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Taking my diabetes treatment into my own hands

martin.janiczek.cz

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Re: Taking my diabetes treatment into my own hands

#311

Post by moffkalast »

dotancohen wrote: post #301
moffkalast wrote: post #196

Earlier quoted context omitted.

You can always trust people to act in their own self interest, everything else (including your list) can be proven from that first principle.

That is the literal definition of cynicism.

Quite right, even the broader philosophical definition of "cynicism rejects all conventional desires for wealth, power, glory, social recognition, conformity" fits perfectly with my views. I am a cynic in every sense of the word :)

Ahem, I meant to say: This but unironically.

Re: Taking my diabetes treatment into my own hands

#312

Post by dbspin »

noodleman wrote: post #310
dbspin wrote: post #139

Earlier quoted context omitted.

I feel your pain, but 'threats of criminal punishments for lazy medical professionals' isn't a great idea. There are already laws against medical malpractice, but it's pretty obvious why prosecuting doctors and nurses for 'laziness' would be incredibly counterproductive and result in a massive increase in bureaucratic ass covering rather than improved care. Ask yourself - what caused the NHS to get into this situatio…

Those are junior doctors on dirt pay. Consultants earn up to £95k a year.

You were specifically criticising "younger diabetes nurses and doctors". Bear in mind also - part of the reason trainees and nurses have such poor pay (and far more importantly, awful suicide inducing hours and conditions cross nationally), is a rigidly hierarchical system where consultants who were themselves overworked and underpaid themselves see this as a right of passage.

Re: Taking my diabetes treatment into my own hands

#313

Post by InDubioProRubio »

JackMorgan wrote: post #133
InDubioProRubio wrote: post #87

Earlier quoted context omitted.

But have you tried the NET(X)BigTHING framework for GUI? Its a chain of hype-(r-links) forming a gui..

... and it works on every platform from BlackBerry, iPhone, MacOS, Windows, Linux, desktop, and mobile! Has lots of tools to handle different resolution sizes and alternate languages! Of course it's often a little less performant and requires Learning New Things. But generally the trade-off is worth it for the significant benefits if you want to share it with the most people.

If it is adapted, by most people, which is not, because the company internal software graveyard calls for these frameworks

Re: Taking my diabetes treatment into my own hands

#314

Post by vjust »

jklinger410 wrote: post #137

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…

You're likely as old as my kid, so I am sad to see this. Yes, take your health into your own hands. Medicate as little as possible - but this won't work for many people - in fact it could be dangerous. I am lucky to not have chronic conditions so I could afford not to believe my medical professional.

In my case - just to get the facts on Blood pressure took quite a bit of digging - thanks to some independent doctors who went against the grain and had a conscience and courage to dissent. Cholesterol is an even murkier pool. Its amazing how muddled the picture is.

Re: Taking my diabetes treatment into my own hands

#315

Post by influx »

s1artibartfast wrote: post #284
influx wrote: post #272

Earlier quoted context omitted.

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.

Do you think they lied and completely made it up? If so, I hope you refused to buy the filling.

I don't know, but in hindsight I would have asked for an X-Ray. I think it was a borderline call and they went on the side of doing it because I had good insurance.

Re: Taking my diabetes treatment into my own hands

#316

Post by itchyouch »

jklinger410 wrote: post #137

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…

I've realized similarly and by being "blessed" with very low-grade chronic conditions (family of diabetics, fatigue), I've created my own low grade insurance policy by creating lifestyle interventions in nutrition and exercise to maintain my health.

If I were to summarize the thousands of hours of what the Phd/MD health podcaster space has promoted, the jist of it comes down to:

- Get about 1 cup of 5 colors a day. Usually a smoothie is the way to achieve this. I make them in batches and they are conveniently available as grab and go.

- Prioritize sleep

- Exercise to improve v02 max as high as possible

I think _most_ of the population on hackernews has the financial privilege to implement the above 3 in various ways. But those will provide such a quality of life improvement to anyone dealing with chronic illness that it reduces the need for medicine a ton. And much of the damage from the environment can be mitigated by providing the body with the nutrition necessary to detoxify and deal with the various stresses they bring.

The way to look at modern medicine is that, modern medicine is very good at fast death scenarios. Heart attacks, randomly acute conditions, but they are terrible when it comes to slow death conditions like diabetes and dementia.

We need to look to rely on modern medicine for quick death, while creating interventions on the slow-death side ourselves, unfortunately.

Re: Taking my diabetes treatment into my own hands

#317

Post by itchyouch »

viraptor wrote: post #280
pokot0 wrote: post #267

Earlier quoted context omitted.

