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Old 02-26-2018, 02:01 PM
 
71,643 posts, read 71,777,271 times
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Quote:
Originally Posted by EveryLady View Post
I agree with all that you say - except for the diabetes although studies do show there can be reversal of "pre-diabetes" and *some* diabetics can manage their condition to achieve low hbA1Cs without medication through diet and exercise.

To stay on point ... there probably won't be universal health care ... our cultural norms won't except it. BUT, the same personal dynamism that led folks to reach these shores to create the economic viability that led to personal success and to the world's most successful economy also leads to the migration patterns not to mention sometimes uniquely American work structures that leave many families spread far apart and impacts the ability to provide the kind of support that existed in the past - even in America.

THAT'S the crisis. That and will Medicaid survive and in what form?

But ... actually your comments on diabetes are quite on point ... for they are based on what searching for information can DO. My mom was diabetic and so a few years back I - like you - took the time to plow through the studies. My endo (I see one for a thyroid nodule) said that among his patients I (again like you) was virtually unique. Not many non-diabetics track post-meal blood sugar.

What I learned is that we are having a diabetic crises of sorts in the United States not just because of our American food/exercise patterns, but because the information provided to patients is, again, mainly crap. Diabetes is identified in the United State primarily by the quick and cheap glucose fasting tests that are part of an annual exam. By the time, an individual fails that test he/she may well have been diabetic for YEARS, and never known it.

So, yes, you are correct - postprandial measurements that a patient can themselves do relatively cheaply using the Relion monitors (Walmart) ??? is the best prevention measure. But do the health articles found on the web provide that information. No. Same thing as for the financial media porn.
i am one of those diabetic's who reversed it to pre levels through diet , weight lifting and running 5 miles every other day . we are in the gym 6 days a week . been like this going on 15 years . it held okay for years but as the doctor told me it is very difficult to keep from rising as you age .

i crossed over in to diabetic again last month , just over the line .

i am tightening up the diet even more but if that does not do it anymore i will be on meds. it reaches a point that the diet becomes so strict it really is not do-able long term .
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Old 02-26-2018, 02:03 PM
 
191 posts, read 134,419 times
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I think you just have to do it Golden Girls style with some roommates and nurses that check up on the house from time to time or move to another country where your money will go farther.
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Old 02-26-2018, 02:19 PM
 
3,099 posts, read 824,721 times
Reputation: 1760
Quote:
Originally Posted by mathjak107 View Post
i am one of those diabetic's who reversed it to pre levels through diet , weight lifting and running 5 miles every other day . we are in the gym 6 days a week . been like this going on 15 years . it held okay for years but as the doctor told me it is very difficult to keep from rising as you age .

i crossed over in to diabetic again , just over the line .

i am tightening up the diet even more but if that does not do it anymore i will be on meds
Good for you.

I've been very sloppy lately for there are multiple diabetic genes and no doubt I've inherited my share. Still not "diabetic" per fasting glucose nor HbA1c (eating crap and not exercising this winter resulted in a 5.1) ... but I'm wise enough to know that means naught over the long term.

I also test using a standard glucose load (McDonald pancakes with light butter and coke plus sometimes do the measured rice test) and yes, it's possible, to revert to better glucose control - at least for a while.

For like you say functioning will worsen with age.

Many hope that if you can keep the HbA1c below 6.0 (using meds or not) there should be no negative long-term impact. (It's been a few years since I've read anything.)

Regardless, it sounds like you're not a fragile diabetic where control is very difficult - that's most of the battle.
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Old 02-26-2018, 02:30 PM
 
71,643 posts, read 71,777,271 times
Reputation: 49230
i increased to a 6.50 ... life would be a whole lot easier on some light meds . everything i do and eat is reflected so easy . i really am pretty limited in what i can eat if i want to stay in the pre range .

i am eating the minimum acceptable amounts of carbs and sugars that i can live with daily . if this don't get me back down then that is it . meds it is .
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Old 02-26-2018, 02:34 PM
 
Location: ☀️ SWFL ⛱ 🌴
2,435 posts, read 1,671,079 times
Reputation: 8704
Quote:
Originally Posted by jetgraphics View Post
IN the bad old days before glorious socialism, families tended to have spare resources to tend to their aged and infirm members. My grandmother took care of a retarded brother until the day he died - without one dime of gubmint assistance. In fact, most folks relied on large families for their "security."

Unfortunately, thanks to glorious socialism, folks think the gubmint will pay them entitlements by taxing "other people's children." And with the uptick in taxes, more and more adults have to be employed, which makes it impossible for a family to care for its aged and infirm members.

Net result : no large families, declining birthrate, fewer taxpayers, and now old folks have to be shunted to people warehouses for their final days.
THANK YOU, BIG BROTHER
Modern medicine should be thanked also. Longevity in 2010 was 78 and in 1930 it was 59. People are living longer with illnesses now. Taking care of an invalid family member in 1930 was shorter with less life prolonging medicines and procedures, making the care of family elders in home a shorter period of time. Now with better health care and interventions, people can live in a debilitated state for a decade or more, depleting savings and impacting the health of family caregivers.

https://www.infoplease.com/life-expe...-sex-1930-2010

https://www.seniorliving.org/history...united-states/
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Old 02-26-2018, 02:34 PM
mlb
 
Location: North Monterey County
3,181 posts, read 2,857,897 times
Reputation: 4878
Quote:
Originally Posted by jetgraphics View Post
IN the bad old days before glorious socialism, families tended to have spare resources to tend to their aged and infirm members. My grandmother took care of a retarded brother until the day he died - without one dime of gubmint assistance. In fact, most folks relied on large families for their "security."

