March 14, 2013

ADA Standards of Diabetes Care in 2013

This article from Diabetes in Control is not one I expected. Then when Dr. Robert Ratner, chief scientific and medical officer for the ADA says, “Many people with type 2 diabetes who are on medications don't need to do home glucose monitoring at all," Bold is my emphasis. I must wonder if he is many bricks short of a full load. He sounds a lot like a doctor I heard of recently that does not use the A1c, but only the oral glucose tolerance tests for diagnosing patients and adjusting medications later.

With people like this in positions of responsibility in the American Diabetes Association, I am not surprised at the telemarketing scandal that was reported here last year. Why would someone make statements like this? Yes, I can rant and become angry, but with leaders like this, how can I even respect the ADA. This even removes hopes that may have been there for help, when we have leaders that open their mouth and make stupid statements like this. For what purpose? Are they trying to divert attention away from something more idiotic someone said or did? Quite possibly.

Then why do they even make statements like this, when they pull the rug out from underneath many people with type 2 diabetes (in the above bold red statement). "For patients who aren't on insulin, self-monitoring has to be linked to education on what to do. Patients need guidance on what to do when the numbers are out of line. Do they need to call their doctor? Change their diet or take medicine? They have to be taught how to utilize the information." It seems ridiculous how they can kick people when they are down and then make something sound so promising. I think this is “feel good” hype and a way to keep people off balance while they do nothing.

Maybe the statements were made to deflect the criticism for ADA partnering with Domino Foods, Inc. This cannot be a good reflection on the American Diabetes Association. However, this article appeared on January 15, 2013, and the earlier statements were written on December 27, 2012. Either way, the ADA is not living up to doing anything for the patients they are supposed to serve or even helping the physician members who need the support. This also reminds me of the activities of the Academy of Nutrition and Dietetics which is also in bed with the food industry.

Going back to the last quote in red above, I am keenly aware of the fact that many patients need to learn completely on their own how to self-monitor their blood glucose and interpret what the blood glucose readings mean. This is what I had to do before I started on insulin and this is something the members of our group do to help each other whenever needed. Sue has been very appreciative that we have been very willing to help her in determining what the different blood glucose readings may mean and how to learn to determine this for herself. The three new members on oral medications are asking questions and happy that we are willing to answer any questions they have. So, for us, the ADA can keep their “feel good” hype.

Even though none of us within the group has any of the formal training for diabetes self-management education, we seem to be doing very well at working with others and educating them about managing their diabetes. We do become upset when the leaders of the ADA make statements like the first quote as these people need the test strips to be able to determine what their blood glucose readings are to become educated. They need to understand what happens with their bodies in processing blood glucose and what different foods can do to their blood glucose levels.

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