When Words Do Harm

[Pro-Humanist FREELOVER]

- - -

The following article, it opposes the use
of the following words:

o diabetic (when referring to a patient
or patients),
o uncontrolled,
o non-compliant,
o good,
o bad

It failed to notice the following words
that do harm in the following ways:

1. using the diabetes and diabetic word
without clarifier, conveying the blatant
untruth that it's ONE disease, rather
than the fact that it's made up of well
over 80 disparate conditions with

o disparate causalities,

o disparate treatment profiles,

and

o disparate risk profiles,

the diabetes and diabetic words, when
used as they often are without any clari-
fier, as if it's ONE disease, as if the
knowledge of the disparate natures of ...

... the disparate conditions was the
same as it was in the 1st through 19th
centuries (near-total ignorance), those
are ancient words of pretense/misleading/
confusion/deceit that do harm.

Ironically, they did harm in their article
supposedly advocating not doing harm with
words, using the diabetes word and the
diabetic word without any clarifier (as ...

... if the disparate conditions were ONE
single disease rather than over 80 specific
types of disparate conditions) a total of

>>> -7- times <<<

2. Control (implying one can, with enough
effort and will, have the same glucose
levels as one had when one had a perfect
pancreas, when one had no eating and
no drinking causing any glucose problems)
is a LIE, a lie they failed to mention
in their opposition to the word "uncon-
trolled".

2. I differ with their implied criticism
of the compliant word. After all, one
either complies with a doctor's advice
or one doesn't, and I'm certainly not
offended if my doctor (an endocrinol-
ogist) notices if I'm not complying ...

... with his advice. For example, I
recently began an experiment to try
to raise my basal rates back up to
what many other doctors recommend,
to what they were before I started
seeing my endocrinologist (the ...

... basal rate he recommends of 6.1
units a day). Since my experiment
with not changing that unless turn-
ing it off to fight hypos, my per-
cent basal has been 17% to 28% of
total, most often around 20%).

I recently upped that dosage (thus
far, very early, my daily basal is
14 units, & it's too early to ascer-
tain if my hypo percent will stay
low and if my basal% of total will
approach 50%).

If I find my glucose levels are better
with higher basal dosaging and if my
hypo percent remains low, I'll be more
than happy to share my success (i.e.,
my not complying with my endo's advice)
with him. If my higher % has adverse ...

... impact, I'll have to concede that
for whatever reason(s), my basal% is
closer to what my endo recommends than
it is to what most doctors say it should
be. Either way, I'd be non-compliant
with either my endo or with most ...

... doctors and that's a fact I'd be
more than happy to take full ownership
of.

3. When I had an HbA1c of 5.2 on my latest
test, I considered that good. My endo
considers it bad. Opinions differ, but
he claims that as high as 6 or even as
high as 6.5 is non-causal in long term
sequelae (or only has a marginal increase ...

... in long-term sequelae, and he asserts
that's acceptable due to the risk one
takes when one's HbA1c is as low as
mine is). Hey, opinions differ, and
I haven't been able to find much (only
one report on those who have PreCellosis ...

... having slightly increased risk of
long-term sequelae, their HbA1c being
5.7 to 6.4) supporting HbA1c levels
as low as mine, but even so, due to
my fear of what will happen -if- I ...

... continue having Insulinitis in my
final few years of life, I'm staying
with my goal of as close to normal
(many reports say that's an HbA1c of
4.0 to 5.6) as I can. And no, I'm still
avoiding the drastic low carb diet ...

... promoted by Dr. Richard Bernstein,
no more than 30 carbs per day, as a
potentially unacceptable risk undoable
diet (undoable by almost everyone if
not everyone, though Dr. Bernstein
recently celebrated his 83rd birthday, ...

... so that certainly bodes well for
those who can do it -if- they don't
have adverse effects from doing it
and -if- he (and his supporters) are
actually doing what he promotes.

