This will be hotly debated for the next
several months. Many people are sure to be asking why now? What
safeguards will be taken to prevent the problems that originally
caused the limits to be put into effect? Even the original results
when recomputed remained almost identical. Until the dust settles on
the Food and Drug Administrations actions, we will only have a
discussion as to the questionable value of Avandia.
I know several doctors that will start
using it again; however, I doubt many patients will accept using
Avandia. In my blog recently, I complained about the pill popper
generations. I must expand this to doctors as most primary care
physicians would rather prescribe pills than insulin. I am aware of
many people with type 2 diabetes that are able to manage their
diabetes on oral medications and many that are able to manage their
type 2 diabetes without medications. Yet many patients need to stack
one oral medication on top of another oral medication and still are
not managing their diabetes.
Because many doctors are rightfully
fearful of hypoglycemia, they will let diabetes do damage and become
progressive before they will prescribe insulin. This is the shame of
our medical teaching. Yet, not many can become diabetes doctors like
Dr. Richard K. Bernstein.
The final decision now awaits the FDA.
The FDA has no regulatory deadline by which to make a decision, and
it's unclear when the agency will make a ruling, an FDA spokeswoman
said. The FDA isn't obligated to follow the advice of its advisory
committees, but usually does. Hopefully this time they will leave
things alone.
So the wait begins.
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