Friday, April 1, 2011

If Hindsight is 20/20 ...

This would be funny except it is not, it is the deadly serious health disaster for those subjected to this approach in treating their diabetes.  It's a  torturously long story to learn how this logic ever came about, and an indictment of a profession.  "Is there another disease in which patients are counseled to make things worse so that they can take larger quantities of medicine?" 

Dateline 2015, History of Diabetes
The conflict culminated in the large judgment for the plaintiff in Banting v. American Diabetes Association (ADA) in 2012, affirmed by the Supreme Court in 2013.

Banting was a person with type 2 diabetes.  Unlike people with type 1 diabetes, he was able to produce insulin in response to dietary (or systemic) glucose but his pancreas was progressively dysfunctional and his body did not respond normally, that is, he was insulin-resistant.  Although most people with type 2 diabetes are at least slightly overweight, Banting was not although he began gaining weight when treated with insulin.
The phrase “covered with insulin…” rocked the court: the president of the ADA, H. Himsworth, Jr., was asked to  read from the 2008 guidelines [2]: “Sucrose-containing foods can be substituted for other carbohydrates in the meal plan or, if added to the meal plan, covered with insulin or other glucose lowering medications.”
Jaggers (attorney for Banting): “Are there other diseases where patients are counseled to make things worse so that they can take more drugs.”
Himsworth: “We only say ‘can be.’  We don’t necessarily recommend it.  We do say that ‘Care should be taken to avoid excess energy intake.’”
It soon became apparent that Himsworth was in trouble.  He was asked to read from the passage explaining the ADA’s opposition to low carbohydrate diets:
“Low-carbohydrate diets might seem to be a logical approach to lowering postprandial glucose. However, foods that contain carbohydrate are important sources of energy, fiber, vitamins, and minerals and are important in dietary palatability.”

But yes, it is true, the current practice for treatment of diabetes is to load them up with a low fat, high carb diet which requires the administration of large doses of insulin to protect against the damage the resulting high sugar levels would otherwise do.  IOW - they make things worse so they can take more drugs.  This post shows how the enlightened treat this same population, keeping their blood sugars in the normal range.  

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