Failed avmed

[FlyingVizsla]

The CSIRO have developed a BMI calculator that takes into account sex age and ethnicity.

 

Weight Loss & BMI Calculator | CSIRO Total Wellbeing Diet

 

If you want to lose the weight, the CSIRO proven weight loss diet is available - fully refundable if you make a net loss over the 12 weeks (and other conditions).

 

 

[onetrack]

Well, the CSIRO Weight Loss website is interesting - but they still add this qualifying comment (below) to the BMI measurement system ....

 

"Body Mass Index (BMI) is a scale used by experts to estimate your health risks according to your weight. It varies depending on your ethnicity.

 

For example, people of Asian descent are considered overweight at a lower BMI than people of European descent.

 

BMI is not a good indicator for elite athletes, pregnant women, and people with a high percentage of lean muscle mass.

 

If BMI ranks you as overweight or obese but your doctor considers you to be fit and healthy, be guided by your doctor."

 

So, on that basis, if the BMI system is not accurate under numerous circumstances, why does the medical profession and weight loss promoters, continue to use it?

 

 

[FlyingVizsla]

BMI is a quick yardstick for AvMed, only useful if they listen to your health carer's assessment - problem is they may not accept the 'pregnant elite lean muscled athlete' explanation. We're getting too 'risk averse' in Govt, too easy to throw the responsibility back on the client to prove there isn't a problem. I work on the theory that if I stay within the 'numbers' they will leave me alone.

 

Some health care people prefer the Hip to Waist ratio, or the fat score, mostly a combination of the above, but the best is personal assessment by a qualified professional. I hadn't heard of the neck measurement before. No doubt there are other measurement systems.

 

 

[old man emu]

BMI is a quick yardstick for AvMed, only useful if they listen to your health carer's assessment the best is personal assessment by a qualified professional.

KABOOM!

 

Hit the nail right on the head. Unfortunately, one has to fit this "personal assessment" into the hierarchy of the doctor's needs. The first item in this hierarchy is the doctor's Professional Liability. They won't do anything that might in any way give rise to a liability claim. Their knowledge of their patient comes way down the decision making criteria list.

 

 

 

If a government authority sets a limit, then anything outside that limit will cause your doctor to issue an automatic fail. It does not matter if the doctor has been providing professional advice and treatment to you for years and years, and thus has monitored and recorded your health over a long time. Professional Liability over-rules personal experience every time.

 

 

 

OME

 

 

[jetjr]

Avmed have no interest in your DAME advice, they simply use them for their ability to order tests and compile results.

 

 

[geoffreywh]

Saying No, is so much less trouble than Saying Yes. An affirmative opens the MD to all sorts of questions. Whereas a simple NO relieves him/her of ANY liability. Why would anyone say that you're ok to fly? Who wants to get sued.

 

 

[BusaKaine]

I’ve just been going through the same problem. I have lost 13kg’s in the past 2 weeks and should be down to a reasonable BMI “for the med” but I have to do the fasting blood glucose test. But my neck has always been over 42cm even when I was in the army. I just have a thick neck... so if I want to fly a VH, it looks like I have to get a RAMPC, so I will still be restricted as I’m not going to go through the sleep study crap.

 

 

[shafs64]

How did you loose 13kgin two weeks

 

 

[BusaKaine]

How did you loose 13kgin two weeks

Strict diet and lots of cardio with high rep weights.... it sucks big time

 

 

[spacesailor]

Amputate a leg is much quicker!. LoL

 

spacesailor

 

 

[Geoff13]

Amputate a leg is much quicker!. LoLspacesailor

That will get rid of approx 16% of your body weight. Two legs would be better at approx 33%

 

 

[horsefeathers]

Amputate a leg is much quicker!. LoLspacesailor

Been there - Done that - dont recommend it, actually. The weight comes back on eventually

 

 

[SSCBD]

Just read this For those who are worried about weight and Diabetes

 

Lose Some Weight, It Could Reverse Diabetes

 

Lose Some Weight, It Could Reverse Diabetes

 

A fatty liver and pancreas could elevate blood glucose levels and lead to type 2 diabetes, according to researchers from Newcastle University. The fatty organs however, could be returned to their normal state through a 600-calorie diet regimen and reversal of diabetes is possible for patients who have been diabetic for 10 years or less.

 

September 21, 2017 WSP

 

 

Losing some weight could reverse diabetes.