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…

It's beyond economic trade-off. You're talking about full perfect control over people's behaviours. > That things that are legal to put in your body will not cause irreparable harm to you You can get water intoxication by literally drinking too much clean water. How are you going to get anywhere close to controlling that? > That your medical professional knows what they are talking about You just lost all medical sta…

The challenge with medicine, if one is dealing with a known condition, there's a known intervention. And Any number of simple and straightforward tests will make it easy.

It's with the unknown conditions, that doesn't fall into the mental flow chart of a medical professional's mental model are SOL.

The real answer to most folk's chronic conditions are lifestyle interventions, but of course, medical professionals most difficult challenge is ensuring compliance. The only tools available for a medical professional to a patient is to beg, plead, threaten, yell, discuss the interventions till they are blue in the face, but unfortunately, you can lead a horse to water, but can't force them to drink.

The elephant in the room that no one wants to admit is that a lot of health issues are both self-inflicted through lifestyle choices, and it creates an negative feedback loop of demand for professionals to be able to truly have more time to care for the patients that truly need help.

Re: Taking my diabetes treatment into my own hands

#318

Post by itchyouch »

sizzle wrote: post #251
jklinger410 wrote: post #137

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…

Any idea how to remove the most common pollutants we run into everyday? I try to avoid high VOC materials and use charcoal filters for water. Kinda lazy to set up reverse osmosis system right now.

Outside of switching things up like using glass containers, enabling the body to detoxify itself and repair itself by ensuring that it gets adequate nutrition (daily) and exercise is the key.

But for a simple pill solution, consume sulfur. For as important as it is, it's not widely front of mind in the health space. So much focus on Vit D, Magnesium, Omega 3s, etc, which are all absolutely necessary.

Some great sources of pill based sulfur are Taurine, NAC, and MSM (methylsulfonylmethionine). My preference to recommend blindly as a general pill is MSM. But sulfur is key for the liver's detoxification functions to work ideally.

There's quotes flying around that say something like: 80% of the population (US or world) is deficient in X.

Usually X is omega 3's, Magnesium, Vit D, and also to add to the list, Sulfur is a huge one. Outside of being in a culture like Koreans that consume cruciferous veggies 3x/day (via kimchi), most americans only get it from meat, garlic, onions and broccoli. If one has brittle nails or hair doesn't grow as quickly, that would be the sign that something like MSM in pill form would be helpful. Otherwise, folks are probably fine if they are consuming daily amounts of anything containing sulfur.

Re: Taking my diabetes treatment into my own hands

#319

Post by itchyouch »

beauzero wrote: post #190
supertofu wrote: post #145

I'm prediabetic with two T2 parents and a T2 grandparent and my primary care doctor is entirely unconcerned about it. My lowish tech solution to delay (and hopefully prevent!) the onset of T2 is to use a glucose monitor every 2 hours, every day, and create a database of foods with my postprandial blood sugar reaponse at 1.5 and 2 hours. I also keep track of how exercise affects my blood sugar. Over the last couple ye…

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…

I like to add that the reason why the carnivore diet seems to work really well is a couple of things.

- compliance is straightforward

- on average, will tick all the boxes for nutritional needs. (ie. vegans eating only oreos would not be very healthy, while vegans eating 5 colors a day would be far better off)

Re: Taking my diabetes treatment into my own hands

#320

Post by itchyouch »

fortran77 wrote: post #124
DougWebb wrote: post #86

Earlier quoted context omitted.

T1 and T2 are completely different diseases. T2 should not be called diabetes. It should be called insulin resistance or chronic carbohydrate overdose. I was diagnosed as pre-diabetic/T2. I started wearing a cgm and watching how various foods affected my blood sugar. I eliminated foods that caused spikes, and started cooking my own meals so I could control what went into them. I wound up with a very low carb diet of…

There are some people with T2D—a minority of them—who are not overweight. I think T2D with overweight or obesity should be called something else.

It's metabolic dysfunction at its core.

Optimizing the electron transport chain via supplements like CoQ10 (Ubiquinol more bioavailable), Benfotiamine (b1 form), Nicotinamide Riboside (b3 form) are extremely helpful.

That's the reason why metformin works so well for diabetes, and has longevity extension effects, because of how it stimulates the AMPK pathway, which is also anti-inflammatory (thus lowering oxidative stress).

We can reframe a TON of chronic conditions under the umbrella of mitochondrial dysfunction, whether it's ME/CFS, T2 diabetes, anxiety, depression, and addressing the mitochondrial dysfunction tends to be extremely helpful, if not able to bring the conditions into remission.

The problem though is that addressing mitochondrial dysfunction requires a multi-pronged approach with a lot of disruptive lifestyle interventions, which makes the activation cost for such things a hump that the average person will not be able to get over unless they have enough privilege to do so.

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