Crossing the Rubicon

Below you will find a letter I wrote to my VA Primary Care Doctor in August of last year.  As you can tell I was pretty pissed off and as you can imagine it went over like a sack of bricks.  Shortly after writing the letter I contacted Senator McCain’s office, thus crossing the Rubicon and beginning my efforts to bring the systematic mistreatment of diabetics at the Phoenix VA to light.  As it would later turn out the Phoenix VA was also systematically denying eligible Veterans access to timely medical treatment by keeping a secret waiting list to make it appear as though Veterans weren’t being forced to wait months for care thus making my accusation of fratricide that much more prescient.  It is now believed that forty Veterans died waiting for care from the VA because of the secret list. When the number of diabetics killed at the VA is considered, I believe total casualties will exceed forty by at least an order of magnitude.

Dear Dr. Patel

I need to see you regarding a number of issues. Someone has a placed a hold on a number of my prescriptions including most notably my test strip prescription and my insulin syringe prescription. In case you are not aware I am a Type 1 diabetic with a number of known early onset complications, including nephropathy, charcot neuropathy, bilateral peripheral neuropathy, retinopathy, erectile dysfunction, and hypertension. It is my belief that all of these complications stem directly from an eighteen year history of persistent and severe hyperglycemia except for the charcot neuropathy which I believe is actually a series of associated micro-fractures secondary to a botched osteotomy performed at the Carl Hayden VA medical center by their podiatry department. Since I began managing my blood sugar more carefully the progression of all these complications has either slowed, halted, or partially reversed.

I need access to all of the medications and prescriptions which are now being denied to me in order to maintain hyperglycemic remission and thus prevent further disability and the attendant additional costs, and economic damages associated with progressively worsening diabetic complications such as heart failure, stroke, kidney failure, additional amputation, and blindness, delayed stomach emptying secondary to gastroparesis, et cetera. Most notably I need test strips and insulin syringes in order to even be able to prevent the deadly and damaging condition of diabetic ketoacidosis. Without insulin syringes and thus the ability to inject insulin, a vital hormone my body no longer makes, I could die within a matter of hours or days at the most. Without test strips I cannot accurately estimate how much insulin I need to inject to prevent not only hyperglycemia and its deadly and disabling sequelae but also to prevent, treat and identify hypoglycemia a much less dangerous but nonetheless potentially fatal side effect associated with injected insulin overdose particularly when taken in conjunction with the high carbohydrate, fat restricted diets typically prescribed by mainstream medical doctors, at the behest of marxist politicians and state apparatchik who erroneously assert high carbohydrate diets prevent or ameliorate lipid profile abnormalities when if fact the high carbohydrate diets being force fed to our diabetic veterans, native americans, and our poorest minority children by the state and its apparatchik cause diabetes,cancer, and epilepsy.

Furthermore Dr. Patel, I need to see you regarding a number of changes I would like to make to my current insulin regimen including a prescription for regular insulin as it facilitates a more effective bolus dosing strategy which covers the glycemic impact of the low carbohydrate, high protein, high fat diet that I currently follow more precisely than Novolog.

Additionally I would prefer a prescription for Levemir insulin instead of Lantus. Levemir is more effective at controlling blood sugars in diabetics seeking genuinely normal blood sugars who follow a low carbohydrate diet and thus reject the lies told by marxist, darwinist, and islamo-fascist infiltrators, conspirators, and mutineers who have seized control of a number of government agencies and public institutions including the VA,USDA,FDA,NIH,NHLBI,ADA,AND,AACE, Mayo Clinic, and the Joslin Diabetes Center. It is also my belief that when administered properly Levemir is more cost effective than Lantus and does not carry with it the same known increased risk of cancer associated with Lantus.

It is my understanding that there has been some concern regarding a number of mild to moderate hypoglycemic events that I have encountered since I began controlling my blood sugar more strictly. While the dangers of hypoglycemia are grossly overstated by the marxist enemies of our nation, since severe hypoglycemia can be genuinely life threatening, I would also like a prescription for glucose tablets. When used properly glucose tablets raise blood sugar safely and predictably without causing the damaging and dangerous blood sugar spikes caused by the traditional hypoglycemic treatment methods preferred by marxist politicians, bureaucrats, and pharmaceutical company profiteers. I am making this request in writing since my repeated verbal requests for a prescription for this potentially life saving medication have been repeatedly denied by you and other marxist sympathizers most notably Comrade Wlatka Peric-Knowlton of the Carl Hayden VA Medical Center Endocrinology Clinic.

When you reinstate my prescription for insulin syringes I would prefer a prescription for syringes with the shortest needle available. Due to the body fat loss I’ve experienced since beginning a ketogenic diet, the half inch needles you previously prescribed often make me bleed. I would also like insulin syringes with half unit marking so I can more accurately and safely estimate bolus doses intended to maintain truly normal blood sugar levels while mitigating against the risk of mild, moderate, or even severe hypoglycemia.

