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Message: <blockquote data-quote="covknit" data-source="post: 1642926" data-attributes="member: 346585">Cut and paste......our primary concern is the significant increase in mortality associated with insulin therapy once the A1C falls below 7.5%.<a href="https://www.aafp.org/afp/2014/1015/p524.html#afp20141015p524-b10" target="_blank">4</a> We are disappointed that national organizations still recommend pharmaceutically lowering blood glucose levels despite evidence that fails to show benefit and instead demonstrates potential harm.The reason we based our model on a hand is that regardless of whether aggressive glycemic reduction is beneficial in overweight patients with type 2 diabetes—and the best evidence strongly suggests that it is not—clinicians must spend their time with patients focusing on the other life-prolonging “fingers” of diabetes care. Poor control of hypertension is associated with high blood glucose levels, meaning that clinicians spend too much time on the “pinky” of glycemic control and not enough time on blood pressure control.<a href="https://www.aafp.org/afp/2014/1015/p524.html#afp20141015p524-b12" target="_blank">6</a>Let's stop reversing the hand and start saving lives.Interesting. Food for thought for everyone needing to balance the needs of multiple conditions, especially when references are shown to be comparing results from studies including the Japanese BMI >19 to the >25 targeted in the article. Since most of my meds clearly state they increase BG it is good to know this. There again I do take 47 doses of my various, each and every day so it could potentially have a significant cumilative effect. Thank you for the link.</blockquote>

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