June 26, 2013

Diabetes Type 2 Resources

As much as I rail against the American Diabetes Association (ADA) and their guidelines, it is still important to know what they are advocating. Their guidelines are not safe for managing type 2 diabetes and using their guidelines will generally allow for the progression of diabetes to the complications. The ADA guidelines will not allow you to be a long-term healthy survivor with a long-term A1c of 7%. Yet this is what they promote. Even the American Association of Clinical Endocrinologists (AACE) and their guideline of an A1c of 6.5% is not ideal.

Considering that the A1c range for prediabetes is a reading of 5.7% to 6.4%, it would be prudent to have an A1c reading of less than 5.5% or lower. This is the reason I do not follow the teachings of the ADA. They seem quite willing to allow and advocate for people to allow for the progression of diabetes. It is also true that the advice given is to prevent doctors from being sued because they encouraged patients to work to have A1c's that put their patients in jeopardy of hypoglycemia. It is also true that most physicians do not stay current with even these poor guidelines so the patient is the one that pays the price with poorer health and the complications of diabetes.

With the above in mind, I feel that since the AACE has chosen to eliminate the page of type 2 diabetes resources, that as a blogger, I should start listing some of the resources that people with type 2 diabetes can use to start educating themselves. I have used and still review the listings even though I am not following their guidelines, but I still have hope that someday, they may improve. I also feel that because many physicians use these and insist that their patients follow them, we need to know where they are obtaining their numbers they throw at us. Even the endocrinologists seem to become upset when you get A1c's that are below 6.5%.

Some of this I know is because of my age and the lack of research including people over the age of 65. Researchers love to discriminate against us and are literally afraid of people over the age of 65 because we may have multiple health problems and failing cognition. Yet we are asked to take medications for which no research has been tested as to how we handle the medications and whether the medication may increase our cognitive decline. Almost 100 percent of studies and trials exclude persons over the age of 65. Rarely, and I mean rarely will you find a study that includes people up to the age of 70 or 75. Even the Food and Drug Administration does not seem concerned that people in the age group that will be heavily prescribed the medication are the ones excluded from the trials.

The following is a starter list for beginning your education: (Note: I have not listed them in any particular order as each has its positives and negatives.)

#1. www.diabetes.org This is the home page for the American Diabetes Association.

#2. http://www.cdc.gov/diabetes Centers for Disease Control and Prevention (CDC)
I find this more helpful for living with diabetes, but still follows many of the tenets of the ADA.

#3. http://ndep.nih.gov National Diabetes Education Program (NDEP), This site is a partnership of the National Institutes of Health (NIH), the CDC, and over 200 public and private organizations.

#4. http://www.nlm.nih.gov/medlineplus/diabetes.html Medline Plus, This is presented by the National Library of Medicine, and features many links to other helpful resources.

#5. http://diabetes.niddk.nih.gov National Diabetes Information Clearinghouse, This is presented by the National Institutes of Health (NIH), the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). My go to page in this site is http://diabetes.niddk.nih.gov/dm/pubs/medicines_ez/index.aspx for the diabetes medications, both oral and insulin. See my blog here for other sites not on this list.

#6. http://www.everydayhealth.com/type2diabetes Everyday Health, This is generally an excellent site and at the same time a very aggravating site and pulling your cursor across the advertisements activates them and they are very intrusive and about the only way to avoid them is to restart the site and make sure that you keep the cursor away from them. It provides excellent news and information about diabetes and also provides links to MedPage Today’s trusted sister site.

One of the favorites on this site is this, http://www.everydayhealth.com/health- report/type-2-diabetes-control/why-your-type-2-diabetes-treatment-plan-is- unique.aspx
It talks about treatment being individualized and this is because each patient is unique. This is in conflict with the dogma of ADA which tries to make everything into a one-size- fits-all treatment plan.

#8. http://blog.joslin.org/ The Joslin Diabetes Center Blog, and http://www.joslin.org/ The Joslin Diabetes Center

#9. http://www.medscape.com/resource/diabetes-type2 Medscape Today News, This requires a membership which is free to patients and the articles are often very interesting.

The above list is just a few of my sources that I enjoy reading. If you find them useful, you may wish to bookmark them to check them on a regular basis. Where the above sites have newsletters. I have subscribed to make sure I catch the latest news and research articles.

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