I would also like a prescription for diluting solution so I can dilute the Novolg insulin I inject for correction boluses. While Novolog is superior to regular insulin for correction boluses since it acts much more quickly than regular insulin, when taken at full strength it is far more dangerous than regular insulin as it is twice as powerful. I have found that a single unit of full strength novolog can lower my blood sugar by as much as 60 mg/dl over a four to six hour period making it impossible for me to safely and effectively correction bolus when my blood sugar is elevated less than 60 mg/dl above my selected blood glucose target of 90 mg/dl. If I had access to Novolog dilluted at a 4:1 ratio, I could safely and accurately employ correction boluses calculated to cover blood sugar elevations as small as 15 mg/dl. This in turn would allow me to safely lower my blood glucose target to a truly normal 83 mg/dl.

If none of these requests make sense to you it is because while at medical school you were programmed by a core of the elite who never grew up, never did anything real, never sacrificed, never suffered and never learned, who have seized the power to fund with the earnings of the American people their dubious and self-serving dietary schemes. Blood sugar normalization in diabetics is indeed dangerous and impossible when attempted in the context of a high carbohydrate diet. The low fat diets recommended by the federal gubment,were recommended at the insistence of the late Marxist Senator George McGovern who cited phony diet studies conducted by the marxist propagandist Ancel Keyes who studied political science at the University of California at Berkely. People who study “political science” particularly those who study it at UC Berkely are not scientists they are propagandists usually marxist propagandists.

These low fat diets are necessarily high in carbohydrate if normo-caloric and cause diabetes, cancer, epilepsy, and the very coronary artery disease they were supposed to prevent. The government’s dubious dietary schemes always exacerbate those conditions once those conditions become apparent. My position, while contrary to that of darwinian marxist religionists who have upended and ransacked our universities and are even now committing fratricide at I suspect every VA medical center in this nation is buttressed by my own personal experience including all my recent lab results and is furthermore based on the scientific conclusions arrived at by Richard K. Bernstein, M.D., based on his successful clinical experience normalizing blood sugar levels in diabetic patients and in himself. Dr. Bernstein, is a clinical endocrinoligist, a DIPLOMATE, NATIONAL BOARD OF MEDICAL EXAMINERS: a FELLOW,of the AMERICAN COLLEGE OF ENDOCRINOLOGY: a FELLOW, of the AMERICAN COLLEGE OF NUTRITION: a DIPLOMATE, of the AMERICAN ACADEMY OF WOUND MANAGEMENT: a FELLOW, of the COLLEGE OF CERTIFIED WOUND SPECIALISTS and an eighty year old type 1 diabetic who like me, was dying from diabetic complications in his late thirties.

The requests I have made herein are all based on my best interpretation of what he recommends in his definitive text Diabetes Solution and to his diabetic patients many of whom under his care safely maintain glycated hemoglobin A1c levels between 4.2% to 4.6% which reflects an average plasma blood glucose level at or near 83 mg/dl. Please contact me at 602-464-5296 so I can schedule an appointment to see you as soon as possible. I’m running out of syringes, test strips, and glucose tablets and am unable to afford to purchase those items. If you care to learn how to successfully treat diabetes and are concerned about the health and well being of the diabetic veterans you treat at your clinic, Dr. Bernstein’s book is available for purchase at my website through amazon at http://www.roguediabetic.info on the Recommended Reading and Viewing page. A link to “Appendix A: What About the Widely Advocated Dietary Restrictions on Fat, Protein, and Salt and the Current High Fiber Fad” of Dr. Bernstein’s definitive text Diabetes Solution is also available on the Recommended Reading and Viewing page at roguediabetic.info and can be viewed for free. I beg you to please at least read this as it repudiates most of the logically fallacious attacks you were taught to level at Dr. Bernstein’s methodology and conclusions during medical school. While I am uncertain where you were educated Dr. Patel I would assume it was either in the U.S. or Great Britain and if that assumption is correct then you were most certainly brainwashed by marxist propagandists and darwinian religionists during medical school.

Thank you for your attention to the foregoing.

Respectfully Submitted

Ryan D. Grone LCpl USMC (retired)

P.S. I am sending a copy of this correspondence to Senator John McCain. As a Vietnam Veteran and a member of the Senate Armed Services Committee, I suspect he may be troubled to learn that many of those he served in Vietnam with who now have diabetes because they were poisoned by our government while fighting a war against the forces of international marxism are now being spit on by the same marxist radicals who squandered their youth when they abandon those same veteran’s on a battlefield half a world away then spit on them when they came home. He also may recognize a potential national security and economic threat for our nation where one out of every three of our children born after the year 2000 will die prematurely of diabetes.

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About roguediabetic

I am a Type 1 diabetic diagnosed in August of 93 while serving in the United States Marine Corps. After over eighteen years of poor blood sugar control and early complications including a left big toe amputation I finally figured out how to control my blood sugar. What I finally learned about blood sugar control ultimately had little to do with what I was told.
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