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The American College of Physicians has issued less strict guidelines for the treatment of Type 2 diabetes, but some doctors and groups like the American Diabetes Association stand by accepted practices:
Major Medical Associations Feud Over Diabetes Guidelines
A major medical association today suggested that doctors who treat people with Type 2 diabetes can set less aggressive blood sugar targets. But medical groups that specialize in diabetes sharply disagree.
Half a dozen medical groups have looked carefully at the best treatment guidelines for the 29 million Americans who have Type 2 diabetes and have come up with somewhat differing guidelines.
The American College of Physicians has reviewed those guidelines to provide its own recommendations [open, DOI: 10.7326/M17-0939] [DX], published in the Annals of Internal Medicine. It has decided that less stringent goals are appropriate for the key blood sugar test, called the A1C.
Also at Reuters.
(Score: 2) by HiThere on Wednesday March 07 2018, @06:26PM (2 children)
I can't say for everyone, but I did try that diet first, and it sent my triglycerides through the ceiling. Since then I've been diagnosed as diabetic rather than pre-diabetic, and have switched to a diet that just really low in starches and almost absent in sugars. That's not working quite as well as I'd hoped, as my fasting blood sugar is a lot higher than I want, but it manages my non-fasting blood sugar well. Wheat bran and wheat germ are essentially missing starches, so I've just switched to using them instead of flour. For some reason gluten sent my blood sugar up, so I'm avoiding that.
N.B.: "avoiding": This is not a refusal to eat any, this is extremely minimizing my exposure. I normally have a sandwich on normal bread at lunch time. And I don't use some special bread for this, just off the shelf rye bread. But that's my starches for the day. Even beans and cabbage are too heavy in starches, and send my blood sugar up.
You've got to measure your own blood sugar, study your blood tests, and figure out a diet you can stand. I have lots of nut "biscuits" in mine that are high in eggs and missing in starch. This works for me, as my cholesterol has always been low. Xanthan gum in *small* amounts helps with the texture, but too much results in a gummy mess. Varied nuts and varied spices makes this not only acceptable, but actually tasty to me.
Of course, what I really need to do is lose a lot more weight, but changing my diet this way is easier than losing the weigh. I'm still working at it, but *yikes*!! It really *is* important to control your weight *before* you gain too much. Losing it afterwards is a lot harder, and diabetes makes it harder yet.
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(Score: 3, Insightful) by fido_dogstoyevsky on Wednesday March 07 2018, @09:55PM (1 child)
My wife is on a cholesterol management diet, I'm a type 2 diabetic and we've adjusted our diet to suit both of us. My GP says that's the best thing we could both have done diet wise. Have you seen a dietician about foods to eat/avoid and eating patterns?
That's the biggie, and unfortunately the most difficult. But it's definitely worth the effort.
It's NOT a conspiracy... it's a plot.
(Score: 2) by HiThere on Thursday March 08 2018, @12:58AM
Yeah, I've seen dieticians. (Note the plural.) I did that before I tried the (sort of) Atkins diet. She said "Well, it's not too bad if you don't stay on it too long.", and gave some advice about details. But for me it sent my triglycerides through the roof (as I said). Even now if I eat much meat my blood sugar rises like crazy. Fish, cheese (low carb cheese!), and eggs don't seem to have that affect.
Please note, I'm not saying this would work for everyone. I'm saying I tried different things and measured the results, and for me this is what worked best of the things I've tried so far. Just recently I've started trying low carb tofu hot dogs. So far they seem to be reasonably acceptable. But note the low carb...that's not true of all tofu hot dogs. The beef and chicken dogs send my glucose skywards....but this doesn't mean it would work that way for you. Test and measure.
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