Only three pharmaceutical companies manufacture insulin in the United States – Eli Lilly, Sanofi and Novo Nordisk. So, after all the research of the past 95 years, the biggest money-makin’, mama-shakin’ drug was insulin? Tweaking the insulin molecule allows additional patents and cheaper generic medications can be kept at bay. There is no clear evidence that these newer insulins are any more effective than the old standards. At the time of insulin’s discovery, T2D, while still relatively rare, had few treatments available. Even while the number of blood pressure and cholesterol medications were exploding, the oral hypoglycaemic drug class was mired in a rut. In 1977, the Dietary Guidelines for Americans were introduced to an unsuspecting American public and dietary fat was public enemy #1. In 1997, the American Diabetes Association lowered the blood sugar definition of type 2 diabetes, instantly rendering as many as 1.9 million more Americans as diabetic. By 2015 sales of diabetes drugs had reached $23 billion, more than the combined revenue of the National Football League, Major League Baseball, and the National Basketball Association. While these drugs all lowered blood sugars, clinically important outcomes, such as reducing heart attacks or strokes, blindness, or other complications of the disease, were not improved. In 2003 the American Diabetes Association changed the definition of pre-diabetes adding an additional 46 million adults to its ranks.
While individual members were paid millions of dollars, the association itself reaped more than $7 million in 2004 from its pharmaceutical ‘partners’.
By 2013, these ‘advocacy’ groups recommended drug treatment of pre-diabetes even more forcefully if lifestyle changes didn’t work.
Thirteen of the 19 doctors on the panel that made the recommendation, including its chairman, were paid as consultants, speakers, or advisers to pharmaceutical companies that, surprise, surprise made diabetes drugs.
While patients could no longer afford their insulin shots, there was plenty of cash for the diabetes associations.
The story would be completely different if these drugs actually helped patients in a meaningful way. Diabetes screening has already been shown to be largely useless with the current crop of medications. We are only moving the sugar from somewhere we can see it (the blood) to somewhere we cannot (the body) and then pretending things are improved, but all the while knowing that we have not made a difference.
This largely explains the reluctance of the world’s Diabetes Associations and endocrinologists to acknowledge the devastating truth – that insulin just doesn’t help patients over the long term. I think it would be great to have references within articles like this on the DietDoctor website so that it can be shown that is is evidence based, rather than just opinion as this would go a long way to providing additional credibility to piece. That being said,I got to watch her go from one useless drug to another and then to insulin and finally she died in her 50's.
I agree "treatment" is useless and I see one of my long time friends now on the needle and the clock is ticking for him. Now, I'm beginning to see some of the worrisome long term affects beginning to surface, even with my blood sugar levels mostly controlled. Babies at high risk of hypoglycaemia should be under the care of the paediatrician and their care should be reviewed by medical staff at least daily.
This guideline should serve to assist staff in identifying at risk babies and how to prevent hypoglycaemia.
Neonates at high risk of hypoglycaemia but well enough to be cared for on the postnatal ward. At risk babies should be reviewed by paediatric staff and although this guidance outlines initial treatment, medical advice should be followed as initiated for each individual baby and circumstance. All midwives should be aware of the risk factors for hypoglycaemia and are individually responsible for the mothers and babies in their care. Every midwife should be fully trained in the use of the glucose meter recommended for use in the hospital including the need for daily quality control checks. At risk babies should be identified on the labour ward and the risk factor emphasised at each hand over between staff. Immediate drying of the baby to reduce evaporative heat loss followed by uninterrupted skin to skin contact, should be encouraged from delivery. If the breastfeeding baby is unable or unwilling to feed, colostrum should be hand expressed where possible and this given by spoon or syringe within 2 hours of delivery and thereafter at least every 3 hours (3 hourly feeds should be measured from the beginning of one feed to the beginning of the next and this should be made clear to the mother).
Frequent and prolonged skin to skin contact throughout the immediate postnatal period will stabilise heart rate and respirations, reduce stress and maintain the baby's temperature thereby helping to maintain normoglycaemia.
All mothers of babies at high risk of hypoglycaemia should have support with their babies feeding at every feed until feeding is established, mother and baby competent, and the risk of hypoglycaemia is past. In addition to monitoring the blood sugar, the baby's general wellbeing should be observed and documented. Symptomatic hypoglycaemia such as impaired level of consciousness, apnoea, cyanosis and convulsions should initiate immediate investigation and treatment with intravenous glucose infusion. Babies who do not respond to routine care as given above, and persistently have a blood glucose of less than 2 should be transferred to NICU for further treatment and investigation.
When the blood glucose is more than 2.6mmols for 3 consecutive readings, blood glucose recordings can be discontinued. There is a need for a leaflet on supplementary feeding and blood glucose monitoring for high risk infants. Midwives and paediatric medical staff are responsible for explaining to parents the reasons for monitoring blood sugars and any management that takes place. The audit will be a retrospective review of 1% (or 8 sets whichever is the greater) of all health records of babies requiring intervention for the management of hypoglycaemia in the 12 months prior to the audit.


