New Standards of Care from the ADA - includes BG Checking Updates!

MHoskins2179
By MHoskins2179 Latest Reply 2013-02-02 22:00:01 -0600
Started 2013-01-22 14:40:38 -0600

Hey, everyone!

In case you didn't see it, the American Diabetes Association recently updated their standards of care for 2013. Among the many items included, some of them specifically focus on the number of times per day that Type 1s should check their blood sugars. There are many more tidbits for both the Type 1 and Type 2 community.

Wil Dubois actually went through the document recently and we ran a blog post on this over at DiabetesMine - the link is http://www.diabetesmine.com/2013/01/fresh-new...

Any thoughts on these changes or the standards themselves?


6 replies

IronOre
IronOre 2013-01-23 23:54:15 -0600 Report

Can you be more specific on what was mentioned about the number of times per day.
As a T1 for 38 years I have zero respect for the ADA, so i would rather not venture into their territory.

MHoskins2179
MHoskins2179 2013-02-02 22:00:01 -0600 Report

Something like 6-7 a day, minimum. I've not cared much for ADA, either, in my nearly 29 years since dx'd. But they are getting better… Take a look at Wil's post. He has some good insight on all this.

southernchild
southernchild 2013-01-23 12:11:00 -0600 Report

When I first learn I was type two the Dr told me to test four times a day. Yesterday they have my a cart to test only two times and its different times on different days.

mhcfc13
mhcfc13 2013-01-23 21:32:56 -0600 Report

I was not told I should be testing. The suggestion was diet and exercise. I dance around the A1C that sent me to begin with, but it did not make my Dr very happy, and the BS did about the same to him. I have been told type 2 can be "cured" or at least become dormant as long as I watch the diet and weight.

Nick1962
Nick1962 2013-01-22 18:35:22 -0600 Report

And here I thought I was going to get another opportunity to bash the ADA. Like a few at DiabetesMine commented, I've become very disillusioned at what the ADA is doing in terms of prevention and treatment recommendations, so I wouldn't even have thought to look at what they're up to.
Had these new SOC's been in place 10 years ago, I would have been diagnosed even sooner. Would it have changed the outcome? I doubt it (for me at least), but it would in many people.

I commented in another post that I thought there should be a standardized protocol in treatment when diagnosed with "pre-diabetes". It seems like (and I hope this isn't the case) many doctors simply throw medications at the issue without treating the underlying cause. Finally, a recommendation comes that will send a patient with an impaired glucose or fasting glucose tolerance, or an A1c in the pre-D range to a qualified weight loss program to get rid of 7% body weight.

Considering I've been "asymptomatic" (by this recommendation anyway) all my adult life, I could have been tested in my early 30's instead of waiting until age 45. Again, would it have changed the outcome (or more realistically, would I have listened to my doctor), probably not. Then again, no one seriously told me at age 30 I was at risk for diabetes either.

ADA gets some redemption points from me on this one. Not near as far as I'd like to see them come, but a solid step in the right direction. Just hope our doctors follow the rec's.

mhcfc13
mhcfc13 2013-01-23 21:22:28 -0600 Report

I have not looked at the ADA site, because I find this environment more user friendly and supportive. I do want to make a comment on the doctors and underlying cause. From my stand point, I have 3 years of being pre-diabetic to change. I am a type of person that starts out and then the motivation seems to disappear. I have other "environmental" issues that I feel I do not control in reference to my diet. If we (the patient) not only listen but do and continue, we have the responsibility.
I agree that there should be more educational endeavors for prevention and intervention. Prevention is a pre- thing that is being worked on. Intervention education on the other hand, the doctor's have little Bedside manners on. I like my doctor, he has done several things. I did get the feeling he was frustrated because I was not able to control and maintain the pre-condition prevention and am in the intervention stage. There needs to be as much social education as there is for individual education. The problem I have is I am in the individual education point to concern myself with the social education. There is a need for considerations on the medical, individual, and association parts to bring diabetes into a controlled concept. Thank you for the opportunity to respond.

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