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	<title>Comments on: Why Check Your Glucose? Some &#8220;Different Conclusions&#8221; from Dr. J</title>
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	<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html</link>
	<description>A gold mine of straight talk and encouragement for people living with diabetes</description>
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		<title>By: Doug</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-437700</link>
		<dc:creator>Doug</dc:creator>
		<pubDate>Mon, 07 Dec 2009 14:10:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-437700</guid>
		<description>The way i read this is that if Drs change treatment when a1cs are high the a1cs improve.  That shouldn&#039;t be a shock.  It would be great if we had more ways to measure treatment success beyond the a1c.  Many peoples have experiences that show that a1c completely ignores improvements in standard deviation.   Surely improving BG by reducing the HIGH range and LOW range should improve outcomes, BUT the A1C measurement completely ignores those improvements</description>
		<content:encoded><![CDATA[<p>The way i read this is that if Drs change treatment when a1cs are high the a1cs improve.  That shouldn&#8217;t be a shock.  It would be great if we had more ways to measure treatment success beyond the a1c.  Many peoples have experiences that show that a1c completely ignores improvements in standard deviation.   Surely improving BG by reducing the HIGH range and LOW range should improve outcomes, BUT the A1C measurement completely ignores those improvements</p>
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		<title>By: barb</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-144672</link>
		<dc:creator>barb</dc:creator>
		<pubDate>Sat, 22 Nov 2008 22:57:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-144672</guid>
		<description>Good article, thanks so much for having it. I&#039;m going to put a permalink to it on my food recipes diabetes website so other&#039;s can read it too. I go next week for my  A1Cs test again and I was thinking of backing out but your article has helped me see that it is indeed important to keep following up. I&#039;m diabetic  but not taking insulin also. Thanks!</description>
		<content:encoded><![CDATA[<p>Good article, thanks so much for having it. I&#8217;m going to put a permalink to it on my food recipes diabetes website so other&#8217;s can read it too. I go next week for my  A1Cs test again and I was thinking of backing out but your article has helped me see that it is indeed important to keep following up. I&#8217;m diabetic  but not taking insulin also. Thanks!</p>
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		<title>By: Mitch</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-127008</link>
		<dc:creator>Mitch</dc:creator>
		<pubDate>Sat, 08 Nov 2008 01:03:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-127008</guid>
		<description>Truthfully, I&#039;m confused by this report.  When I was diagnosed, using the monitor became the thing to do, no questions asked.  I was able to have some kind of idea when things weren&#039;t going right and could adjust and change fairly easily; at least most of the time.  It sounds like this particular report is saying that people don&#039;t need to ever have a glucose monitor unless they&#039;ve started on insulin; I hope I&#039;m reading that incorrectly.</description>
		<content:encoded><![CDATA[<p>Truthfully, I&#8217;m confused by this report.  When I was diagnosed, using the monitor became the thing to do, no questions asked.  I was able to have some kind of idea when things weren&#8217;t going right and could adjust and change fairly easily; at least most of the time.  It sounds like this particular report is saying that people don&#8217;t need to ever have a glucose monitor unless they&#8217;ve started on insulin; I hope I&#8217;m reading that incorrectly.</p>
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		<title>By: Angela</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-126847</link>
		<dc:creator>Angela</dc:creator>
		<pubDate>Fri, 07 Nov 2008 22:25:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-126847</guid>
		<description>I wonder about the study participants who started paying closer attention and did not report increases in anxiety and depression.  Is it possible that this is simply a perspective issue?  If you nickname your meter negatively for example, you&#039;re just setting yourself up for a bad time.

Of course, everybody has to come to that conclusion in their own time; everyone has their period of denial (mine lasted five years!) and perhaps even recurring rebellion.  But it helps if you do take a holiday sometimes (see Amy&#039;s post &quot;True Confessions of a Good Diabetic,&quot;) and use your BGs in a constructive way, without beating yourself up about it all the time, as Dr. Jackson recommends.  I wonder if those not-anxious study participants already understood that.</description>
		<content:encoded><![CDATA[<p>I wonder about the study participants who started paying closer attention and did not report increases in anxiety and depression.  Is it possible that this is simply a perspective issue?  If you nickname your meter negatively for example, you&#8217;re just setting yourself up for a bad time.</p>
<p>Of course, everybody has to come to that conclusion in their own time; everyone has their period of denial (mine lasted five years!) and perhaps even recurring rebellion.  But it helps if you do take a holiday sometimes (see Amy&#8217;s post &#8220;True Confessions of a Good Diabetic,&#8221;) and use your BGs in a constructive way, without beating yourself up about it all the time, as Dr. Jackson recommends.  I wonder if those not-anxious study participants already understood that.</p>
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		<title>By: Judith Catterall</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-126741</link>
		<dc:creator>Judith Catterall</dc:creator>
		<pubDate>Fri, 07 Nov 2008 20:50:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-126741</guid>
		<description>But really, is it not perfectly understandable that so-called &quot;Intensive Lifestyle Management&quot; is going to be a depressing process. And then you have to face that nasty little machine telling you how you are doing many times a day. With no vacation. Ever.

