Quote from nurseangel47
I've also noticed the trend in my area of covering blood sugars as they occur rather than cracking down on what peeps eat. It's like, oh well, if they're gonna not stick to a diet conducive to tighter blood sugar control, let's just cover 'em when they skyrocket with peaked sugars!!! Oh my! Can we say organ damage? Blindness? Dialysis?!
I don't think it is a matter of "cracking down" on what people eat so much as it is about a philosophy of "encouraging" diabetics to eat foods that are not good for them with the expectation that meds will "take care of" the consequences. I believe it establishes false expectations and may prevent some people who WOULD choose voluntarily to follow a strict diet from making that healthy choice because the ADA literature never says that choosing to eat those foods is bad for you. They stress eating those foods "in moderation" rather than eating them only in very small amounts or not at all.
As is being discussed in another thread, everyone has a right to choose their own approach to managing their health. If some people choose to eat foods that raise the blood glucose to dangerous levels and then try to compensate with medication, that is their right to make that choice. However, they should be told about the other options as well, such as not eating those foods to begin with. Then let the people decide on which approach -- or combination of approaches work best for them.
Of course, it is also true that many people with diabetes will have an elevated blood glucose in spite of following a strict diet.
A high blood glucose does not mean that the person was "naughty" in any way or even that they ate the "wrong" foods. Some people have no alternative but to take meds. For those of you who need meds, please don't think I don't realize that your disease necessitates that. I expect that I will need meds someday myself. It's just that while I am in this early stage of the disease, I am able to avoid them by maintaining a strict diet -- and I don't like the fact that the ADA doesn't encourage that more.
Finally, the expression, "cracking down on what the peeps eat" did not sit well with me. I found it a bit offensive. I recommend being careful about using such expressions -- particularly in front of patients.