Diabetes and HP 2010 (fwd)

[Laura Larsson]

Friends:

I am forwarding a message from a non-subscriber for your information.

Regards,

Laura
larsson at u.washington.edu

---------- Forwarded message ----------
Date: Tue, 30 Sep 1997 20:24:08 -0400 (EDT)
Message-ID: <970930201717_2098824688 at emout06.mail.aol.com>
To: jfg20 at columbia.edu, sak2 at cdc.gov, fnspec_mg at ecn.purdue.edu,
        nettalk at nal.usda.gov, phnutr-l at u.washington.edu,
Subject: Re: Diabetes and HP 2010 

Jinny,

Yes, I couldn't agree more that diabetes is critically important and not
being treated enough with eating well and living actively, so a diabetes
emphasis linking to eating disorders sounds like a good entry for Healthy
People 2010..

I hope everyone concerned will make an effort to do just what you said:
" Let's take a very

>strong stance on the issue of recommening nutritional therapy as a regular

>perscription for the type 2 diabetic not just a one or two shot deal. Let

>us put dietitians in charge of patient care instead of the status quo

>which is not working. Imagine, a tupe 2 diabetic patient population whose

>medication is ancillary to healthful diet and exercise." 


But what troubles me about this strategy (which I think you're proposing) of
making eating disorders part of the diabetes objectives instead of standing
alone -- or with nutrition --  is that, from long experience, it seems not
unlikely the root of the problems we're talking about may well rest right
there, in the diabetes institute -- NIDDK. That is, the problems of ignoring
the risks of Eating Disorders and weight loss treatment, and exagerating the
risks of obesity seem focused here. The powers that be seem determined to get
everyone dieting no matter what -- whether risks of diet drugs, disordered
eating, malnourishment, or weight cycing (and yes, weight cycling IS linked
to higher death rates from coronary heart disease and deaths from other
causes, despite their well-sanctioned article). 

So yes, let's work on this angle, as part of the whole. But good luck at
expecting a strong policy to come out of here.

If this is an unfair assessment, I'd like to hear a reasonable response.

Francie Berg

PS. Our Jan/Feb issue of Healthy Weight Journal focuses on the new paradigm
treatment of Diabetes -- with special stories written by dietitians using
nondiet methods. I'm excited about it.

In a message dated 97-09-24 09:14:18 EDT, you write:


>To:	FMBerg at aol.com

>Dear listeners! I agree that eating disorders should be addressed but I

>believe one way to do that may be to target type two diabetes for

>nutriton therapy. I have been investigating the treatment of type 2

>diabetics for 4 years now and things do not seem much better from when I

>startd in practice.

> The new

>pharmceuticals are being prescribed and diet and exercise are still not

>made to be important to the patient. These are recommended as the corner

>stone of diabetic treatment. However, I do not see that in practice. The

>agic bullet of the pill or shot is still the corner stone of diabetic

>treatment in today's medical practice. 

>

>I may be more productive to address this topic than the behaviors that

>many times result in high blood sugars. This would not address every

>maladaptive eating behavior but it would provide  results cannot be

>argued. Many stuudies have show that diet and exercise should be the

>corner stone of diabetic treatment. Quantitative measures of blood sugar 

>and blood lipids are incontestible evidence. It is simple. Healthful diet

>and

>exercise reduces high blood sugar and nutrition therapy is effective. 

>

> A strong argument

>can be made to promote healthful eating for diabetics through nutritional

>therapy by a registered dietitian.In        

>the process of nutritional therapy for diabetics ,

>the dietitan usually treats eating disorders as well. Let's take a very

>strong stance on the issue of recommening nutritional therapy as a regular

>perscription for the type 2 diabetic not just a one or two shot deal. Let

>use put dietitians in charge of patient care instead of the status quo

>which is not working. Imagine, a tupe 2 diabetic patient population whose

>medication is ancillary to healthful diet

>and exercise. 

>

>

>

>