For the above incidents the notes will be examined to ensure the hypoglycaemia protocol has been followed appropriately. All incidents involving hypoglycaemia will be reviewed by the infant feeding coordinator or paediatric team, and discussed where appropriate at the maternity risk meeting. Hewitt VM, Watts R, Robertson J, Haddow G, 2005, Nursing and midwifery management of hypoglycaemia in healthy term neonates: a systematic review. You can bake them, crisp them, mash them, roast them — pretty much do what you want to with them. The reason potatoes are so stuffed with carbs is that they are predominantly made up of starch.
Potatoes are often broadly classified as high on the Glycaemic Index (GI) and so are often excluded if you’re attempting to follow a low-carb diet. The high GI of potatoes can directly affect blood glucose levels, and can also vary considerably depending on type (such as red, russet, white, or Prince Edward) as well as how they are cooked (baked, fried, mashed) and what’s added to them in the process (such as baked potato and cheese).
You can calculate on 60gof carbohydrate in 1 large baked potato, or 20g in 100g (3oz) portion of boiled potato.
If mashed, the carbs would be similar but the absorption rate (or GI) would be higher as many of the long strings of glucose in the starches would have been broken down by the mashing process and will therefore absorb more quickly. A potato crop failure due to disease lead to the Irish Famine and the ubiquity of the root is still evident.
Not only versatile in themselves, there are a wide variety of potatoes to choose from.  Some suit certain dishes better than others. While there are some theoretical benefits, the outcomes in T2D have only worsened even as these newer insulins became more widely prescribed. Metformin, the most powerful of the biguanide class of medications, was discovered shortly after insulin and described in the scientific literature in 1922.
It was not FDA approved in the United States until 1994 due to concerns about lactic acidosis.
The subsequent high carbohydrate intake would have unintended consequences and the obesity epidemic soon bloomed.
The entire diabetes industry revolved around reducing high blood sugars instead of actually helping patients. By 2012, more than 50% of the American population would be considered either diabetic or pre-diabetic. In 2008, the American College of Endocrinology and the American Association of Clinical Endocrinologists released a joint statement about pre-diabetes encouraging physicians to consider drug treatment of high-risk patients despite the fact that no drug had been yet approved by the FDA. We can all agree that T2D is a disease of high insulin resistance but the current crop of medications only treats high blood sugars. Since our treatment of pre-diabetes consists of ineffective drugs, early diagnosis is futile. With so much cash on the table, who do you think funds all the research in the universities, pays for all the private school tuition, sponsors all the ‘diabetes’ events? Mind boggling that this information is out there for all to find, and yet, so many are not yet open to hearing it.
My husband just retired a year ago - we have an adorable 3 year-old granddaughter we now get to visit frequently and plans for lots of travel adventures. Babies who develop clinical signs of hypoglycaemia, such as altered level of consciousness, abnormal tone or seizures should be reviewed urgently by the paediatrician and be transferred to the Neonatal Intensive Care Unit.
Paediatric medical staff should be informed at the earliest opportunity and be kept informed of the baby's condition. Skin to skin contact will assist with thermoregulation and stabilisation of heart rate and respiratory rate.
If EBM is not available, expressing should continue frequently - every 1-2 hours if possible.
Skin to skin contact also stimulates a baby's feeding reflexes and may help to facilitate spontaneous frequent feeds. Prior to each feed the level of consciousness, tone, temperature, respiration, colour and perfusion should be assessed. If the feed is ineffective or the baby is reluctant to feed, colostrum should be hand expressed and given to the baby. A true blood glucose and other blood tests may be required – refer to Paediatric Medical staff. Frequent feeds should continue – at least 3 hourly, until feeding is well established, mother and baby competent, and the risk of hypoglycaemia is past – usually until at least 72 hours after birth or when the milk has come in. But the versatility of the potato is also why the GI of your creations can vary – but they’re all going to be on the high side and affect your blood sugars. However, as potatoes are a part of so many British dishes, it’s better to gain a better understanding of how your potatoes are cooked affecting your blood glucose levels than attempt to avoid them altogether.
The amount of total carbohydrates found in a potato includes all of the sugar, starch and fiber.
Also, don’t forget that you are adding a few carbs if using milk, and adding to the fat content if you add olive oil or butter too. In the same 100g there is a good dollop of potassium as well as 32% of your RDA* of Vitamin A and 15% of your RDA of B-6 (*RDA being your recommended daily amount). Potato starch is used in the food industry for thickeners and binders of soups and sauces and in the textile industry as adhesives as well as for the manufacturing of papers and boards.Potato skins, along with honey, are a folk remedy for burns in India. Banting licensed insulin to pharmaceutical companies without a patent because he believed that this life saving drug for T1D should be made available to everybody who needed it.
Without generic competition, there is clearly collusion between the companies to keep prices high. By 1929, its sugar lowering effect was noted in animal studies, but it was not until 1957 that it was first used in humans for the treatment of diabetes.


