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<blockquote data-quote="kitedoc" data-source="post: 2106278" data-attributes="member: 468714"><p>In reply to [USER=374531]@Scott-C[/USER], The study he mentions was a survey but includes hard data like HBAIC measures, growth measures, bsl variability all of which are objective thus very difficult to fudge and more open to being scrutinised and evaluated.</p><p>I think we all accept that qualitative measures of well being will be likely biased in any such study whatever the treatment and management strategy under investigation..</p><p>Of course like any similar study the long term consequences are unknown. Such reservations are part of any responsible scientific report. </p><p>The growth rates of children included in the study are suggestive of good results for children within the scope and limited time scale of the study. The call for further studies on the diabetes management style seem warranted given the results of the study one would think.</p><p>Who would fund a further study? Certainly not the food or pharmaceutical companies or any institution in their pockets.</p><p>It is interesting that at least one low carb conference has been sponsored by the life insurance industry. What do they know from their experience, actuarial tables etc that would prompt such support?</p><p></p><p>But .. there are studies such as the DCCT which have shown that a lower HBAIC maintained over time ( e.g 6 1/2 years or so) in comparison to another group of patients does have long lasting benefits, even though the intensive treatment group itself with HBAIC less than 7% still had some showing up diabetes complications within that 6 1/2 years plus time, the results show complications (eyes, kidneys) were significantly less.</p><p></p><p>What the Linnerz et al study quoted ( ...drdavidludwig..) showed compared to the DCCT was that hypos could be greatly limited in occurrence (something that no other comparative data study has achieved).</p><p></p><p>Meanwhile in the US at least obesity in Type One diabetics is increasing at same or increased levels compared to the general population and average HBAIC is worse despite increasing use of cgm and less so for uptake of use of insulin pumps.</p><p><a href="https://doi.org/10.1089/dia.2018.0384" target="_blank">https://doi.org/10.1089/dia.2018.0384</a>.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2106278, member: 468714"] In reply to [USER=374531]@Scott-C[/USER], The study he mentions was a survey but includes hard data like HBAIC measures, growth measures, bsl variability all of which are objective thus very difficult to fudge and more open to being scrutinised and evaluated. I think we all accept that qualitative measures of well being will be likely biased in any such study whatever the treatment and management strategy under investigation.. Of course like any similar study the long term consequences are unknown. Such reservations are part of any responsible scientific report. The growth rates of children included in the study are suggestive of good results for children within the scope and limited time scale of the study. The call for further studies on the diabetes management style seem warranted given the results of the study one would think. Who would fund a further study? Certainly not the food or pharmaceutical companies or any institution in their pockets. It is interesting that at least one low carb conference has been sponsored by the life insurance industry. What do they know from their experience, actuarial tables etc that would prompt such support? But .. there are studies such as the DCCT which have shown that a lower HBAIC maintained over time ( e.g 6 1/2 years or so) in comparison to another group of patients does have long lasting benefits, even though the intensive treatment group itself with HBAIC less than 7% still had some showing up diabetes complications within that 6 1/2 years plus time, the results show complications (eyes, kidneys) were significantly less. What the Linnerz et al study quoted ( ...drdavidludwig..) showed compared to the DCCT was that hypos could be greatly limited in occurrence (something that no other comparative data study has achieved). Meanwhile in the US at least obesity in Type One diabetics is increasing at same or increased levels compared to the general population and average HBAIC is worse despite increasing use of cgm and less so for uptake of use of insulin pumps. [URL]https://doi.org/10.1089/dia.2018.0384[/URL]. [/QUOTE]
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