October 31, 2015

Venting or Blowing off Frustration

Several things have happened the last few days affecting the new members of our support group and a few others we know. All of us were upset and wondered why the doctors cannot include some of this in their instructions. Other people wonder why the other professions seem so entrenched in their dogma that they are worthless in helping with education.

Another blogger and I had this discussion a few years ago, but I still see people that insist that they test at one hour after eating and others argue that they should be testing two hours after testing. A.J and I were talking recently and A.J said he needed to test. A friend of his said that was not good, as he should have tested an hour prior. He clearly stated that the test was worthless now. I asked why he would presume to know when it was best for A.J to test. He said that is what his doctor had told him.

I said doctors don't know everything and they figure one hour is good enough so some people will not see the actual high. A.J had finished and said that his doctor had said to test several times to determine when his high point was. He continued that he had been told to start testing as the half-hour after first bite and test every 15 minutes until the readings started to decrease. After doing this three times per week for three weeks, he has found that about 115 to 130 minutes pass before his high point. I said I have also done this and I normally have about the same range, which means I use the two-hour mark for mine.

I said we have several individuals that reach their high point at 90 minutes and a few that reach theirs at 60 minutes. I am even aware of one individual that does not reach his high until 150 minutes. A.J then asked the person if he had even done the testing to determine when he generally reaches his high. He said no, but would follow what his doctor had told him to do.

Then I asked if his A1c was always higher than expected. He thought for a while, and finally said many had been. A.J asked if he thought we were blowing smoke about testing where his high point after meals occurred. He hesitated and said that is why you do all the testing. A.J told him this is just part of the problem of not knowing the time when you blood glucose hits its high point. Next I asked if he tested before eating and he said he did. I said that was good and by knowing the approximate time to the high point he would then have a better picture of how the food he consumed was affecting his blood glucose.

A.J did say that his high point could be one hour, but without testing he could never be sure. A.J continued that he does the testing about once a year to confirm that the average is still at two hours. He then said that as we age or change the food we consume, this could easily change.

I asked what medication he was taking and he replied Lantus and Novolog. I added that I take the same medications, but I am aware of changes that can happen. This is one reason I test more often than many doctors want me to.

A.J's friend said that he probably had some things to learn, but he would do some extra testing to find out when he reached his high point after eating. A.J thanked him for opening his mind for alternate suggestions.

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