With growing numbers, the business case for the development of diabetic medications changed completely. It was more common to have pre-diabetes or diabetes than it was to have normal blood sugars.
They have subsequently fallen into disuse due to concerns about provoking heart disease and bladder cancer. The disease was one of increased insulin resistance, yet treatments were based upon lowering blood sugars instead.
Ostensibly to help with early diagnosis and treatment, it is perhaps no coincidence that 9 of 14 outside experts on this panel worked in various capacities with the giant pharmaceutical companies that made diabetes medications and stood to reap an unending stream of money. 13 of the 17 members on that panel were paid as speakers and consultants to diabetes drug companies. Do you think some of them convince themselves that they are still helping so that sleep better at night? Breastfeeding within the first 2-3 hours has been shown to be more effective than formula in maintaining blood glucose even in babies of mothers who have had gestational diabetes. Hypoglycaemia presenting after the first day, does not necessarily indicate inadequate feeding but may indicate underlying disease such as infection. Cot side blood sugar readings of 2.0mmols or less are an indication for sending a capillary sample to the laboratory for accurate testing. Skin to skin contact also calms the baby keeping stress levels to a minimum and consequently assists in maintaining normoglycaemia. True jitteriness is defined as excessive repetitive movements of one or more limbs, which are unprovoked and usually relatively fast.
1997, Hypoglycaemia of the Newborn – Review of the Literature, World Health Organisation, Geneva.
It’s possible to argue that the carbohydrates in potatoes are not a good choice for anyone who has diabetes.
The total carbohydrates in a medium-sized potato range from 27 grams in red and white potatoes to 34 grams in sweet potatoes and 36.5 grams in russet potatoes.
They are low fat then, until you fry them in oil, mash them with butter or roast them in goose fat. For roasties, the King Edward rules supreme, the skin turning crispy while the inside stays fluffy. Burn centres in India have experimented with the use of the thin outer skin layer to protect burns while healing.
There were many side effects, including severe hypoglycemia, but they did prove effective at lowering blood sugars. While there is broad consensus that pre-diabetes is best treated with lifestyle changes, advocacy groups soon embraced the notion of drug therapy. I am encouraged that there are more and more forward thinking doctors willing to expose the state of our so called "health" care systems around the world, often at potential risk to their own careers by speaking out against the establishment. That helping hand I think could in be in the form of a couple of references to spark their own investigations rather than them just saying "Hmm. My own experiences with dietary changes have proven to me that it does indeed make a difference to my well being in multiple ways.
The baby should be woken and lifted from the cot to enable effective assessment of level of consciousness. Early feeding whether breast or bottle feeding within the first 2 hours of life will contribute to maintianing normoglycaemia.
Mothers should be taught how to recognise early feeding cues, but these babies should not be relied upon to exhibit cues and a proactive approach to feeding frequency is required. If the blood glucose remains below 2.6mmols, further colostrum and, if necessary, formula should be given to a total volume of 25-40ml and the paediatrician informed immediately. Cot side blood sugars should be confirmed with a blood sample sent to the biochemistry laboratory. If the feeding regime is changed, before deeding is properly established for example to trial the baby at demand feeding, blood glucoses will need to be recommenced to ensure that the baby is able to maintain them. Some diets recommend that adults should consume 130 grams of total carbohydrates daily, so eating one potato can supply about 25% of that. Plain boiled potato has less calories than the equivalent weight of plain boiled rice or pasta. Yet 100g of fresh potato gives you 50% of your RDA of Vitamin C (though long-term storage will reduce the amount of Vitamin C in the potato). He’s a world-leading expert on intermittent fasting and LCHF, especially for treating people with type 2 diabetes. For decades, these two drug classes were the only oral medications available for the treatment of T2D. Looking forward to reading The Obesity Code book, and to Jason's future work in this field, along with that of the other contributors to this valuable website.
For a gratin, try the slightly waxy Mozart variety which can be thinly sliced for a scrummy gratin. A full seven of the top ten drugs for diabetes are insulin – a drug close to a century old.



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Comments

  1. 04.01.2015 at 13:23:32


    Between hypoglycemia and death was similar.

    Author: Kradun
  2. 04.01.2015 at 16:14:56


    The morning but after a 3 mile gestational diabetes because they start pregnancy with has.

    Author: 8mk