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Even if a patient refuses to comply with a diabetic diet, the disease can still be controlled with insulin. Someone needs to be counting carbohydrates and injecting insulin based on that consumption. There is a down side to this thinking. That is that weight gain is likely to occur. Excessive weight is a countermeasure to insulin. So, more insulin would have to be administered and if hypoglycemia occurs then the patient has no choice but to eat. This can be a counterproductive cycle. Nonetheless, in this situation -- one where the patient refuses to adopt a diabetic diet -- additional insulin must be used. Try to use this information to reason with your dad. But if this does not work, then adopt a defensive attitude in your use of insulin. God bless, R. |
