Thanks!
I am happy and indeed privileged to be able to take care of individual patients, to the extent I do. At the same time, I feel like I should be involved in a larger effort, on a larger level. An effort that involves waking people up about the crass commercialization of our food-health supply which is damaging to us all, but most especially to those of limited means. I need to start focusing on that part much more.
Here’s an example, sort of, of how an individual is affected by a poor food supply and his own diabetes.
A new patient with T2D is talking a lot about the dangers of bread and rice regarding diabetes, which is otherwise music to my ears, but not necessarily so great if he plans on continuing to take insulin. We are not in a position to run all of the tests to get a complete picture of his diabetes (fasting insulin levels, antibodies, etc). So there’s a lot we don’t know about just where he is in terms of existing insulin production, for example. When a patient on insulin in our setting starts talking about forgoing carbohydrates, well, without more guaranteed support, it’s a bit scary. I wish that weren’t so.
I do know, very generally speaking, either you commit to a low-carb life, 100% of the time, and lower your dose of, or if you’re extraordinarily lucky, quit your anti-diabetic medications, including insulin, or you continue to take insulin and are mindful that it will be necessary to keep on eating an appropriate amount of carbohydrates. To my mind, if you do one, you have to do that other. If you do one without the other, there is too much of a risk of hyper or hypoglycemia, with hypo being more immediately dangerous and much more potently so, especially in this person’s case with a history of hospitalizations due to lows.
I will try to talk to this person, using some of the above verbiage. When I see just how dedicated people on this site are, and yet still occasionally have problems, I can get down about people of limited means who aren’t prepared to commit to a course and dedicate much time and energy to their condition. Occasionally we do have patients who do, but they are the exception.
Hence, my desire to get involved at a more macro level. This one by one thing ain’t cuttin it.









