Quote:
Originally Posted by RobLL
I do good on a VLC diet. I had a summary of all my outlier numbers which he looked at. I get a 160 every few months, and a 125 once or twice a week. And the odd lows of 65 once or twice a month. But you are right that Regular is really slow to reduce those highs. I don't think I can get my average BG below 90 without Lispro. I just have been so relieved to have a doctor who doesn't ignore repeated sessions of retinopathy, or thinks all of his patients should have an A1C above 6.5!
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Hi Rob,
Your Doctor sounds reasonable, but not up to date.
He is tightening up on the ADA guideline as you know.
My Doctor said under 6.0 is good.
I asked him, how many non-diabetics do you know with an A1C over 5.0?
I told him I am trying to emulate a non-diabetic with the use of my insulins.
He said FINE! He is delighted I am managing my problem. He NEVER really made a big deal out of my weight (270-275 right now), but did suggest that it will be easier for me if I do get some weight off.
As I listen more and more on these boards I believe the Doctor I have is quite progressive compared to so many. He as a simple belief, do Rx's, do natural, get results. Whatever works for you I am happy with. That has been our relationship.
For example, he was concerned about the cholesterol and the LDL number being over 100. My prior readings were 230 total, 56 HDL and a calculated LDL around 140 or so. If you want precise numbers, I have to go get out my prior blood work. Not important to this discussion. He wanted me to go on a statin. I told him no. I don't like the risks. We also got into a discussion about inflamation probably being the real culprit.
In any event I told him I am going to try Niacin 1000mg daily and come back and lets see.
Well I did and my Cholesterol came back as 134 with my HDL up to 59 and my LDL somewhere around 70. He said fantastic, great, keep doing what you are doing.
He works with me. I am so lucky; I guess.
Truth be told, anyone that is having difficulty with a Doctor not up to date and stuck in his old ways should find a new Doctor.
I even loaned my Doctor my copy of Dr. Bernstein's Diabetes Solution. This way he could see what I was using as my guideline.
Best wishes,
Ralph