Unfortunately, thanks to glorious socialism, folks think the gubmint will pay them entitlements by taxing "other people's children." And with the uptick in taxes, more and more adults have to be employed, which makes it impossible for a family to care for its aged and infirm members.

Net result : no large families, declining birthrate, fewer taxpayers, and now old folks have to be shunted to people warehouses for their final days.
THANK YOU, BIG BROTHER

Sorry - you're wrong. Socialism? Let's talk about Families who cannot care for their elderly and keep their jobs at the same time. And then get sick when they try to juggle the care. I have 6 siblings. 4 of them had to rotate care of my mother because otherwise some would lose their jobs.

You want to blame the "gubmint"? How about regulating the prices that private corporate health care charges for nursing home care. My mother's bill after 7 years from ALC to hospice was $10K a month.

And regulating the cost of medications.

Stop throwing "socialism" around like you know what it is.
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Old 02-26-2018, 02:36 PM
 
Location: Central IL
15,244 posts, read 8,538,301 times
Reputation: 35674
Quote:
Originally Posted by mathjak107 View Post
i am one of those diabetic's who reversed it to pre levels through diet , weight lifting and running 5 miles every other day . we are in the gym 6 days a week . been like this going on 15 years . it held okay for years but as the doctor told me it is very difficult to keep from rising as you age .

i crossed over in to diabetic again last month , just over the line .

i am tightening up the diet even more but if that does not do it anymore i will be on meds. it reaches a point that the diet becomes so strict it really is not do-able long term .
Exactly right - so should you be called a personal failure when you can no longer do it? When you can't further restrict your diet or run ANOTHER 5 miles a day? No - people can do SOME things to prevent and control SOME conditions but to hold everyone 100% responsible for all their ill health is wrong. And only those who are lucky genetically get out of this world without SOME health issue, no matter how "good" their lifestyle.
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Old 02-26-2018, 02:56 PM
 
911 posts, read 531,216 times
Reputation: 3717
Quote:
Originally Posted by jean_ji View Post
Modern medicine should be thanked also. Longevity in 2010 was 78 and in 1930 it was 59. People are living longer with illnesses now. Taking care of an invalid family member in 1930 was shorter with less life prolonging medicines and procedures, making the care of family elders in home a shorter period of time. Now with better health care and interventions, people can live in a debilitated state for a decade or more, depleting savings and impacting the health of family caregivers.

https://www.infoplease.com/life-expe...-sex-1930-2010

https://www.seniorliving.org/history...united-states/
Medical advancements plays a huge part. My mother had a long decline due to dementia, and now I help shuttle my father to his appointments. It's a real eye opener seeing how many seniors spend most of their time going from doctor to doctor. The truth is, innovation has extended life big time but at a cost. You can live much longer but often in a declining state where you could require care for years. A diagnosis used to mean a quick death but now you can manage illnesses that used to be fatal.

And I love when older people say "family should take care of the elderly!" because in their time their mothers took care of their grandparents. Only now women work and don't have the time to be caregivers.
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Old 02-26-2018, 03:03 PM
 
3,099 posts, read 824,721 times
Reputation: 1760
Quote:
Originally Posted by mathjak107 View Post
i increased to a 6.50 ... life would be a whole lot easier on some light meds . everything i do and eat is reflected so easy . i really am pretty limited in what i can eat if i want to stay in the pre range .

i am eating the minimum acceptable amounts of carbs and sugars that i can live with daily . if this don't get me back down then that is it . meds it is .
The ironic part is that I once threw off a 5.8 ... a test done many years ago showed a 5.4 (so long-term stability) ... with subsequent ones 5.4 or well below.

Now I understand that hbA1cs are best utilized for measuring diabetic control not as a diagnostic tool. For a while I had some too-high post-prandials that I reported to this great endo. Though no official testing (glucose tolerance test etc.).

The endo diagnosed me as glucose intolerant (the old "pre-diabetes"), which was fair because that one-time 5.8 is the cut-off point (lower limit) even though he indicated a one-time peak could be an anomaly. And wrote that into the appointment-summary. Fine.

I started getting calls from my insurance company nurses wanting to manage my diabetes. No idea what they were talking about. My guess was there was no "pre-diabetic" diagnosis code, but I let it go. New endo. We went over the records. Come to find out (per her) there is a diagnosis code for impaired glucose intolerance - which unlike diabetes can be temporary although no doubt it's part of a decades-long slide.

She'd no idea why the earlier endo entered the code the way he did - BUT this would show up on any application for LTCi, which I've never made.

Per my many looooong posts I made the decision against LTCi for several reasons - but that type of hassle was just one other factor.

The morale of the story just may be that if you're responsible about your health you may just increase your possible LTCi costs!!! My bad.
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Old 02-26-2018, 03:05 PM
 
5,430 posts, read 3,452,633 times
Reputation: 13714
Quote:
Originally Posted by mathjak107 View Post
i am one of those diabetic's who reversed it to pre levels through diet , weight lifting and running 5 miles every other day . we are in the gym 6 days a week . been like this going on 15 years . it held okay for years but as the doctor told me it is very difficult to keep from rising as you age .

i crossed over in to diabetic again last month , just over the line .

i am tightening up the diet even more but if that does not do it anymore i will be on meds. it reaches a point that the diet becomes so strict it really is not do-able long term .
For one thing, the overwhelming majority of people your age are not runners.
Running is just not something that comes readily or easily to many in their 40's and beyond, or even younger.
And runners are not prevalent among younger ages either.

Last edited by matisse12; 02-26-2018 at 03:17 PM..
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