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I assume that therefore the issue is artificially lowering BG below 4.
I wouldn't assume that at all. I suspect that there are a number of life threatening non diabetic conditions associated with low fbgs that have high mortality (eg eating disorders ?)
However, fascinating though this topic is (and I'd love to see the source for @Oldvatr's hospital study), I'm not sure how relevant it is to the original question, which is whether people are suffering diabetic damage at levels below the traditional diagnosis level.