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Re: [IPk] the pump is definitely helping my hypo awareness
In message <email@example.com>, John Neale
<email @ redacted> writes
>But I do sometimes wonder what sort of results people really truthfully do
>obtain. We have all fabricated results at some point have we not? - and
>many do systematically I believe. Which is why doctors love an HbA1c result
>- the patient cannot fabricate it. The difference with pump therapy is
>that that result - whether or not it is truthfully recorded - is used there
>and then to adjust the next bolus. So it has real value. On MDI, the
>results often simply reinforce your sense of failure.
I thought your footnote would refer to what a diabetic friend of mine
does: for a couple of days before visiting the doctor, he runs at 2-3.
He claims this 'resets' his body to a low HbA1c.
I personally gave up lying about results some years ago. I have, as a
result, had doctors rant at me for behaviour which I think is perfectly
reasonable, and which I'm not going to change (such as make the odd
mistake in CHO estimation, and recording it as a mistake. One doctor
said 'you shouldn't have done that' and I said 'oh, I'm sorry, I'll
start using a code, so I can make use of my records, but I'll tell you I
don't know why I go high or low, so you won't get upset'. He had the
good grace to blush. But that's why most diabetics lie: doctors can't
handle the truth. We get shouted at for venial slips, so who's going to
confess to the real biggies (going without bg measuring for months on
end, avoiding injections, etc. etc.).
I do use my results to adjust MDI - and so do a lot of us (although it's
frowned upon by many doctors). It's something diabetics can easily lie
about, to avoid upsetting the doctor (I still do this to non-diabetic
specialists, it's far easier to say 'I have seven units at lunchtime'
than to say 'well, I measure my bg, and I think how long it will be
before I eat, and I think about how much I'm going to eat, and what I'm
going to eat, and where I am in my menstrual cycle, and whether or not
I've exercised that morning, and inject. The answer is usually seven
With best wishes,
email @ redacted
"It might look a bit messy now, but just you come back in 500 years time"
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