 

This is according to Roy Taylor, a Newcastle University professor and a diabetes researcher who studied the condition for four decades. At a meeting of the European Association for the Study of Diabetes in Lisbon, Taylor presented an overview of the studies he and his colleagues had conducted since 2009. At the core is a 600-calorie diet regimen, also known as the “Newcastle diet”, that could reverse type 2 diabetes.

 

Taylor is the main proponent of the “Twin Cycle Hypothesis” which he uses to describe the nature of diabetes. The hypothesis states that:

 

(a) Excess calories lead to a fatty liver. A fatty liver doesn’t respond to insulin and continues to overproduce glucose.

 

(b) The fatty liver also causes fatty deposition in other parts of the body, like the pancreas. The insulin-producing cells found in a fatty pancreas enter a state where they stop producing insulin. Without insulin, the body won’t be able to control blood glucose levels.

 

Both cycles (a) and (b) lead to the onset of type 2 diabetes.

 

To reverse the risk factors brought by fatty livers and pancreata, and to confirm the hypothesis, Taylor and his team introduced a 600-calorie diet regimen in 2009. Eleven patients took part in an experiment dubbed as the “Counterpoint study”; whose results were published in 2011. Taylor explains that, by reducing calorie intake, the liver starts dropping its fats and regains its sensitivity to insulin. Moreover, the pancreas also starts to lose its fats and resumes its role of insulin secretion. Both changes brought back blood glucose levels into normalcy.

 

“I think the real importance of this work is for the patients themselves,” commented Taylor. “Many have described to me how embarking on the low-calorie diet has been the only option to prevent what they thought—or had been told—was an inevitable decline into further medication and further ill health because of their diabetes. By studying the underlying mechanisms we have been able to demonstrate the simplicity of type 2 diabetes.”

 

After it was published, the Counterpoint study piqued the interests of doctors and patients due to the simplicity of the approach. The diet itself was well-liked by the participants as it caused “no hunger and no tiredness” and brought “rapidly increasing well-being”.

 

However, as the study lasted only for eight weeks, there was uncertainty if diabetes would continue to stay away. To address this lingering question, the “Counterbalance study” was launched and participated by 30 patients; results were published in 2016. Twelve patients showed reversal signs within 6 months of diet; all 12 had diabetes for 10 years or less.

 

“The good news for people with Type 2 diabetes is that our work shows that even if you have had the condition for 10 years, you are likely to be able to reverse it by moving that all important tiny amount of fat out of the pancreas. At present, this can only be done through substantial weight loss”, said Taylor.

 

Diabetes (or hyperglycemia) is a condition wherein blood glucose levels in the body are higher than normal levels. To control blood glucose, the body utilizes insulin (a hormone secreted by the pancreas) to convert glucose into energy.

 

Diabetes is classified into two types: type 1 and type 2. People with type 1 diabetes can’t produce insulin due to their pancreatic cells being destroyed by their own immune system. People with type 2 diabetes (they are larger in numbers) are underproducing insulin or have bodies that are not responding normally to the hormone. When the body behaves this way, it is described to have an “insulin resistance” which is a risk factor for developing type 2 diabetes.

 

Out of 380 million people worldwide who suffer from type 2 diabetes, 27 million are in the US and 3.8 million are in Britain. If left untreated, the condition can lead to heart failure, blindness, kidney disease and leg amputations. Ways to control blood glucose levels are therefore crucial to reduce complications for patients who are already suffering from type 2 diabetes.

 

 

[snarf007]

I want to see the evidence of using an isolated neck circumference to justify the expense of a sleep study.....

 

Sleep apnoea has got some significant implications in patients that are going to receive an anaesthetic, so anaesthetists use a simple clinical tool called STOP-BANG to assess patients

 

S- Snoring

 

T- Tired even after a good nights rest

 

O- Observed apnoea by partner

 

P- Pressure, hx of elevated blood pressure

 

B- Body Mass Index over 35

 

A- Age over 50

 

N- Neck circumference over 43cm in men and 41cm in women

 

G- Gender male

 

If you score 3 or more, there is a good chance that you have sleep apnoea.

 

The Official STOP-Bang Questionnaire Website

 

 

[bexrbetter]

S- Snoring

T- Tired even after a good nights rest

 

O- Observed apnoea by partner

 

P- Pressure, hx of elevated blood pressure

 

B- Body Mass Index over 35

 

A- Age over 50

 

N- Neck circumference over 43cm in men and 41cm in women

 

G- Gender male

Actually banging helps me get a good night's sleep.

 

 

[shafs64]

Actually banging helps me get a good night's sleep.

yes that helps but only for a few minutes!