4 Reasons Why You Need To Take Responsible For Your Diabetes
Just like you, I was brought up to believe that doctors had the answers. Has complexity changed that belief?
Who is the most important person on your health team? Believe it or not, it is you!
Here are three quotes to kick us off.
A quote from Guenther Jonitz, president of the Berlin Chamber of Physicians. “What Doctors Need to Know? Medicine today resembles the church in the sixteenth century. What we need is a reformation. Few doctors are trained to judge and evaluate scientific studies. I myself chose to be trained as a surgeon to avoid two things: statistics and psychology. Now I realize that both are indispensable. We have a disjointed healthcare system. I am appalled at what people tend to believe.”
A quote from Dr Marcia Angell, who was the editor of the New England Journal of Medicine for two decades. This was, and remains, the single most powerful and influential medical journal in the world. “It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine.”
A quote from Samuel Johnson: “And take the case of a man who is ill. I call two physicians: they differ in opinion. I am not to lie down and die between them: I must do something”.
With these kinds of indictments, where does that leave you. Well it is up to you to test and search for the ones you can trust. It’s your responsibility.
Here are 4 reasons why you need to take responsibility yourselves.
- Diabetes Is Very Complex But More Importantly Very Individualized
Did you know, Diabetes is very complex not only for us but for doctors and researchers. Diabetes is not a single disease but a syndrome with at least fifty possible major causes. Over 170 new diabetics drugs are in development, according to a recent PhRMA magazine making it even more complex for the us and our doctors. Click here to see the magazine article. This complexity is only the biomedical part. There is the psychological and the behavioral parts needed to maintain tight control over many years adding to the overall complexity.
Diabetes decisions are complex having substantial consequences and involve important uncertainties and trade-offs. The uncertainties may be about the diagnosis, the accuracy of available diagnostic tests, the effects of treatment. With such complex decisions, it can be difficult to comprehend it all, let alone to compare them to other alternatives.
Diabetes’ effect on us is incredibly individual. Too much of what is written about Diabetes implies it is one disease with a few causes. This overgeneralization is grossly misleading and can be damaging. Your stress levels, your history, your emotions that drive to eat more, your beliefs, your level of disappointment can have an effect on your Diabetes. We need to look at these individual aspects of ourselves. We need to get this individual information in front of your doctors to best treat us. The benefit is that you get to treat more accurately your needed control on your Diabetes. Swallowing general information can lead to a wrong decision frustrating your ability to tighten your blood control. For example, it might not be eating improperly or poor exercise it might simple be we have an infection or a low-grade fever or a depression.
Rather than accepting complex overgeneralizations about Diabetes, as popular it maybe, the best and most accurate would be to test yourself and have your doctor review your tests. The key factor is about taking care of you. Doctors are too focused on their theories and have little time for you.
I would love to have my doctors spend more individual time with me, but that is not going to happen. I would also love if my doctors do more research and testing, I would also love if my doctors were trained in statistics and psychology, but that is not going to happen. They will rely on research reports and pharmaceutical information even if they ae grossly inaccurate.
What we must do is take the more responsibility for our Diabetes.
- Diabetes Research Is Leaning More Towards Ultimate Prevention Than Bettering Current Treatment
You should be glad there are billions of dollars being spent in Diabetes research. I believe all Diabetics would love a permanent cure. One particular research budget (click here for the report) shows less than 1% of the money is allocated is for behavior improvement which is a big problem right now. How many of us will have serious complications before they discover something?
I wonder if the medical research world is thinking too much of hitting a homerun than helping us with Diabetes right now. The bulk of their budgeting seems to say so.
The Center for Disease Control listed Diabetes as the 7th leading cause of death in the United States in 2015, with 79,535 death certificates listing it as the underlying cause of death, and in 2014, 76,488 people died of Diabetes in America, so it is growing. Also in 2015 a total of 252,806 death certificates listing diabetes as an underlying or contributing cause of death. There is no mention of Iatrogenic Disease: Iatrogenic Disease is defined as a disease that is caused by the medical treatment and is the 3rd most fatal disease in the USA.
