Diabetes patients make up about half of his practice. With time, we learned that less than 10 percent of patients were able to follow the meal plan. It was just very difficult to do that. Whereas, nowadays we don't preach that anymore. We teach them to quantify what they eat and then they take insulin according to how much food they eat.
Life is easier and they're more comfortable.
This is possible because of the newer insulins that came out about four years ago. Much of the teaching is done by specially trained nurse-educators. That's why the person has to be in charge not the doctor. Although there's lots of information on the Internet, the educator assimilates all of it and helps make sense of it for the patients. Waiting for a doctor to return a phone call may take days but nurse-educators are readily accessible by phone.