Neither an end nor the other, each one knows what best.There is more and more evidence that good control cannot be carried out, a gly in 6 or less than 6 better, little glycemics variability and much less risk of complications eating the hydrates that told us at the beginning when we started. I am a type 1 doctor and diabetics for 41 years so I have gone through all the phases of food recommendation and all the insulins in the world, starting with the pigs, which were the ones when I started. I will not expand myself in all my story because it is not applicable and there would be no space or time but I do say that after the years I have been, the personal and professional experience, I keep a low food in hydrates that it allows to have littleGlymician variability and no. getting to be aware of rations all the time, as well as much less risk, mistakes in the insulin doses for both hyper and hiccup and that the amount of hydrates is less than the one that is supposed to be recommended.My goal is not to be in ketosis or anything but closer as much as possible to Normoglycemia (understanding by this, gyzed of 5.5 and little glucemic variability, which is what is in population No.db), and being correctly nourished. After so many years of evolution and by following recommendations in my opinion wrong during the first decades of diabetics, I have some things that perhaps and very surely not.Insulins, the sensor etc q before no.habia. I do not see another way to achieve good control and reduce the risk of important long -term complications, such as low -food in HC, daily exercise to reduce insulin resistance (and more after many years of evolution)A correct and intensive guideline of insulin.I speak of type 1 especially.
DM 2 con páncreas agotado desde diciembre 2020. 51 años entonces. HG diciembre 2020: 15.9. Última HG: julio 2024 5.8 Abasaglar 9 unidades. Metformina, 1000/0/1000. Humalog junior: 2 unid en desayuno y luego en función de lo que coma.
Isabelbota said: @pinkman and @pau91 Thanks for such interesting and well explained information from different points of view.
Yes, totally agree, your participation is appreciated by providing valuable information and contrasting the different opinions, an applause !!
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I think that the doctors who expose their ideas around here, should ensure that they are more rigorous and clear, if possible with concrete evidence. Otherwise they can cause Lega People to be obliged to defend the weak opinions of such doctors before other ideas from doctors, experts or opinion.
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Andrespmat said: I would say that @pau91 is not opinion is knowledge since he said he was a doctor, the other meanwhile, it is the opinion of a forero !!
Hi Andrespimat, it is fair to add the contribution in this thread of the doctor Meginer.
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Well, for my part I close the subject.
The debate enriches, and the diversity of opinions also (although it is uncommon to discuss the pathophysiology of ketoacidosis, the truth).
It is a pleasure to contribute something to everyone who is here, so thanks for the messages you have written to both of us.
As the summary is that I am not rigorous, of course, nor do I have concrete evidence, only weak opinions that need lay people who defend them, give you the absolute truth @pinkman.In the next post I will talk about football or time if it does not offend you, that there are important things in this life and things that are not.All the best!
Hi Andrespimat, it is fair to add the contribution in this thread of the doctor Meginer.
GREETING
Totally agree @joelsa, in fact @meginer has more experience than me in medicine and in diabetes.For me they are contributions that you have to hear very carefully and from which we all have to learn.