The American Diabetes Association has spent $770 million dollar since 1952 on over 4600 research projects on Diabetes according to their research summary paper of 2016. (click here for the report). The National Health Institutes research workgroup (click here for DWG 1999 report) budgeted 1.2 Billion a year for 5 years to accelerate research on Diabetes calling the effort Conquering Diabetes. The are many other international organizations funding research on Diabetes. What are the results? More research. Historically major research breakthroughs for Diabetes take many years. Our last major breakthrough was in 1921 with discovery of insulin, which was 96 years ago.
There is strong evidence that tight control on your blood glucose levels can delay or prevent Diabetic complications. However, those techniques are hard to do across many years. From the NIH research workgroup only 1% of the budgeted money is going towards researching behavior changes, which can help to get the tight control we need now. Most of the money and effort is on Biomedical discoveries.
There is no mention of the lives that were saved by a specific research project to date. Also, no mention of which research project saved a life. Why not? An important question that needs to be answered.
I’m not trying to tell you not to go to a hospital or a doctor’s office. What I am telling you is that we need to do more testing and checking with multiple opinions before you take the risk. It is about taking more responsibility for our illness. Hospitals as well as doctors have too little time to do a complete diagnostic and rely too heavily on current strategies. We need to provide them with the best individual information for them to make the best decisions.
International Diabetes Foundation estimated in 2015 415 million people worldwide have Diabetes and they estimate that 642 Million will have Diabetes in 2040. So, the problem is getting worse, not better.
Yet, we still have no cure and less agreement on treatment from all the experts and there are plenty of them. They need to do their research and it is critical and we want it to continue. But it isn’t the whole story. The whole story is more than biomedical research and advice. We are talking about a lifestyle changes of who we are. Changing who we are is deeper and more challenging than taking a medication.
- There Are Too Many Broken and Failed Diabetic Strategies
The treatment of diabetes has changed little over the past forty-five years. Although many new medications have been developed, patients still must watch their diets closely, exercise, and take insulin or oral medications throughout the day. And despite adhering to a strict treatment regimen, many continue to struggle to control their blood sugar.
What does reversing Diabetes really mean? Does it mean you never have to worry about Diabetes? Does it mean you can generate good blood sugar numbers if you adhere to some diet for some period of time. Reverse has some sense of permeance to it and these solutions are not permeant solutions. There are so many books with unsubstantiated claims about reversing diabetes. I can reverse my blood glucose numbers to be excellent without eating for a week. But I cannot do that for many years. Yes, I believe we all would love a final cure. I have done my share of looking into these claims with a lot of hope. Maybe they work for a few people, but I doubt that it worked for the majority because the numbers are getting worse.
You might recognize some claims that go on and on why their solution is the best and their price the best, and are willing to give you rock solid guarantees because it is so true. There seems to be many people flashing their credential and claiming they have reversed Diabetes. And they are for the most part a short-term solution for at best for a small segment of the Diabetic population. They either have a poor understanding of statistics, or looking for an easy way to make money. I do believe there are some who believe their claims worked. We can keep an eye on their theory and test for it for yourself.
The media keeps reinforcing these broken strategies in its quest to create news, however, they have distorted the realities of Diabetes. They seem to just pass the medical advice to the public without challenging it. You might think with a problem that has been advertised by the medical profession of having over hundreds of millions of people affected that it would be bigger news than the political nonsense they seem to want to talk about.
Most of the current strategies recommend dieting. Dieting has been one of the most broken strategies I know of. It has a horrible track record. Dieting is a short-term solution at best and then you go up and down and usually end up higher than when you started. We are looking for a long-term solution not to lose weight in 20 or 30 days. Our complications are long-term consequences not short term.
