Generalized or Individualized Diabetes Care … Which One Would You Prefer?

By MAYS Latest Reply 2011-02-25 19:08:21 -0600
Started 2011-02-24 16:34:16 -0600

In my opinion, many people seem to generalize their diabetes care and needs.

This range of needs is very broad indeed, ranging from Carbohydrate Counting, Diet and Nutrition, Medications, Exercise and Medical Specialist that are being seen.

Not to mention the OTC medications, home remedies, and advice given.

But yet diabetes (both type 1, and type 2) are individual diseases, just as unique to that individual as that individual is to the disease itself!

Think about it.

Your diabetic needs, and treatment should be catered to you.
What works for you should be yours, and yours alone, it should make you feel special because it was put together carefully with you in mind.

I know that my diabetes care is catered to me, I discuss this with all of my doctors during my visits, WE work together as a TEAM on my behalf.

I don't want my care lumped in with the care of everyone else, I enjoy being just what and who I am, an INDIVIDUAL.

What's your opinion?


24 replies

MewElla 2011-02-25 13:21:48 -0600 Report

I would say exactly ditto to jayabee's remarks. I log all information, diet/exercise/if something unusal happened that day, all test numbers, weight, etc and take log book when I visit the Dr. After all, it is up to me, not the dr to make sure that my diabetes stays in control. Days when I don't feel good, or numbers are running higher, I test more frequently so I can get a handle on what is going on.

jayabee52 2011-02-25 13:16:54 -0600 Report

I prefer individualized care, of course. I suspect most would.

But the only way care can be individualized for me, is for ME to take an active part in my own care. The Drs can read my numbers from bloodwork and urinalysis, and give me what they think is happening with me, but I am the one who has to take action to individualize my care for me. I'm the one who has to live in this body 24/7/365. I need to log my BG#s and my consumption of food or drink, my moods, pain levels, ect. I then communicate to my diabetes care team and receive their feedback as to how I'm doing & what I can perhaps do next.

Blesings to all


BandonBob 2011-02-25 11:16:35 -0600 Report

I am of course in complete agreement with you. The best approach a person can have is to question everything the doctor orders so that you fully understand what he is prescribing for you. What ever the doctor says it is your body and your disease that is being treated. Closely track and document any and all reactions to the treatment so you can intelligently talk to the doctor about how your treatment is going. Finally remember that the primary responsibility for your treatment is you.

realsis77 2011-02-25 09:59:57 -0600 Report

I completely agree with you! I'm still a bit bothered by the way my doc has me taking my second insulin. Its a sliding scale but its been working for me. I still might talk to him about that it seems too generic. I'm lucky my doc will listen and he's been wonderful. I take lantus and humulin R for my insulins.

MAYS 2011-02-25 14:07:22 -0600 Report

I'm glad that both you, and your doctor not only communicate but also respect each other's positions in this matter, by all means if you have a question ask your doctor!

Graylin Bee
Graylin Bee 2011-02-24 19:37:34 -0600 Report

But it seems most diseases need an individualized approach. People react differently to radiation and chemo in dealing with the same type of cancer. The same is true with treatments for other conditions. There is a begining standard of care that then can be tailored to fit how the individual responds.
Last year my encounter with MRSA deepened this conviction. The daily blood tests and changing of antibiotics to keep fighting MRSA without me developing a reaction to them was a very individualized approach. Treating the damage to my skin also was extremely individualized. During the four months of wound care, they continually modified the treatment, adjusting what they used at least 5 times.
I expect no less of my diabetic care.

MAYS 2011-02-25 03:00:50 -0600 Report

Thanks for responding, I was hoping for more responses but it seems that this is a discussion that many people will refuse to touch.

Your point of view amazes me, not because it mirrors mine (or mine yours) but rather because it is based on actual, personal facts.
There is nothing more that I can add to your comment because you have first hand experience in dealing with MRSA and Diabetes.
You know of the importance of individualized treatment, and the benefits of such.


realsis77 2011-02-25 15:28:53 -0600 Report

Thank you Mays. We can not all fit into one "box" so to speak. I believe its of major importance for our health that we all get individualized treatment to fit our own situations. I completely agree with you! Our bodies are different our weight is different our mental states our different we can't be expected to all have the same needs! I think this is a great post and a very important point to be made here!

