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| Photo by M Clock |
Tradition dies hard.
Especially when there is a building that can truly physically embody the symbolism of the tradition, a place that personalizes that significance to so many people, and in so many ways.
Treatment protocols, and 'step-care' approaches to controlling the blood sugar of patients with Diabetes have certainly been steeped in tradition as well. I am old enough to remember glucose urine strips, then later, speedy 2 minute Accucheck self-glucometry. First, then second generation sulfonylureas. And certainly the previous laissez-fare attitude of Type 2 DM treatment, essentially utlilizing ADA diets and avoiding sugar-laden foods along with basic lifestyle and behavior modification, only initiated once overt symptoms of hyperglycemia ("the 3 P's") developed. Times have definitely changed for the better!
This is a good time to take stock in where we are now, as I noted the 67 Blog posts that are a part of SugarFreeSurgery, and the over 1400 hits the site has received overall.
The take home points of the 'New Traditions' in Type 2 Diabetes care?
Get Care Early:
Be aggressive with multimodal medical treatment to get to best practice goals, with a goal-oriented, limited time frame for behavioral modification and weight loss as needed.
And, For Those That Fail Medical Intervention after a reasonable amount of time:
Start early and often discussing the benefits of metabolic / Bariatric surgery.
Time is Pancreas.
Remember: The benefits you will see from surgery 'today' may not be as durable as they may have been if there had been less delay in scheduling a Bariatric referral earlier. This could be due to the resulting incomplete Diabetes remission, and/or the irreversible effects of the Diabetes with its toxic additive effect of hyperglycemia on vital organ systems.
For those of you in the Capital District of New York, you may have been aware of the sad story of St. Patrick's church demolition in Watervliet, NY. It had stood for 122 years, and is in the process of being cleared to construct a Price Chopper supermarket.
122 years is a long time. A number of lifetimes, actually. Just think of all the good and bad times this church has been an institutional refuge for. Weddings. Funerals. Easter Sunday masses. Baptisms. Last masses before young men went to war. First masses for immigrants coming to the area.
Religious or not, I think you get the picture. And to see the necessary way the process is taking place, with an apparent systematic purpose and an implied intent to destroy. Resulting dust, noise, and unchaste heavy construction equipment. In such a Holy place. I am sure it makes the whole process a bit harder to take for those that are intimately involved. But, it is what it is.
On the flip side, some things are necessary, some are needed, and there may never really be a good time to do what has been required. I am honestly not aware of all the factors involved in this specific case, but maybe it is the best time to do what has to be done.
Likely there are financial issues of the diocese. Declining parish priests, and diminished numbers of parishioners in the region may also be at fault. Recent lawsuits may have taken a toll. Price Chopper is obviously interested in the site for their own business interests, and the residents of the area may be well served by the addition of a new and updated grocery store in that locale.
Likely there are financial issues of the diocese. Declining parish priests, and diminished numbers of parishioners in the region may also be at fault. Recent lawsuits may have taken a toll. Price Chopper is obviously interested in the site for their own business interests, and the residents of the area may be well served by the addition of a new and updated grocery store in that locale.
Treatment protocols, and 'step-care' approaches to controlling the blood sugar of patients with Diabetes have certainly been steeped in tradition as well. I am old enough to remember glucose urine strips, then later, speedy 2 minute Accucheck self-glucometry. First, then second generation sulfonylureas. And certainly the previous laissez-fare attitude of Type 2 DM treatment, essentially utlilizing ADA diets and avoiding sugar-laden foods along with basic lifestyle and behavior modification, only initiated once overt symptoms of hyperglycemia ("the 3 P's") developed. Times have definitely changed for the better!
This is a good time to take stock in where we are now, as I noted the 67 Blog posts that are a part of SugarFreeSurgery, and the over 1400 hits the site has received overall.
The take home points of the 'New Traditions' in Type 2 Diabetes care?
Get Care Early:
Be aggressive with multimodal medical treatment to get to best practice goals, with a goal-oriented, limited time frame for behavioral modification and weight loss as needed.
And, For Those That Fail Medical Intervention after a reasonable amount of time:
Start early and often discussing the benefits of metabolic / Bariatric surgery.
Time is Pancreas.
Remember: The benefits you will see from surgery 'today' may not be as durable as they may have been if there had been less delay in scheduling a Bariatric referral earlier. This could be due to the resulting incomplete Diabetes remission, and/or the irreversible effects of the Diabetes with its toxic additive effect of hyperglycemia on vital organ systems.
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