me not to tell the GP!

I did tell the consultant, who just said "yes of course, very sensible". That was the first encouragement I'd ever received after two years of LCHF.

Kate
 
I don't like getting 'ticked off' by the GP.. makes me feel as though I'm back in school... bwahhhhh
 
I have never seen a GP regarding my diabetes, it is always he DSN who is perfectly competent. She does however spout the party line and quotes the NICE guidelines regarding diet ie eating plenty of carbs etc but then she has to working for the NHS. In the early years when I decided to go low carb, I told her so and showed her how my BG levels had reduced by doing this and I said that if I ate the foodstuffs that she told me to eat (pasta, rice pots etc) then my BG levels would be high. We agree to disagree and now it never gets mentioned as she knows I low carb and quite frankly the results are hard to argue with
 
Always best to be truthful IMHO.
 
I told my DSN the truth - that I eat lower carb, but I don't really do high fat anyway. I wouldn't lie to her as she has never really pushed any specific diet at me. We don't really discuss diet that much.
She just said that whatever I am doing, keep at it, as it's working. (For now anyway) It sometimes seems that I'm there for them to tick boxes, but however you look at it, it's up to yourself to make sure that you remain as healthy as you can.
 
I have to see the doc every 3 months for my meds, I can't just ring up for repeats so I suppose, thinking about it, I put things in motion myself. I go in, take off my shoes, stand on the scale, tell the doc what my weight is, roll up my sleeve for the BP etc. I said on Monday, "do you want to look at my feet or can I put my shoes back on"? So, he looked at my feet, which were slim and lovely, I re-shoed and we discussed my latest fasting test results which were great actually. I tend to ramble at the Doc's, so I waffled on about the amount of carb I have and how he couldn't argue that it worked but I am not sure he took in half of what I was saying, I do tend to steam roller any conversation I am in though. By the time I left he was looking a bit shell shocked but I'm used to that

I think I would listen to what a doc told me and if they disagreed with what I do I would refer them to my results and go on doing what works for me but I do tell them the truth. As Beachbag says, we aren't children we can make up our own minds but I am sure that initially when first diagnosed, I did stick to the plan. Sadly, it's NOT one size fits all but then, it rarely is
 
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