This blog has me thinking about diabetes advocacy. While most people in
the diabetes online community are blogging the entire year, diabetes
advocacy seems to enter the conversation only during the month of
November. I admit I am guilty of this.
The
month of October was breast cancer month; however, I remember seeing
something about breast cancer almost every month. Those promoting
breast cancer awareness seem to find ways to put this in the public's
face every month.
Is
it because diabetes shares the month of November with Alzheimer's
disease that we are out done? I often see more promoting Alzheimer's
disease than I do about diabetes. In prior years, I have seen more
websites promoting Alzheimer's disease than promoting diabetes.
Among these sites was Health Central, which this year is rather tame,
compared to prior years in support of Alzheimer's disease. Yes, I am
looking for information about diabetes more than Alzheimer's disease,
yet Alzheimer's disease seems consistently to out do diabetes in
publicity.
In
reviewing several other diseases, I can see a pattern emerging.
These other diseases have a distinct advantage because they have one
national organization doing all the promoting and a concentrated
cadre of people seeing that the message is out in front of the
public.
In
the community of diabetes, we have several organizations going in
several different directions and constant battles for funds, most of
which is supplied by BIG PHARMA. They stifle the promotion for
educating the public about diabetes.
If
you disagree with me on the following points, then you will have to
disagree, but I feel this needs to be part of the discussion. For
diabetes organizations the following need to be considered – the
American Diabetes Association (ADA), the American Association of
Clinical Endocrinologists (AACE), the American Association of
Diabetes Educators (AADE), JDRF, and the Academy of Nutrition and
Dietetics (AND). The last one needs to be included even though many
provide services to other diseases, but we hear about them in
pronouncements from the ADA and AADE.
Then
because many within the following professions treat people with
diabetes, we could consider the American Medical Association, the
Society of General Internal Medicine (SGIM), and the American Academy
of Family Physicians (AAFP). Because the last three groups do little
to promote understanding of diabetes and do more to harm patients
with diabetes, they will be excluded from further discussion in this
topic.
I
could say the same about the ADA and the AND, but they have their own
agendas and do not have the best interests of diabetes patients in
their actions. AND is a puppet of BIG FOOD and is attempting to
monopolize who can teach nutrition and criminalize other nutritional
professions. The ADA has their own banner and colors for American
Diabetes Month. The ADA does not support unity for promotion of
diabetes awareness and attempts to take credit for activities of
other organizations. The ADA only promotes what they do because
they are for the doctors and not the patients.
Then
we come to the AADE and they feel they are exclusive to having the
knowledge about diabetes and will not open the doors to help others
teach anything about diabetes. Peer lay workers have proven more
effective in assisting people with type 2 diabetes bring diabetes
HbA1c levels down, but they are ignored as much as possible by the
AADE. They do support one symbol for diabetes awareness and that is
to their credit.
The
AACE rather stands alone because the organization has strong ties to
BIG PHARMA (like the ADA) and seldom takes part in support of
diabetes awareness during any month. Even after making loud noises
and having a page for reliable diabetes websites, they took down the
page after having it up for less than 12 months. Even with their
current leader saying type 2 patients should rely only on A1C from
their doctors, at least they let someone else speak for them in
“Choosing Wisely.”
The
JDRF also stands alone in their promotion of diabetes awareness and
does use the symbol of the International Diabetes Federation (IDF) to
promote diabetes during the month of November.
None
of the organizations promote diabetes awareness in any other month
unlike the other diseases and their organizations. I do not have any
answers of how to bring the organizations together for unity in the
promotion and advocacy of diabetes awareness for the month of
November, plus the rest of the year. Until this can be accomplished,
diabetes will continue to be the unpromoted disease needing more
awareness. Diabetes patients will continue to suffer because of this
lack of unity and the government will continue to decease funding
where they know few objections will be raised.
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