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Diabetes Soapbox - Have Your Say
TO LIVE OR TO EXIST - THAT IS THE QUESTION?
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<blockquote data-quote="Unbeliever" data-source="post: 415374" data-attributes="member: 30851"><p>I am very much inclined to agree wit the doctor in the link provided by catherinecherub. I have read quite a few asudies suggesing that too rigid control is counter-productive in the elderly.</p><p></p><p>The proble here is to get GPs and other HCP's to agree. It is in fact easier , in many cases o ge heir agreement if diabetes is not the only condition present. Wwhere it is then the one-size -fits-all targes siuation comes into play and i have known elderly people harrassed and confused by {no doubt well -meaning] HCp's.</p><p>Regarding the statins , in my experience , I managed o take simvastatin -40 mg- for four years wih no problems- hen suddenly I started to experience severe joint problems. I sopped he statins . The pain ceased. I stared again with a very low dose of pravastin</p><p>The pains started again. The docor gave me ezemiibe. It didn't work for my cholesterol at all {not high ut just above target for a diabetic] wo oher drs insisted I shold start statins again I took atoravastin for a week. the pains came back. I soppped hem o see what happened I go uscle cramp.</p><p></p><p>last week I had o atend the eye clinic. The opthalmologist asked if I was still taking a sain so I old him he story. He told me that statins -or ezemiibe of sains can'rt be olerated has a protective effect on diabetic eye diseases quite separately from their choleserol=lowering properies. Even if the ezemiibe had no effect on my cholesterol {as was he case] it has been shown o control or lessen maculopahy.He also said that joint pain is rarely a side effect but muscle pain is far ore common.</p><p></p><p>I really believe that GPs must not be hidebound by the targets and should be allowed to treat the individual as an individual but they are often under great pressure o achieve these targets.</p><p></p><p>I hope the OP manages to have a useful discusssion with his docor and hey can agree individual targets. for him.</p><p>Adoping his way of managing diabees would save patients and HCP/s a great deal of grief and time.</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 415374, member: 30851"] I am very much inclined to agree wit the doctor in the link provided by catherinecherub. I have read quite a few asudies suggesing that too rigid control is counter-productive in the elderly. The proble here is to get GPs and other HCP's to agree. It is in fact easier , in many cases o ge heir agreement if diabetes is not the only condition present. Wwhere it is then the one-size -fits-all targes siuation comes into play and i have known elderly people harrassed and confused by {no doubt well -meaning] HCp's. Regarding the statins , in my experience , I managed o take simvastatin -40 mg- for four years wih no problems- hen suddenly I started to experience severe joint problems. I sopped he statins . The pain ceased. I stared again with a very low dose of pravastin The pains started again. The docor gave me ezemiibe. It didn't work for my cholesterol at all {not high ut just above target for a diabetic] wo oher drs insisted I shold start statins again I took atoravastin for a week. the pains came back. I soppped hem o see what happened I go uscle cramp. last week I had o atend the eye clinic. The opthalmologist asked if I was still taking a sain so I old him he story. He told me that statins -or ezemiibe of sains can'rt be olerated has a protective effect on diabetic eye diseases quite separately from their choleserol=lowering properies. Even if the ezemiibe had no effect on my cholesterol {as was he case] it has been shown o control or lessen maculopahy.He also said that joint pain is rarely a side effect but muscle pain is far ore common. I really believe that GPs must not be hidebound by the targets and should be allowed to treat the individual as an individual but they are often under great pressure o achieve these targets. I hope the OP manages to have a useful discusssion with his docor and hey can agree individual targets. for him. Adoping his way of managing diabees would save patients and HCP/s a great deal of grief and time. [/QUOTE]
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