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Archive-name: diabetes/faq/part1
Posting-Frequency: biweekly
Last-modified: 15 Dec 2006 (excludes change list and Table of Contents)

Changes: add aspartame topic in research section (14 July 2005)
          fix Avogadro’s number (15 Dec 2006)
          correct U of Louisville link (10 March 2009)

——————————

Subject: READ THIS FIRST

Copyright 1993-2006 by Edward Reid. Re-use beyond the fair use provisions
of copyright law and convention requires the author’s permission.

Advice given in m.h.d is *never* medical advice. That includes this FAQ.
Never substitute advice from the net for a physician’s care. Diabetes is a
critical health topic and you should always consult your physician or
personally understand the ramifications before taking any therapeutic action
based on advice found here or elsewhere on the net.

——————————

Subject: Table of Contents

INTRODUCTION (found in all parts)
   READ THIS FIRST
   Table of Contents
GENERAL (found in part 1)
   Where’s the FAQ?
   What’s this newsgroup like?
   Abuse of the newsgroup
   The newsgroup charter
   Newsgroup posting guidelines
   What is glucose? What does "bG" mean?
   What are mmol/L? How do I convert between mmol/L and mg/dl?
   What is c-peptide? What do c-peptide levels mean?
   What’s type 1 and type 2 diabetes?
   Is it OK to discuss diabetes insipidus here? What is it?
   How about discussing hypoglycemia?
   Helping with the diagnosis (DM or hypoglycemia) and waiting
   Exercise and insulin
BLOOD GLUCOSE MONITORING (found in part 2)
   How accurate is my meter?
   Ouch! The cost of blood glucose measurement strips hurts my wallet!
   What do meters cost?
   Comparing blood glucose meters
   How can I download data from my meter?
   I’ve heard of a non-invasive bG meter — the Dream Beam?
   What’s HbA1c and what’s it mean?
   Why is interpreting HbA1c values tricky?
   Who determined the HbA1c reaction rates and the consequences?
   HbA1c by mail
   Why is my morning bg high? What are dawn phenomenon, rebound,
     and Somogyi effect?
TREATMENT (found in part 3)
   My diabetic father isn’t taking care of himself. What can I do?
   Managing adolescence, including the adult forms
   So-and-so eats sugar! Isn’t that poison for diabetics?
   Insulin nomenclature
   What is Humalog / LysPro / lispro / ultrafast insulin?
   Travelling with insulin
   Injectors: Syringe and lancet reuse and disposal
   Injectors: Pens
   Injectors: Jets
   Insulin pumps
   Type 1 cures — beta cell implants
   Type 1 cures — pancreas transplants
   Type 2 cures — barely a dream
   What’s a glycemic index? How can I get a GI table for foods?
   Should I take a chromium supplement?
   I beat my wife! (and other aspects of hypoglycemia) (not yet written)
   Does falling blood glucose feel like hypoglycemia?
   Alcohol and diabetes
   Necrobiosis lipoidica diabeticorum
   Has anybody heard of frozen shoulder (adhesive capsulitis)?
   Gastroparesis
   Extreme insulin resistance
   What is pycnogenol? Where and how is it sold?
   What claims do the sales pitches make for pycnogenol?
   What’s the real published scientific knowledge about pycnogenol?
   How reliable is the literature cited by the pycnogenol ads?
   What’s the bottom line on pycnogenol?
   Pycnogenol references
SOURCES (found in part 4)
   Online resources: diabetes-related newsgroups
   Online resources: diabetes-related mailing lists
   Online resources: commercial services
   Online resources: FTP
   Online resources: World Wide Web
   Online resources: other
   Where can I mail order XYZ?
   How can I contact the American Diabetes Association (ADA) ?
   How can I contact the Juvenile Diabetes Foundation (JDF) ?
   How can I contact the British Diabetic Association (BDA) ?
   How can I contact the Canadian Diabetes Association (CDA) ?
   What about diabetes organizations outside North America?
   How can I contact the United Network for Organ Sharing (UNOS)?
   Could you recommend some good reading?
   Could you recommend some good magazines?
RESEARCH (found in part 5)
   What is the DCCT? What are the results?
   More details about the DCCT
   DCCT philosophy: what did it really show?
   Is aspartame dangerous?
IN CLOSING  (found in all parts)
   Who did this?

——————————

Subject: Where’s the FAQ?

This FAQ attempts to answer the questions which have been most frequently
asked in misc.health.diabetes (m.h.d). This is not a complete informational
posting. My only criterion for inclusion is that the topic has frequently
appeared in m.h.d, either by an explicit question, or implicitly by posting a
related question or a common misconception.

