I wish this would happen. But with the USDA and other government agencies making it impossible to avoid the whole grains mantra and the ADA and Dietitians trumpeting the same mantra, the situation will take a lot more education and patient (also voters) advocacy.
Add to this the CMS and NIH studies that limit our testing supplies to keep many people from leaning how their bodies react to the whole grains and it will be difficult for doctors and dietitians to be educated. Quite a circle our medical condition is relegated to.
When government runs anything, costs soar and quality and efficiency decline. Health insurance and health care are no different. In fact, government involvement in these areast is what is causing our problems now.
When government pays the bill, then it calls the shots. There will be fewer, if any, choices. Doctors will be bound by rules issued by politicians and bureaucrats, and will have less and less autonomy. There will be one way of doing things, and anyone who refuses to go along will be denied care.
We need more direct interaction between provider and patient with fewer insurance and government pencil pushers in between. Then costs will come down and quality and access will increase.
The following is a comment on a story in the British press about the NHS and the rising cost and spotty quality of diabetes care in the UK:
According to Wikipedia, "Obesity is thought to be the primary cause of type 2 diabetes in people who are genetically predisposed to the disease" (1), and according to the Guardian "A majority of doctors support measures to deny treatment to ... the obese." (2), so it doesn't look good.
I only know a few doctors, but they all essentially believe that if you willingly do something that medicine (or the NHS) knows is bad for you, you should not be able to access NHS treatment. I'm not sure how many would agree...
(1) http://en.wikipedia.org/wiki/Diabetes_mellitus_type_2 (2) http://www.guardian.co.uk/society/2012/apr/28/doctors-treatment-denial-smokers-obese
It is so hard for people to lose weight in this time and place of too much available food and too much of it bad for our health. TV and the ads thereon have an enormous effect on weight control, creating, yes, creating desires to stuff our faces with chips and candy and........you name it.
It is harder for the diabetic on medications that add weight while they control hyperglycemia. Add insulin and you have an almost impossible situation. Anyone who thinks, in this society that vilifies fat and worships the thin, that we are not trying, can take their ignorance and stuff it into a hat, throw it away.
Now some of us are so bowed down by oppresive jobs that we have not got the energy to effect hard lifestyle changes. To punish these people, or even any diabetic, is truly absurb. Think it costs money to treat diabetes now? Wait until you will have to treat the complications!
Hi, I'm from Hungary. We are in a very bad situation now. Our doctors go to work abroad because they earn very very little money. And the few one who stay doesn't have enough time for the patients. So often when we call the doctor, we got an appointment to 4-5 months later. And now the government decided to save money on insulins... It is very sad.
It is very hard work to have good hgba1c. It depends not only on diet. I have hormonal problems also, so it makes my blood glucose go up and down. I have to change my insulin level sometimes with 80% in 2 weeks. I can't manage this with good diet. Those who made this decision in the government - they know nothing about diabetes... :(
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What's sad is the headline in the Daily News head that said diabetics would be punished for cheating on their diets. You can have a high A1c for many reasons. One reason is poor compliance with excellent dietary advice. Another is excellent compliance with poor dietary advice.
Another is poor treatment by the physician: wrong drugs for that patient, wrong dosages, etc. Maybe when a patient's A1c is too high they should fine the doctor.