- The Trust in Healthcare Is Withering Away
It is becoming harder and harder to answer whether we trust our healthcare system when the government, medical and pharmaceutical industries, medical research and regulatory bodies, clinical practice, healthcare charities and associations, and national healthcare systems are hopeless entangled with biases and personal and profit seeking agendas.
It also seems like the mass media are feed a line from the medical community and they just pass it along to the public. They are not going to challenge them.
So, who is out there looking to help us?
Unfortunately, this is going to land on our shoulders. We have to take the responsibility to help ourselves to get all members in our health team to focus on our individual problems with Diabetes.
Here is some advice from Dr. Malcolm Kendrick, from his book “Doctoring Data: How to Sort Out Medical Advice From Medical Nonsense:” A book worth reading.
- If there are large sums of money being made from selling a drug then it is absolutely 100% certain that there will be significant bias in the direction of the drug, in all research and publications.
- Look for the people out there who have a completely different viewpoint from the mainstream.
- Decide whether or not they sound sensible, and look at the facts and data they present.
- Does it seem robust? If they pass these basic tests read what they have to say e.g. Ravnskov on the cholesterol hypothesis, Gøtzsche on breast cancer screening, Groves, Briffa and Taubes on weight loss. Lorin on Alzheimer’s, Graveline on statins and Alderman on salt.
- At the very least you should find it interesting, and you will often gain a completely different insight into an area you may have thought was signed, sealed and delivered.
- Trust yourself to understand what is being said. If you cannot, it is not you – it is them. If you cannot understand what is being said, it is most likely deliberate.
- Be skeptical.
What Can’t We Do About It?
We are not going to change the way the research is being done. Nor will we be involved nor can change the budgeting and biases.
The Pharmaceuticals will continue on the way as they always have. There will be massive claims and others trying to take advantage of us. Hiundr4eds of new medications toss at us.
We will not be able to challenge the established medical practices.
We will not stop the experts from being flatly wrong or biased.
So, What Can We Do?
Here is a famous quote form Samuel Johnson, “And take the case of a man who is ill. I call two physicians: they differ in opinion. I am not to lie down and die between them: I must do something.”
We cannot just lie down and take it.
Focus on your personal data and facts. Look for consistency in your data. Get multiple opinions from the experts and use common sense specifically about you.
Which means developing a network where there are contradictory opinions with experts not necessarily tied to big corporation or associations.
Let’s look at their numbers. Where do they contradict themselves?
The only real and effective thing we can do is to take responsible ourselves and build a network over time we can trust.
If you don’t have your Diabetes education paid for from your medical plan, sign up for an inexpensive energetic presentation Diabetes, without becoming a super expert. Try Udemy video Click Here To Check It Out!
Ask Doctor Bernstein’s Teleseminar are free. Whatever questions you have, he will answer them. Plus, you get to hear all the questions other Diabetics raise that might be applicable to you. Click Here to register
Here are a few books:
- Kendrick, Malcolm. Doctoring Data: How to sort out medical advice from medical nonsense. Columbus Publishing Ltd. This book really gets to the realities of how medical data is manipulated – a must read! Click here.
- Dr. Bernstein’s Diabetes Solution: The Complete Guide To Achieving Normal Blood Sugar by Richard K. Bernstein. He is the best for low carb diet and managing normal blood sugar levels. Click here.
- Blood Sugar 101: What They Don’t Tell You About Diabetes Jenny Ruhl. She has done wonderful research and has done a detailed analysis and it is worth a read. Click here.
- The Biography of Diabetes by Doctor Robert Tattersoll. This book will give you a sense of a brief medical history of Diabetes from the begging. Click here.
Educating yourself on Diabetes will be a step in taking responsibility for it.
There are many other resources we will bring up in future posts.
What’s Coming Next
We will be writing posts on the effects of belief systems, stress, lifestyle changes, questions for doctors, leading healthcare professionals and consequences of not taking responsibility. These ae just a few. You can make suggestion where you might want us to go next. Just put it in the comments.
Help Spread the Word
Let’s get more people involved in the conversation. Let’s learn from each other
Be well and take charge…