Out With The Old, In With The New

Once you are diagnosed diabetic, Type 1 or Type 2, there is no longer just a yearly checkup with your primary physician.  Instead, you must now add to that a visit to your endocrinologist about every 3 months for an A1c, as well as see a dietitian to ensure that you are managing your diabetes well. 

I am very fortunate to have insurance that allows me to see doctors within the Cedars Sinai group here in Los Angeles.  I saw doctors in this group before I was diabetic and I also gave birth to both of my children at Cedars Sinai Hospital.  They have always provided excellent service. 

I like my endocrinologist, who, lucky for me is also my primary physician.  I don’t think that is common.  I also like my dietitian.  Every time I see them for an appointment they are at a loss for words at how well I am managing my diabetes (I am guessing there is a vast majority that does not???).  I can see the shock on their faces.  I pretty much run my appointments.  My main purpose for seeing them is to make sure I get my prescriptions. 

I remember my appointment with my dietitian to discuss applying for the pump.  As usual she asked me a bunch of questions and how I was doing.  But when I got to the part where I told her I  don’t eat grains she promptly chimed in to say “Well you can have grains.  It is good to include whole grains as part of a healthy diet.”  Whoa.  I could have schooled her right there but I decided to save her dignity as a health professional.  Afterall, my goal was to see her so that I could get an insulin pump. 

My next visit with her was after I had received my pump and been using it for a couple weeks.  It is standard for you to come in to see how you are doing and to possibly make basal rate and/or carb ratio changes if necessary.  Because the pump was new to me I had a lot of questions for her.  My last question, however, was a complete curve ball.  I asked her what she thought of paleo.  (Most who are close to me know that I follow a primal way of eating and that I truly believe it has helped me immensely in dealing with my auto immune disease, Type 1 diabetes.)  Man did I have her stumped with my question.  She stumbled over her words saying “Well I haven’t really heard anything about that.  I’ll have to look into that.”

As much as I like her, I thought to myself how the heck can you be a “practicing” dietitian who is not keeping up with current health news and reports?  I must amdit thought I half expected this answer from her because she is older and I imagine has been doing this for more than a couple decades.  So I left and left it at that.

About a week ago, I recieved a letter in the mail from her.  It was announcing that she had made the decision to retire and would no longer be my dietitian.  This was a standard letter sent to all her clients.  She was very instrumental in getting me on my insulin pump in a quickly manner and I am very grateful for that, yet there is part of me that thinks this is a good thing.  This tells me that the generation is changing and with that the current health and diet paradigms too.  We need new health professionals that realize and put into practice a new way of thinking about diet and health.  Health professionals that know you DON’T need whole grains and starchy carbohydrates for proper bodily funtcion.  Not only that but health professionals who know what “paleo” is, ones who will take a more whole body approach to diagnosis and treatment and ones that don’t look at me wide-eyed in amazement at how well I am managing my diabetes because that should be the goal.  I am very excited to see how this change takes place and you can bet that I will have my own part in this upcoming health revolution.

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