Quote:
Originally Posted by AOII Angel
Uncontrolled diabetics are more likely to cost your insurance carrier more over time than a single patient with Crohn's disease. I think the idea is a good one, but unfortunately, like the weight, there should be some phase in. If you have an A1C of 10, a decrease of 1 point each time you come demonstrating progress is helpful. Patient's don't do well with all or nothing. Saying they must be Less than and A1C of 8 to get the benefits is tough, especially if you are giving the obese a way to keep their lower rates by decreasing their weight over time. The whole point is to encourage improved health over time. For those who can't control it, there are medications that when taken (like for cholesterol) will bring them into those ranges.
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Ideally medication would solve that, but not always. I don't know how reasonable the numbers are, but my mom has HBP, the only thing that has actually lowered her BP was a low-carb diet. She's tried everything, but staying low carb dropped her weight, her BP and her cholesterol and has kept it there. Someone who is trying to figure out WHY their numbers are high and a successful treatment hasn't been found for that individual yet is going to be rather unfairly punished. So would someone who is an outlier and is incredibly healthy despite not falling in those ranges.
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