maybemaybenot -> RE: Frustrated Diabetic (4/20/2011 8:52:55 AM)
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FR: I mean no disrespect to anyone in this reply and hope it is taken for what it is worth: I believe Arpig and Hannah when they say their medical teams told them to take a few extra units of insulin. However... I suspect that prior to that I there was education given and a diet plan and they both explained to the MDs/Dieticians that they would have trouble adhering to said plan. Whether that be with FrootLoops, Honey Nut Cherios or a meal of overindulgence at the Chinese Buffet < can you tell I'm craving Chinese food today ? > I also suspect that adding the few units of insulin was not the optimal treatment regime the MDs advised, but more a treatment tuned to the persons particular areas of trouble to keep their bodies in sync. And I have seen with my own eyes MDs who adjust the treatment plan to the needs of the individual, including adding a few extra units of insulin. No, they have not said... you'll be fine, no need to be compliant.. but they have given tools to keep their patients BS in control if the patient is honest about not be able or not wanting to make the changes. Personally I do not see that as bad medicine, quite the contrary. One has to treat the individual, not simply see each person as a disease entity. It is just my opinoin: if they are both tweaking their insulin to get thru breakfast.. no harm done. But if they are tweaking their insulin at every meal in order to eat anything and everything that appeals to them well... that will be a problem down the stretch. I'm not saying they are, not at all. I'm saying a person who does this is running a high risk of early kidney and heart disease related to their diabetes. OTOH, I have said this many times here on this board and it is my firm belief: Using myself as the example ... if I < the nurse > have educated my patients and given them the tools to have the best outcome and they choose to not use it.... it is their body and they have a right to do whatever they want, knowing the risks. We of course, have the right to chastise, but really in the end.. it is the persons own personal walk in life and they are responsible for where the path leads. I say that in regards to any chronic disease, not just diabetes. I mentioned a book earlier called the Creation of Health, and maybe the authors sum it up better than I: "Physicians are not responsible for the quality of a patients health, nor for how succesfully a patient heals. A physician is only responsible for providing the best technology and treatment available in the traditional field, as well as the best counsil he or she is able to provide. But the responisbility for implementing the technologies that are available, as well as to heal one's inner stresses, belongs rightfully to the patient." mbmbn PS: to Arpig and Hannah: I used your situation as an example, as it is the one being debated here in this thread. It isn't personal and my post is all encompassing, not aimed at either of you as individuals. I do hope my post was clear about that.
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