One can only guess about that, as
there have been (as far as I'm aware)
no long-term scientific studies on
anyone using a very low carb diet
for a very long period of time. In
any case, how could a study confirm ...

... no deviation from such a diet as
that would practically require those
on such a diet be in a prison-like
monitored environment to insure no
deviations transpired.

- - -
June 27, 2017

When Word Do Harm
http://dailynurse.com/when-words-do-harm/
- - -

Excerpt (start of article, all about High
Glucose Conditions as if all of the disparate
High Glucose Conditions are ONE disease, no
specific disparate condition mentioned):

Last year, the American Diabetes Association
prohibited the use of the word "diabetic" to
describe patients in its publications. And at
a recent conference, the group cautioned health
care providers against using the "ic" term and
other words that might alienate patients.

Among the objectionable words: "uncontrolled,"
"non-adherent," and "non-compliant." Even using
words like "good" and "bad" to characterize a
patient's blood glucose levels can have a neg-
ative impact, diabetes experts say, leaving
patients feeling judged and stigmatized.

If this sounds a bit far-fetched, think about
it this way: When you tell the night shift
nurse during bedside shift report that "Mr.
Smith is a 54-year-old diabetic" you've just
defined Mr. Smith's entire being by his disease.

When you jot down that Mrs. Jones has been
"non-compliant" because she hasn't been regu-
larly testing her blood glucose levels, she
feels the sting of a scolding -and maybe a
sense of personal failure, too.

At the end of the day, these judgmental words
and phrases can erode an individual's motiva-
tion and actually worsen their blood glucose
control. That's because it contributes to
"diabetes distress" - the fear and futility
that creeps into a patient's head when the
process of managing diabetes begins to seem
overwhelming.

...

- - - end excerpt - - -

- - - - - - - - - - - - - - - - - -

- - -

Pro-Humanist FREELOVER, I got Insulinitis
(caused by Insulitis) at age 5 in March,
1961, and use a Dexcom G4 Continuous Glucose
Monitor -and- an Omnipod Insulin Pump:

C.ure I.nsulinitis A.ssociation
http://prohuman.net/cureinsulinitisassociation.htm

Logic and reasoning behind new names for
diabetes & diabetic words and phrases,
and for reactive hypoglycemia words and
phrases, color-coded by proposed new
categories - phrases sometimes used for
each category, after the first type ...

... was assigned in 1936, in parentheses,
but all-too-often, diabetes & diabetic
words are confusingly misleadingly used
without a clarifier to describe any or
some of the conditions, except the one
in bright red:

Diabetes Bubble / Diabetes Bubble Burst
http://prohuman.net/diabetesbubblediabetesbubbleburst.htm

dark red = Insulinitis (type 1 diabetes,
juvenile diabetes, insulin
dependent diabetes), 11 spe-
cific types, 3 specific types
disputed

dark pink = Latent Autoimmune Insulinitis
(latent autoimmune diabetes),
1 specific type

dark blue = PreCellosis (prediabetes),
Cellosis (type 2 diabetes),
21 specific types

light blue = Gestational Cellosis
(gestational diabetes),
1 specific type

dark green = Diminosis (maturity onset
diabetes of the young),
11 specific types

light green = Neonatal Diminosis
(neonatal diabetes),
8 specific types are permanent,
4 specific types are transient

purple = Other High Glucose Conditions
(other diabetes mellitus), 24
specific types:

5 specific types are drug or
chemical-induced,

5 specific types result from
endocrinopathies,

7 specific types involve exo-
crine or pancreas diseases or
surgical treatment,

4 specific types result from
insulin action defects,

2 specific types result from
other genetic syndromes,

1 specific type results from
anti-insulin receptor anti-
bodies

gray = Insipidus (diabetes insipidus),
6 specific types

bright red = Hypoglycemia Uncaused by
Treatments for High Glucose,
Hut(reactive hypoglycemia,
hyperinsulinism),
21 specific types

- - -