January 5, 2016

The AAFP Promotes Bad Diabetes Information

In 2013, late April and the first of May, I did three blogs on the American Academy of Family Physicians(AAFP) website. I was correct then and my mind hasn't changed and is even more disappointed in the website now.

In listing the source of some articles the following is listed:
  1. Portions of this article were developed by the American Academy of Family Physicians in cooperation with the American Diabetes Association.
  1. Portions of this article were developed as part of an educational program made possible by an unrestricted educational grant from LifeScan, Inc., makers of OneTouch Blood Glucose Meters.
  1. Portions of this article were developed with general underwriting support from The Coca-Cola Company.
Yes, number 3 is very disturbing and makes me concerned about other conflicts of interest for the AAFP.

The number of critical errors has increased and it is small wonder that the patients they treat are receiving any care, as they will be receiving more harm if the doctors follow the information on the AAFP website.

Quote: There are 2 blood tests that can help you manage your diabetes. One of these tests is called an A1C test, which reflects your blood sugar (or blood glucose) control over the past 2-3 months. Testing your A1C level every 3 months is the best way for you and your doctor to understand how well your blood sugar levels are controlled. Unquote

The wrong statement above is – an A1c test, which reflects your blood glucose control over the past 2-3 months. The HbA1c test reflects the prior four months and this is from David Mendosa's blog. This seems to be a common mistake made by many people and I would have thought a professional group would not make this mistake.

Quote: Your A1C goal will be determined by your doctor, but it is generally less than 7%. Unquote This should not happen and your doctor should never determine your goals. Yes, they may guide you, but never should they set your goals.

Quote: The other test is called SMBG, or self-monitoring of blood glucose. Using a blood glucose monitor to do SMBG, testing can help you improve control of your blood sugar levels. The results you get from an SMBG test can help you make appropriate adjustments to your medicine, diet and/or level of physical activity. Every person who has diabetes should have a blood glucose monitor (also called a home blood sugar meter, a glucometer, or a glucose meter) and know how to use it. Unquote

SMBG (self-monitoring of blood glucose) is not a test, but a series of blood glucose tests used to determine how certain meals affect your blood glucose levels, help you determine if you may have something else, such as hypoglycemia (low blood glucose), hyperglycemia (elevated blood glucose), or even possibly an infection or illness causing elevated blood glucose levels. For food, the testing needs to be done in pairs with one test just prior to eating and the second test done 1 or 2 hours after first or last bite. A single test after a meal is meaningless and will not tell you whether you need to eliminate a food or greatly limit it.

Not every person that has diabetes needs a blood glucose monitor (continuous glucose monitor – CGM). Most people with type 1 should use one, but most people with type 2 diabetes only need a blood glucose meter. A few type 2 people would benefit by using a CGM.

The three prior blogs are – blog 1, blog 2, and blog 3.

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