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Message: <blockquote data-quote="Oldvatr" data-source="post: 2628108" data-attributes="member: 196898">One thing we often find being asked on the forum is "what level of damage does hyper or hypo glycemiua do to us?"The following study does not provide a complete answer, but does answer the sort of damage that can occur when the body is stressed or in trauma, which is an extreme condition.The test cohorts are ICU patients and post operative patients.[URL unfurl="true"]https://www.ncbi.nlm.nih.gov/books/NBK279093/[/URL]It discusses tight glucose control as being 4.4 - 6 mmol/l  and at that level the consensus seems to be favourable when compared to ,say, the range 8-10 mmmol/l.  They do not cover the 3.9 mmol/l  to 5 case as discussed in this thread. (and as studied in the EMcrit study)note: when I was in hospital recently, I was being encouraged to control between 12 and 20 mmol/l and my usual control of 4.5 to 8 mmol/l was strongly discouraged. Seems they need to read this study?  As a matter of note: I was put on insulin pump therapy while in post op recovery, and I had the worst and most frequent hypo's ever while in their care.  as the report noted, these tended to be in the early hours of the day (5 am) when staffing levels were low and snacks are not available.The reason why Carni diets are the subject of this thread is that being a ketogenic diet plan, there is potential to actually achieve levels in the 4's range.  however, other keto diets may also be applicable and it is not the diet itself that is under scrutiny.</blockquote>

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