This FAQ is posted biweekly to the Usenet newsgroup misc.health.diabetes.
If you obtained this article by some method other than reading Usenet,
refer to the section on "Online resources: diabetes-related newsgroups"
for brief information on how to obtain access to Usenet newsgroups and
misc.health.diabetes in particular.

Feel free to make copies of this FAQ for your personal use or for a friend or
relative, including to share with health care providers. If you want to make
this FAQ available to others on an ongoing basis (for example, on a BBS),
please do *not* post or copy the entire FAQ. Instead, post only this section,
entitled "Where’s the FAQ?". This will enable others always to retrieve the
most recent version.

I have removed the outdated informational posting on insulin pumps.

An informational posting on diabetes-related software is posted to m.h.d at
the same time as this FAQ. See below for retrieval information. It was
developed and is maintained by Rick Mendosa <mendosa(AT)mendosa.com>.

I’ve used ideas and information from many people in writing this FAQ. With a
few exceptions I haven’t attempted to identify them, but I thank them all.
The words herein are mine unless otherwise credited.

If you read this and it helps you, please let me know what part helped, and
why. If you read this and can’t find what you want, let me know that too.
Such comments will help me decide what is worth working on, and whether.
You’d be surprised how little feedback I get. If you are reading this on the
newsgroup, just reply to this article. If you found this on the web, send
email to <edw…@paleo.org>.

These documents — the FAQ and the software overview — are available
from the news.answers archives at rtfm.mit.edu. Using anonymous ftp, get
the files:

    /pub/faqs/diabetes/faq/part1
    /pub/faqs/diabetes/faq/part2
    /pub/faqs/diabetes/faq/part3
    /pub/faqs/diabetes/faq/part4
    /pub/faqs/diabetes/faq/part5
    /pub/faqs/diabetes/software

or in web browser format:

    ftp://rtfm.mit.edu/pub/faqs/diabetes/

If your net access is by email only, send an email message to
mail-server(AT)rtfm.mit.edu, subject ignored, body containing:

    send faqs/diabetes/faq/part1
    send faqs/diabetes/faq/part2
    send faqs/diabetes/faq/part3
    send faqs/diabetes/faq/part4
    send faqs/diabetes/faq/part5
    send faqs/diabetes/software

If you are using the World Wide Web, you can reach a WWW-formatted version of
the FAQ and other documents via the URL

    http://www.faqs.org/faqs/diabetes/

You can also retrieve the plain text by FTP from the rtfm.mit.edu site
mentioned above, which has long been the most reliable source. However,
it only offers the simplest retrieval capability.
——————————

Subject: What’s this newsgroup like?

Posting topics range through emotional support, treatment techniques,
psychological factors, health care practices, and insurance. We talk about
our problems, frustrations, depressions and complications to find out how
others handle the same issues and for mutual support. The atmosphere is
generally a highly supportive one, and most participants believe strongly
that this is an important aspect. As in other parts of the net, there are one
or two regular participants who believe that it is important to question the
motives and/or knowledge of anyone posting a new problem. If you find that
the first response is antagonistic, please wait a few hours. Every
antagonistic response will elicit a dozen sympathetic responses.

Meta-topics include discussions of how to best convey health information on
the Usenet, ethical treatment of other participants, what topics and
information are appropriate for m.h.d, where to find diabetes information,
and what the newsgroup should be like.

Betsy Butler says eloquently:

    The positive posts of people who are in great control are very
    motivating, but it is also helpful to hear from people who don’t find
    it so easy. I’m sure there are a lot of people who struggle to keep
    control. The people who are having trouble also need to know that there
    are others who struggle, and that they are not alone. It can be very
    intimidating, and a blow to self-esteem for people to suggest that if
    you would just do X, Y and Z, you will be in control. There are 100s of
    factors to balance, and I think people need to be reassured that "yes,
    it’s hard to balance so many things, many of which can’t be measured or
    that don’t act predictably."

Topics closely related to diabetes mellitus which do not have their own place
in Usenet are welcome. Examples are diabetes insipidus, hypoglycemia, glucose
intolerance, legal and employment ramifications of chronic illness, effects
on family members, how family members can best provide support, and so on.
misc.health.diabetes tends to be inclusive of anyone who needs it.

The same caveat applies here as in all newsgroups: the advice is worth what
you paid for it. This applies in spades to a critical health topic such as
diabetes. Never substitute informal advice for a physician’s care. Advice
given in m.h.d is *never* medical advice.

The variety of individual responses to diabetes is exceeded only by the
variety of individual responses to life. No two patients respond alike, and
many
…