What to do with an outlier?

typeone gritWhat do you do as a doctor when a patient is doing something different, what appears to be against your conventional teaching, yet is having fabulous results?

If you are a smart doctor, you will pay attention. A lot of attention.

Ahmed Afifi is now a friend of mine, joined by a common goal of education and support for those people with Type 1 Diabetes looking at options in management. He has Type 1 Diabetes and running Low Carb in his own management. He has great control and doing well.

He is an outlier. He is also a diabetes educator and journalist in the Middle East.

Read his encounter when visiting an Ear Nose and Throat Surgeon who is becoming diabetic himself and married to a woman with Type 1 Diabetes. The medical profession have to pay attention to the outliers, the patients that are doing so much better than everyone else.

“Today while visiting an ENT Dr. for a sinuses problem.. this conversation started between us….
Dr.: Do you have any medical problem?
Me: yes I am T1 Diabetic.
Dr. looked at me with a pity look full of empathy and said: for how long.
Me: 13 years.
Dr. A1C
Me: 5.6
Dr. : What !!!! What about the one before?
Me 5.4
Dr. and the one before?
Me: 5.5
Dr. I will refer you to an Endo cos I guess you have no Diabetes
Me: No forget it,,,, You see the insulin pump hanging in my belt proves to you that I do have it 100%
Dr. Ok but I am sure
Me: Why?
Dr. cos of 2 things I was doing my annual check-up yesterday and my A1C was 5.8 !! and my wife is t1 and her A1C is 6.9 in best control ever with best Dr. in town
Me: Then 2 things Dr. First: You gonna be diabetic soon if you will not catch yourself faster and second: I can get your wife A1C down to 5 if u listen to me blindly>>>
Dr. Became sceptic and start checking my nose and forget about what we talked thinking I am crazy – before I leave I left him a note with my Diabetes page!!
That was 2 pm – now it is 11 pm_ Phone Rang 10 mins ago
Me: Hello
Other side: Hello this Dr…… Can I drink some coffee with you in the weekend and talk about what you told me !!!!!!!
Me: Yesssssssssss.”

Ahmed’s story gave me goosebumps.

Ahmed is a member of the TYPEONEGRIT Facebook group. It started as a group of parents of Type 1 Diabetes children supporting each other in the low carbohydrate option in diabetes management.

Their results are amazing and achieving control levels that are in the best 1% of all HbA1c results of Type 1 Diabetes. They are the outliers. They are getting results that Endocrinologists cannot believe.

The smart doctors will have to start paying attention… and the sooner the better for us all.


Gary Fettke No Fructose's photo.