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Blood sugar levels for those with heart disease

S

SouthernGeneral6512

Well-Known Member
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I read in an article that for some people with heart disease as well as diabetes it's not so good to have the BS level too low ... has anyone else heard this?
 
No, although I'm sure someone will be along with a "link" to prove it soon! Personally, I'd take a lot of convincing. Whether or not this might be true for some on insulin who have spikes and hypos a lot I don't know as I'm not on insulin, but for diet only T2s, and I'm sure for those on most oral meds, it must be best to get as near to non-diabetic levels as possible. THAT was how the body was designed to operate.
There was one study, very flawed, that showed that going from an HbA1c of 7.5 to 7.0 actually INCREASED mortality rates, BUT, it was marginal, and only applied to the insulin dependant section of those tested. There were I believe many other shortcomings, and i know the educated T1s on this forum, (which I'm sure is all of them), would prefer to be below 7 than above it!
 
Grazer said:
No, although I'm sure someone will be along with a "link" to prove it soon! Personally, I'd take a lot of convincing. Whether or not this might be true for some on insulin who have spikes and hypos a lot I don't know as I'm not on insulin, but for diet only T2s, and I'm sure for those on most oral meds, it must be best to get as near to non-diabetic levels as possible. THAT was how the body was designed to operate.
There was one study, very flawed, that showed that going from an HbA1c of 7.5 to 7.0 actually INCREASED mortality rates, BUT, it was marginal, and only applied to the insulin dependant section of those tested. There were I believe many other shortcomings, and i know the educated T1s on this forum, (which I'm sure is all of them), would prefer to be below 7 than above it!
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Thanks for that grazer

The BS range isn't linear is it?
 
SouthernGeneral6512 said:
The BS range isn't linear is it?
Click to expand...

Not quite sure what you mean by this. Are you referring to the mortality rate associated with rising Blood Sugar levels? Or the comparison of increasing BGs with HbA1c figures?
 
SouthernGeneral6512 said:
I read in an article that for some people with heart disease as well as diabetes it's not so good to have the BS level too low ... has anyone else heard this?
Click to expand...


Could you provide a link to the article SG as I would be interested in reading this?
 
Regarding low Blood glucose,You may come across a saying "Four is the floor" ie,your blood glucose,if it drops below 4mmol is too low and will need corrective action,however,whilst this is true if you are a insulin user OR on a powerful pancreas stimulating drug,Type 2's who are on diet only or diet and Metformin,this doesn't apply(To the best of my belief) as they are no more likely to suffer a dangerous Hypo than a non diabetic individual.There's many Type 2's who have levels in the 3's with NO ill effects whatsoever.
 
Paul1976 said:
Regarding low Blood glucose,You may come across a saying "Four is the floor" ie,your blood glucose,if it drops below 4mmol is too low and will need corrective action,however,whilst this is true if you are a insulin user OR on a powerful pancreas stimulating drug,Type 2's who are on diet only or diet and Metformin,this doesn't apply(To the best of my belief) as they are no more likely to suffer a dangerous Hypo than a non diabetic individual.There's many Type 2's who have levels in the 3's with NO ill effects whatsoever.
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I'm Metformin and diet controlled and have a couple of 3's. I didn't feel anything but normal. So, yes Paul, spot on!
 
Grazer said:
SouthernGeneral6512 said:
The BS range isn't linear is it?
Click to expand...

Not quite sure what you mean by this. Are you referring to the mortality rate associated with rising Blood Sugar levels? Or the comparison of increasing BGs with HbA1c figures?
Click to expand...

It's linear if there's a 1 to 1 ratio between the level of sugar and number on the scale ... like a straight line on a chart. The richter scale for earthquakes isn't linear with each 1 increase on the scale being equal to a 10 times more powerful quake.

The reason I ask is that in a linear scale the difference between 7 and 7.5 wouldn't really be very much
 
noblehead said:
SouthernGeneral6512 said:
I read in an article that for some people with heart disease as well as diabetes it's not so good to have the BS level too low ... has anyone else heard this?
Click to expand...


Could you provide a link to the article SG as I would be interested in reading this?
Click to expand...

I wish I could remember I read it a few days ago from a google search
 
SouthernGeneral6512 said:
I wish I could remember I read it a few days ago from a google search
Click to expand...



No problems SG I'll have a wee search later :)
 
i have many 3's and love them! But i don't think southerngeneral was referring to that?

Just seen your other post southerngeneral. The relationship between BGs (average) and HbA1c (the 7.5 to 7.0 figures) isn't linear, but not so different as to make much of a difference. However, some studies show that every 1.0 our HbA1c goes up above 6 reflects a 40% increase in cardio vascular risk. So, if statistically (weight, age, blood pressure etc)you had a 10% risk, that becomes 14%. So 0.5 would represent about a 20% increase. Not insignificant. In general terms, the extra RISK per 1.0 IS roughly linear.Does that answer it?
 
Grazer said:
i have many 3's and love them! But i don't think southerngeneral was referring to that?

Just seen your other post southerngeneral. The relationship between BGs (average) and HbA1c (the 7.5 to 7.0 figures) isn't linear, but not so different as to make much of a difference. However, some studies show that every 1.0 our HbA1c goes up above 6 reflects a 40% increase in cardio vascular risk. So, if statistically (weight, age, blood pressure etc)you had a 10% risk, that becomes 14%. So 0.5 would represent about a 20% increase. Not insignificant. In general terms, the extra RISK per 1.0 IS roughly linear.Does that answer it?
Click to expand...
Yeah,i suddenly realised after i posted that it was a Tad off topic,sorry Southern General! :oops:
 
Paul1976 said:
Grazer said:
i have many 3's and love them! But i don't think southerngeneral was referring to that?

Just seen your other post southerngeneral. The relationship between BGs (average) and HbA1c (the 7.5 to 7.0 figures) isn't linear, but not so different as to make much of a difference. However, some studies show that every 1.0 our HbA1c goes up above 6 reflects a 40% increase in cardio vascular risk. So, if statistically (weight, age, blood pressure etc)you had a 10% risk, that becomes 14%. So 0.5 would represent about a 20% increase. Not insignificant. In general terms, the extra RISK per 1.0 IS roughly linear.Does that answer it?
Click to expand...
Yeah,i suddenly realised after i posted that it was a Tad off topic,sorry Southern General! :oops:
Click to expand...
No problem at all :D
 
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