realsis77 2011-02-25 16:04:37 -0600 Report

Your very welcome! Your opnions and words are also very true and important! You help many people! You are a very important person here on DC. It wouldn't be the same without you! God bless Mays! I'm glad were friends! :)

CaliKo 2011-02-24 17:16:33 -0600 Report

Hi Mays, thought-provoking as always. I could actually argue either side of this question. There is a huge range in how ill or healthy diabetics are, and what potential they have for improving their lot. A wide variety of treatments. And, it is a progressive disease with many stages. Not to mention that type 1 and type 2 are completely different diseases with a common symptom. And then there is the point of how compliant and vigilant we are in fighting our individual fights. Having said that, there are so many diabetics that I'm sure there is a large number that are in just the same stage and routine as I'm in. And you. And everyone else here. That's one reason I joined this group, to find people just like me, and also to learn from those with more experience than myself to help me fight better. And because my "normal" friends are sympathetic, but don't want to talk about diabetes all the time… So, I guess, yes, I'm an individual, but I feel like I have family here just like me. And lots more similar, but different.

MAYS 2011-02-25 02:48:25 -0600 Report

CaliKo, thanks for responding.
My issue is not with support systems, or support sites but rather with generalized care for diseases and chronic illnesses simply because everyone reacts differently towards medical treatment.

Although Type 1, and Type 2 diabetes share the same name, they are completely different, and the mentality of the patients is totally different.
Type 1 diabetics know that they have no flexibility in their treatment either way, you take your insulin injections, or your body will starve to death, where as Type 2 diabetics have a wide berth and more flexibility their concerning diabetes care.
I have been on both sides of the fence, and it is no picnic either way.
A stressed out, failing pancreas taught me an invaluable lesson in life.

(In my opinion) diabetes care should be catered to the individual, support is great and we all need some level of it, yet support can sometimes become a crutch, (and boy do I know a bit about crutches) if it is allowed to be.
People tend to shun their doctors advice, and recommendations, yet absorb that of others because it's what they may want to hear at that moment.
How many times have you read that "My doctor doesn't listen to me," or "My doctor doesn't know what he\she is talking about."
So why see a doctor if you are not willing to try it their way?
Try it, document your findings and argue your point if necessary, but at least try.

I love this organization, all of the communities that are within it, this site is an excellent idea, this family and the support of its members is priceless.
The support here is unbelievable, appreciated and much needed.
I just don't believe that any chronic disease can, or should be generalized.


CaliKo 2011-02-25 08:59:01 -0600 Report

Well, yes, I'm not disagreeing with you, medical care and a treatment plan should cater to the individual, I guess I just meant that there are so many T2s, that there are lots of people that fit into my same meal plan and exercise level and stage of the disease.

You are also right about people tending to shun the doctor's advice. Mine is always so happy that I've followed his advice and had good results. And if the plan happens to not be working, we move on to the next thing to try. In some cases it's not that the doctor doesn't know what he's doing, it's the fact that everything doesn't work for everyone, and they start with the safer options first. Assuming of course that one has a good doctor. More individualized treatment.

I love this community, too. And I've never really been one for joining support groups. But an online community is just the thing for me. Thanks for being here, Mays, and everyone else, too!

blakeashton 2011-02-25 15:27:34 -0600 Report

Caliko, I got what you're trying to say but shunning doctor's advice is sometimes dangerous , it can even cost you death .I hope you get me right .

CaliKo 2011-02-25 16:31:17 -0600 Report

Good point, it iis sometimes dangerous to ignor our doctors advice. We all have to choose our doctors carefully to find the ones that are good, and have a style of practicing that matches our needs. Diabetics spend a lot of time with their doctors. I'm lucky to have a group of doctors whose advice I gladly heed.

MAYS 2011-02-25 14:35:09 -0600 Report


This community is superb, and so are the family members such as yourself.
We neither have a disagreement , nor an arguement on this subject.

I cannot speak for another online site, but as far as this one is concerned it sparkles brilliantly in the darkness concerning diabetes care and awareness, and it brings so much interactivity and learning to everyone that is priceless!

I couldn't ever imagine this site without you, CaliKo, your discussions and input are both appreciated, and applauded by myself and everyone here.

I speak for many (if not everyone) when I say "Thanks" for being a member of this great and growing family, we may not cure diabetes but together we can make learning, understanding and living with it a lot easier for many people!