As you might imagine the letter I sent to Doctor Patel was not effective. Shortly after sending the letter I was informed by an employee of Dr. Patel’s clinic that she would no longer be treating me and that I would be contacted by a clinic at the main VA Hospital and get a new primary care physician.
Dr. Patel’s undue emphasis on lipid control was what ultimately doomed our relationship. This undue emphasis is typical and has infected all of mainstream diabetology which teaches that blood glucose control, blood pressure control, and lipid control are all essential to preventing long term diabetic complications. What the American Diabetes Association, the Academy of Nutrition and Dietetics, and pharmaceutical company profiteers don’t tell these people is that blood pressure control and lipid management follow strict blood glucose control and do not function independently of each of each other in most diabetics. You don’t control your blood pressure and blood lipids by restricting salt and fat from your diet, you wreck your fucking blood sugar.
Doctors, diabetes educators, and dieticians are ruthlessly indoctrinated by marxist professors teaching darwinian and freudian psuedo-science. If everybody can’t or won’t eat a healthy diet no one can eat a healthy diet. That would be unfair to poor people. All life on earth is lineally descended from a single common ancestor. Animals are our brothers and sisters. It is murder to kill an animal therefore, it is unhealthy to eat an animal. Cows cause global warming. Since its been scientifically proven there is no God, the only thing people have to live for is stuffing food in their faces and engaging in deviant sex. Those who don’t engage in deviant sex or gluttony are judging those who do. Jesus, wasn’t really God incarnate but instead just a cool dude that taught us not to judge. This is the type of specious metaphysics masquerading as science that these people are bombarded with in formal educational settings for up to a quarter century.
Dr. Patel was far less obsessed with the grossly overstated dangers of hypoglycemia than others I had to contend with and was more supportive of my attempts to normalize my blood sugar. While the diabetes education provided at her clinic was still based on a number of fundamentally flawed assumptions, these flawed assumptions are more a reflection of the disastrous state of affairs in diabetes treatment and management worldwide and less a reflection of the quality of diabetes education provided at her clinic.
Furthermore, the interpretation and dissemination of current dietary guidelines and treatment protocols provided by the diabetes educator and the sexy little dietician at Dr. Patel’s clinic was far more intellectually rigorous and reasonable than that being forced onto diabetic veterans by the Phoenix VA endocrinology clinic. Rather than insisting that one limit their fat consumption and insisting one consume at least 200 bloody grams of carbohydrate per day, counting carbohydrate accurately to the gram and being consistent in the amount of carbohydrate consumed was stressed. This makes far more sense than telling diabetics to estimate carbohydrate content in fifteen gram increments. Unless starvation diets of 800 calories or less are employed, restricting fat consumption is only going to increase the amount of carbohydrate consumed or speed the glycemic impact of carbohydrate.
With all due respect to Dr. Patel I must concede that she wasn’t stupid. While I never called her stupid to her face she may have taken some of my comments as a challenge to her intelligence. I can assure you that I had no intention of being either harsh or cruel in my treatment of Dr. Patel. My sole purpose was to try to restore in her some sense of appreciation of her obligations as a Doctor charged with the care of our Veterans. “If one could shame a Doctor that had been brainwashed,” I felt, “one might help her to regain her self-respect.” This was on my mind. Now, I freely admit that my method was wrong, but I hope you can understand my motive, and will accept this explanation and this apology.