Many government agencies don't want
this to happen. Chief among them is the US Dept of Agriculture
(USDA) and the National Institute of Health (NIH). Other federal
agencies also follow suit. This means that the Academy of Nutrition
and Dietetics (AND), Certified Diabetes Educators, the American
Diabetes Association (ADA), and the American Association of Clinical
Endocrinologists (AACE) follow in lock step.
Naturally, the medical insurance
industry follow the recommendations of the ADA and AACE. This means
that we as patients have to work harder to obtain the test strips to
know what our blood glucose levels are for us to manage our diabetes
more effectively. Not knowing and operating in the dark is not the
way effectively to manage diabetes.
Most blogs by CDEs and RDs never
mention using our blood glucose meters with test strips because they
don't want us to know how the different foods affect our blood
glucose levels. This is part of the reason many people get
discouraged and seldom test their blood glucose levels. This almost
guarantees that diabetes will become progressive and that the
complications will affect the quality of life. Self-Monitoring of
Blood Glucose (SMBG) is shunned by CDEs and not talked about by RDs.
If it wasn't the leadership of the USDA
and the blind following by AND, we might have reason to listen to a
few that do teach SMBG. A few CDEs that do not have to worry about
other CDEs looking over their shoulders, do teach Diabetes
Self-Management Education (DSME) of which SMBG is a part. Many will
not even teach DSME because they only believe in mandates and dogma
and expect people blindly to follow. With the internet of today,
this will only get worse as people learn what following these people
will do to damage their health.
At least some people from the Duke
University of Nursing at Durham, NC are doing something about what
the CDEs are unwilling to accomplish. Read about this in a recent blog here. They are at least reviewing various methods of delivering
diabetes self-management education (DSME) via the internet.
Then people with type 2 diabetes and
those with prediabetes will have resources to learn about managing
their diabetes. Then if the certified diabetes educators want to be
exclusive and continue to make it more difficult to become a CDE and
for their numbers to grow, we can ignore them and learn on the
internet.
The unfortunate part of this is that it
is just a study and there is no sources of DSME as such on the
internet for easy access. This in one time I sincerely wish that
people would put information on the Internet and then do a study
instead of studying other studies. Yes, I was honestly thinking that
there was a source of DSME on the Internet and that it could be
available to all people with type 2 diabetes. While the study
details were interesting, that is as far as it was taken.
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