When two people you respect write about
the same topic with seemingly opposing viewpoints, it really can make
you scratch your head. Gretchen Becker first covered this and I was
in full agreement with her. Her blog is here. Then David Mendosa
covered the same study on February 3 here.
Gretchen's statement, “Here we go
again! It seems that every few years another group announces that
blood glucose (BG) testing strips aren't useful in patients with type
2 diabetes who don't take insulin.” This is an explanation
often faced by people with type 2 diabetes not on insulin.
David's statement, “A big new
review shows that people who don’t use insulin are wasting their
time and money when they test their blood glucose.” This is
something that got me to thinking and rereading both blogs very
carefully. Both statements seem to be heading in the same direction.
After reading and rereading both blogs
about this study in done in Europe, it is important to understand
that the same types of studies are done in North America. The
governments in Europe, Canada, and the USA, plus the medical
insurance companies in the USA are all looking for ways to lower
costs.
What should offend every person with
type 2 about these studies is they use the term SMBG (self-monitoring
of blood glucose) as if it were the culprit. They then state that
blood glucose testing is a waste of time and resources. What they
omit is that the medical professions in all countries are lax in
giving patients the education necessary to understand how to use the
blood glucose readings. They provide very little in guidance to
their patients for proper decision making when looking at blood
glucose readings.
Some of us around the world have been
fortunate to receive some education in what to do with our blood
glucose test results. Others have been able to research online and
self-educate themselves. It is knowing how to adjust diet and
exercise to keep blood glucose levels as close to normal as possible
that gives meaning to testing. The readings are truly of no value
unless you know what to do to bring high readings down and how
different foods affect your blood glucose levels. This also applies
to preventing lows and all extreme highs and lows.
In essence, you need to become your own
science experiment with yourself as your own lab rat or mouse. This
is where the challenge is and where learning how diet and exercise
affect your blood glucose proves knowledge can be very powerful.
There are many factors like general health, other diseases, mental or
medical conditions can make this even more of a challenge.
This discussion is for those people not
using insulin. So read both blogs and you will see that they are in
agreement. They have stated that education is the power in knowing
how to use blood glucose readings to adjust diet and exercise and
possible other lifestyle adjustments for better health.
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