IanD
Well-Known Member
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- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
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- Carbohydrates
I seem to have upset people by trying to interpret the cited report. Further comments in blue.
IanD said:cocacola said:Can someone please explain this report in plain English?They have found that using high medication to achieve HBA below 7.5 may be counter-productive because of the adverse effects of the medication. At higher HBAs, the adverse effect of diabetes becomes more significant.But it also showed there was a U-shaped association between increased all-cause mortality above and below an HbA1c of 7.5%. Changes above or below an HbA1c of 7.5% was associated with a greater risk, regardless of whether treatment was intensified with oral hypoglycaemic agents or insulin injections.
I understood that "intensified treatment" implied high medication. If HBAs below 7.5 increase the risk, then non-diabetics & diet/exercise controlled diabetics are also at increased risk.
There is a line of thought that diabetes (particularly T1, with DAFNE) can be controlled by medication, while eating normally. That is where Hana & I & others take issue. A reduced carb diet will not have such adverse effects. Hana's husband has been T1 for many years.
Dose Adjustment For NORMAL Eating. I am not challenging the experts but commenting on the cited study. High BG is bad, & intensified drug treatment to achieve BG<7.5 is also bad. Did the study consider reduced carb, so that BG could be reduced below 7.5 with less intense oral hypoglycaemic agents or insulin injections?