For the moment, I am doing well with no meds. But who knows how long that will last. And, of course, I couldn&#039;t do it without my meter (which I call The Leech). But I don&#039;t actually expect do be un-depressed much anymore.

I would be interested in breakdowns by gender and age and socio-economic status. All these things have a profound impact on how well one does physically and mentally and emotionally.....</description>
		<content:encoded><![CDATA[<p>But really, is it not perfectly understandable that so-called &#8220;Intensive Lifestyle Management&#8221; is going to be a depressing process. And then you have to face that nasty little machine telling you how you are doing many times a day. With no vacation. Ever.</p>
<p>For the moment, I am doing well with no meds. But who knows how long that will last. And, of course, I couldn&#8217;t do it without my meter (which I call The Leech). But I don&#8217;t actually expect do be un-depressed much anymore.</p>
<p>I would be interested in breakdowns by gender and age and socio-economic status. All these things have a profound impact on how well one does physically and mentally and emotionally&#8230;..</p>
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		<title>By: &#124; MJJ's blog</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-249810</link>
		<dc:creator>&#124; MJJ's blog</dc:creator>
		<pubDate>Thu, 06 Nov 2008 10:57:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-249810</guid>
		<description>[...] frustration at the things his patients were never told about their diabetes. Believe it or not,  Read More&#124;&#124;&#124;Even to those who are not quiche enthusiasts, it%26#39;s clear that there are several different [...]</description>
		<content:encoded><![CDATA[<p>[...] frustration at the things his patients were never told about their diabetes. Believe it or not,  Read More|||Even to those who are not quiche enthusiasts, it%26#39;s clear that there are several different [...]</p>
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	<item>
		<title>By: &#124; MJJ's blog</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-124962</link>
		<dc:creator>&#124; MJJ's blog</dc:creator>
		<pubDate>Thu, 06 Nov 2008 10:57:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-124962</guid>
		<description>[...] frustration at the things his patients were never told about their diabetes. Believe it or not,  Read More&#124;&#124;&#124;Even to those who are not quiche enthusiasts, it%26#39;s clear that there are several different [...]</description>
		<content:encoded><![CDATA[<p>[...] frustration at the things his patients were never told about their diabetes. Believe it or not,  Read More|||Even to those who are not quiche enthusiasts, it%26#39;s clear that there are several different [...]</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: &#124; MJJ's blog</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-247398</link>
		<dc:creator>&#124; MJJ's blog</dc:creator>
		<pubDate>Thu, 06 Nov 2008 10:57:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-247398</guid>
		<description>[...] frustration at the things his patients were never told about their diabetes. Believe it or not,  Read More&#124;&#124;&#124;Even to those who are not quiche enthusiasts, it%26#39;s clear that there are several different [...]</description>
		<content:encoded><![CDATA[<p>[...] frustration at the things his patients were never told about their diabetes. Believe it or not,  Read More|||Even to those who are not quiche enthusiasts, it%26#39;s clear that there are several different [...]</p>
]]></content:encoded>
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		<title>By: AmyT</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-124401</link>
		<dc:creator>AmyT</dc:creator>
		<pubDate>Wed, 05 Nov 2008 23:42:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-124401</guid>
		<description>Sarah and Lauren: I agree. It&#039;s proof of the old axiom that &quot;ignorance is bliss.&quot;</description>
		<content:encoded><![CDATA[<p>Sarah and Lauren: I agree. It&#8217;s proof of the old axiom that &#8220;ignorance is bliss.&#8221;</p>
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		<title>By: Lauren</title>
		<link>http://www.diabetesmine.com/2008/11/why-check-your-glucose-some-different-conclusions-from-dr-j.html/comment-page-1#comment-124321</link>
		<dc:creator>Lauren</dc:creator>
		<pubDate>Wed, 05 Nov 2008 22:08:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5145#comment-124321</guid>
		<description>I agree, what might be called &quot;mild anxiety and depression&quot; is what I consider &quot;being in touch with reality.&quot;</description>
		<content:encoded><![CDATA[<p>I agree, what might be called &#8220;mild anxiety and depression&#8221; is what I consider &#8220;being in touch with reality.&#8221;</p>
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