All valid points bsc. As others have pointed out, like with anything else you will find good ones and bad ones.
I do have a question about #4 and #5. Why would you expect an RD to know anything about exercise and sports? Wouldn’t the appropriate person to seek help from in that area be an exercise physiologist? As for #5 what medical profession that you earn your degree in 4-5 years has competency in statistics and experimentation? I will grant anyone claiming something based on studies should know this but I find it uncommon for most Bachelor degree recipients to have competency in this unless they are interested in it and seek to learn it themselves.
So when should we expect top 10 reasons for nurses, endo’s and PCP’s to spread the “love” around? Cause frankly the entire medical community seems clueless not just RD’s.
Wow time for a new Doc and RD if possible. Are they smoking crack? Cherries are a fruit. Fruit has carbs. Carbs need to be bolused for. Ummmm I am having a REAL hard time understanding where they would be coming from here.
I agree that the “love” needs to be shared! These people need to work together more but you get “oh, I see you saw the dietician” or “oh I see you saw the exercise physiologist” or “cardiologist” or “podiatrist” or whoever but, in my experience, they don’t answer the $64 dollar follow up questions like “so what do I do about my blood sugar” very well or at least very precisely at all.
I’ll go “I usually turn my pump down to 50% if my BG <110 when I start running or 67% if it’s '> 110. Then I check the CGM at 2 or 3 miles, depending on how hot it is and have the first swig of my more concentrated Gatorade if it’s running lower and the 'thinner” GA if it’s running higher. Then another couple of miles and keep an eye on it, if it starts to crash, I turn it down to 7%, because 7 is ‘lucky’ then, when I’m 2-3 miles from home, I’ll turn the rate back up to 100% or normal to start attacking the post-run spike" and they go “ok, well it sounds like you have a plan” but I am not sure that any of them follow or if they glaze over about halfway through the spiel? The plus of this is that it seems to pretty much make them leave me alone but, when I’ve run into problems, it’s difficult for me to accomodate their pace.
Yes, there was a “no bad foods” campaign. I remember when I was first diagnosed and trying to cut way back on carbs and not eating any refined sugar at all, my neighbor, an R.D. working in a hospital, insisted that I should go to a certain candy store and buy “just one” truffle now and then so I wouldn’t feel deprived, because I should eat everything and that there is no such thing as a “bad food”. I thought and still think that she was nuts to try to sabotage a morbidly obese diabetic who was trying to clean up her act.
I think rage can be a healthy emotion in smallish doses.
It lets us know when things are FAR from what they should be – and right now in America, there are complex forces at work – some of them intentional, corrupt and completely unethical – that are dooming American children to drastically shortened life-spans compared to their grandparents.
Since lifestyle changes include diet and exercise, I think it is reasonable to expect that a dietician would have some understanding of nutrition in the context of exercise and sports. In my experience, they don’t.
And you are probably right. it is perhaps unreasonable to expect that a dietician should have such a strong science background. However, by the same token, not having a background in science, statistics and experimentation means that you don’t have the competency to do meta-analysis and evidence studies that are required to develop public health nutrition recommendations. Either dieticians have that background to do that work or pass it off to a community that is competent.
I really like your suggestion on spreading the love. If you have followed my adventures, you know the “love” I had for my last endo. I’ll have to consider a Top 10 reasons to hate your endo.
Almost as bad as riding in a rickshaw through the tortuous streets of Katmandu, which were built for foot traffic, but now sport cars, motorcycles and bicycles and pedestrians with no sidewalks and no lane markings! LOL!! (Been there, done that, and here to report it!)
I will agree 100% that ANY RD should know about exercise as it relates to nutrition.
As far as the Meta-analysis goes most doing this type of work have their PhD’s or at least a Master’s so one would expect them to know something about it. I have seen the debate’s recently about the research. In general most do respond favorably to LC in the “real world”. However, in my opinion there is not enough research to change the mind of the general medical community. I personally could care less if it comes from Diabetes Care or wherever. If you look at position papers of any medical group their bibliographies are quite extensive. Whether or not it is good or valid reseach is quite obviously up for debate. I beleive the article you posted recently had 75 or so and as has been pointed out there were a few sprinkled in that can’t be called research (e.g. popular press). I am NOT saying the research is invalid because of where it came from I am just saying there is not enough of it to sway the opinion of any medical establishment.
I wonder too if the “leaders” of medical provider “gangs” might be more along the lines of administrators and risk-managers who rationalize the disconnected discombobulation of care reasoning that “a person w/ diabetes x mutiple providers = $$$$$?”
I’m a little cranky about diet right now. Been low carb since june 1, 2011. lost 15 lbs in a month. my new diet nurse is about 100 lbs overweight, wears a pump and smokes. not too credible in my book. I learned more about a good d diet from my meter and sites like this than from any educator.
Blue Circle : World Diabetes Day, November 14 …DR Frederick Banting’s Birthday , correct acidr ?? …you lucky lady ( bikette ) living in famous London , ON , Canada and close http://www.diabetes.ca/about-us/who/banting-house/ to Banting House …
I am not sure which came first, I think the Germs were around in the late 1970s. I didn’t notice the diabetes blue circle (or diabetes, for that matter…) until well after then?
$$$$$$$ has got to be involved but that gives no right to any individual RD or any other sort of medical provider for that matter not to look at it with their own eyes and evaluate for themselves instead of following the lead. If they come to the same conclusion not much to do about that but it would be hard not to see the benefit when people come in with better blood sugars and weight loss.
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