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Excellent information. This sounds exactly like what I've been looking for.

this is great event to stop diabetes progression.....

If i go by ADA guidelines, then im not a diabetic. Endo guidelines are less than 110 after fasteing, and less than 140 2 hrs after meal. ADA guidelines are less than 140 fasting and less than 180 after 2 hrs meal. Are the pharmaceutical cos playing with our lives just to make big bucks by having those smaller number for a diabetic. Remember, 5 years ago 212 total cholesterol was considered normal, and now its less than 160. Following are my glucose numbers. In the morning before any meal, my number is 129-133 and 2 hrs after meal , my number is anywhere from 140 -180, Whom do u belive . I know if i go to a doc he/she will go by Endo guidelines, by which i am diabetic.

An informative article on diabetes and men's health.


hey Scott! wow this is intriguing, i have never heard of BGAT but I'd love to try it - I know the UVA group does so much innovative thinking. How did you hear about it? I'd love to try the online program - maybe they would let a group of people who are interested try it as a beta? I have also heard one can get rid of hypo unawareness if one has literally NO (not even one) hypoglycemia experience (mild, moderate, or severe) for three weeks. Not sure if you have ever heard that - I have never managed to do that. About our post, we think there is NO shortage of things the diabetes community (such as it is) needs and it seems to us like the leadership at ADA has been really impressive and really listening of late. About the blog, by the way, we weren't trying to call out every group that's being left behind, because goodness knows there are too many, but were just trying to think of some groups that came to mind. This blog also reminds me of the interview we did last month with the AADE Educator of the Year for 2009, Janis Roszler - she is all about bringing all the problems out of the closet, which we think is cool. http://www.closeconcerns.com/interview-janis-roszler-full.php

You indicate that you hope the ADA helps others – particularly those falling through the cracks of diabetes care, although interestingly, you omit one group which I would argue needs help, too ... the type 1 population who suffers from hypoglycemia unawareness. In my experience, too many CDE's recite factually incorrect information (namely data that has since been proven incorrect) and tend to "blame" the patient for failure to recognize non-existent warning symptoms which may or may not return when avoiding hypos for some period of time.

I recently had an interesting conversation with Linda Gonder-Frederick of the University of Virginia Health System. As you may know, she (along with colleague Daniel Cox) developed Blood Glucose Awareness Training (BGAT) which you may also know was featured in the August 2008 edition of Diabetes Care indicating that the online version of the program was a success.

When I asked Linda about that particular program, she said they were in the final stages of testing it and will be presenting our results at this year's ADA meeting. Although they have a website where people can put their names if they are interested in being notified as soon as it is 'up and running', it has taken us a long time and they are facing some technical issues which the ADA SHOULD be helping out with.

She said that she and Daniel Cox were meeting with the ADA -- mostly looking for assistance for largely technical issues, such as hosting the application itself and to ensure they had sufficient bandwidth, etc. I don't know what the outcome of their meeting was, but I would dare suggest that if the ADA cannot pony up some assistance and cash for that, then their effort for type 2 men should be considered a joke, as this is a far more serious health issue impacting the type 1 community, and the ADA has a decidedly poor track record of addressing issues for this segment of the diabetes community. Maybe the influence of John Buse is finally permeating? One can always hope that this is a sign of long-overdue changes at what is arguably grown to be a bureaucracy that is terribly inefficient and has a limited record of success on a host of different issues.

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