281–290 of 372 posts
Very dumb question here, but I don’t dare ask it to ChatGPT. What would happen to T1 or T2 diabetics if we would stop eating all sources of sugars and carbs? So no fruit, no rice, no potatoes and so on? Would it be possible to survive and live comfortably in a state of Ketosis? Or is a 100% ketogenic diet simply not possible on diabetes? I’m asking because my true question is: what if insulin becomes too expensive? T…
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>I understand that some people would look at that list and say I should have never expected some of those, but pardon me for being propagandized at a very young age that we lived in a country that was good and just. That's my bad I think the problem is that you were raised to think that a "good and just" world is one where there is no risk, no variability, and limited self-reliance. This is a fiction and has never ex…
Honestly, as a society we should be able to guarantee most if not all of those. Every single one of them is an economic trade-off and when you put for profit companies in the loop, it’s obvious that they will prioritize their profits. The system is for profit by choice, it is under our control as society to guarantee that list or not, and we have chosen not to. Might be the right or wrong decision, that’s up to each…
>The system is for profit by choice, it is under our control as society to guarantee that list or not, and we have chosen not to.
The system is for profit by choice, because most people care about themselves. It would very hard to make your doctor care more about your life than theirs, or care about your kids more than their kids.
You can institute harsh criminal penalties for doctors like some suggest in this thread, but even then, they are still putting themselves first.
Im not sure I'm "denying" any choice. Im just stating how it is. I have no doubt the world would be different if people chose different - which is a tautological claim.
I'm a T1D and I mostly agree with the author. I think this simulation is very interesting. I disagree with the author however on the following point: "injecting insulin ~15min before you start eating would do wonders for neutralizing the BG spike, the issue is, nobody does it, because what if you then get a smaller serving at the restaurant or it gets delayed?" My doc told me the same, which I think is insane. "Here…
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That hasn't been my experience. I have never experienced or heard of a doctor deceiving or lying in real life. I dont think I can think of an example from hospitals either.
I've had dentists discover that I needed a filling after they found out how good my dental insurance was. Their justification was that the tooth seemed "soft". They never took an X-ray or provide any other data than that.
What I've learned that, as an adult in 2024 in the United States, you cannot take for granted: - That your medical professionals are acting in your best interest - That your insurance company is acting in your best interest - That your medical professional knows what they are talking about - That things that are legal to put in your body will not cause irreparable harm to you - That the legal level of pollutants in t…
It took me a long time to get to grips with the fact that you can't even take for granted that your own parents act in your best interest. We were all propagandized with love and kumbaya songs. In reality life is a lot more.. erm let's say self benefit driven with a lot of sprinkles of ego in it. People optimize their language output for their self benefit while actions don't really need to be aligned to get most of…
Or they're delusional and legitimately believe the nonsense they're up to (insert your personal childhood gripe here) is in your best interest.
I'm a Type 1 diabetic living the United States and my experiences have been a bit different. > This is called “closed loop” or “artificial pancreas”, and getting one officially is very hard or impossible: not FDA approved yet / you need to be part of an university study to get one / … It’s one of those things that “will be here in 5 years”, they say every year for the past 30 years. These exist now. I've had one for…
do you have a citation? that lines up close enough with my factors but I’ve never seen the formula stated that way and would like to learn more.
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Having experienced healthcare in multiple countries I can say most of the items on your list are pretty much universal, unfortunately. Skipping over the capitalistic and legal issues, which people more or less expect, I'd like to zoom in on your item #3. The fact that doctors are (often) clueless for complex diagnostics (not talking about a broken arm, etc.) is shocking to many people. I think the two main factors dr…
I don't mind point one, and it can be improved in many ways. AI being a huge one. Point two, though, is just an example of how preventive medicine is forgone due to its cost. The system doctor's use to share data could also stand massive improvements.
Cost is only one of several factors for forgoing preventive medicine. Many preventive services haven't been proven effective, or carry a risk of iatrogenic harm. And the healthcare system overall only has a limited capacity which is difficult to increase for a variety of complex reasons, so delivering preventive care to one patient may reducing access for other patients who already have medical conditions.
There are a limited set of preventive care services which most US health plans must cover at no cost to the patient because they have been proven to be net beneficial.
https://www.healthcare.gov/coverage/preventive-care-benefits...
If you think that more preventive medicine should be covered then you can submit public comments to the task force responsible for writing the requirements.
Fellow T1D here. Switched to a pump (tslim) 2 years ago, which is a stock/market semi-closed loop requiring no homebrew when paired with Dexcom. Works pretty well in that it keeps things in range when not eating/exercising. Nights in particular now are chill, no more waking up in sweat. Unfortunately the pump vibrates/alarms far too much, causing notification fatigue. I don't even look at them anymore. I wish there w…
The LibreLink app allows me to use different alarm tones for lows and highs, and I'm _still_ getting alert fatigue. To the point that my wife needs to ask "is that your phone telling you you have a hyper?" for me to actually start doing something about it, sometimes.
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Just anecdotal. Was T2 and getting kidney stones every two or three months (cause not related but treatment was). Cut out oxalates which restricted diet. Monitored sugar 3-5 times daily. Switched to carnivore diet + onions and mushrooms and went on Metformin. All at the same time. Did this for 2.5 months with no additional exercise. This dropped me down below T2 level. Went off Metformin and am maintaining with same…
Sounds like a good way to trade one problem for another.
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This is naked political activism that clearly breaks the HN guidelines and offers zero informational content, intellectual gratification, or other value to me or anyone else here. Please don't put stuff like this on HN. https://news.ycombinator.com/newsguidelines.html
There is nothing political about what I said.
> So I am not surprised to see this, and expect to see more of it.
This is political. You are extremely clearly dog-whistling to the "government needs to reform healthcare" and "America bad" groups. Precisely zero people use this kind of hyper-charged, content-less language without a political agenda.