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Increased blood sugar levels after eating negatively affects people with diabetes

DCUK NewsBot

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Having high blood glucose levels after eating has a negative effect on people with type 1 diabetes and type 2 diabetes, according to new research. New data from the first health-related quality of life (HRQL) study looked at post-meal hyperglycemia, which is also known as postprandial glucose (PPG) control, in people with diabetes. When PPG is too high, it can increase the risk of cardiovascular disease, cancer and damage the eyes. Achieving good PPG control is therefore pivotal in achieving optimal blood glucose levels. Professor Johan Jendle, from the Örebro University of Sweden and scientific secretary for the Swedish Society of Diabetology, said: "Good metabolic control cannot solely be indicated by the percentage of patients reaching their glycemic targets measured as HbA1c. "Also the glucose excursions and the degree of postprandial hyperglycemia need to be addressed. Postprandial glucose control is important for the quality of life of people with both type 1 and type 2 diabetes." The findings are to be unveiled at the 19th Annual European Congress of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) which is taking place in Austria. The research was broken down into two stages, where during the first part, a literature review was conducted. People with diabetes, doctors and nurses were interviewed to find out how the severity and frequency of PPG symptoms can impact someone's life. Three health state descriptions, which were based on the results, were drafted with mild, moderate and severe symptoms. The second stage of the research involved using 300 people, half of which were from the UK and the rest were from Sweden - all with type 1 diabetes and type 2 diabetes. They were asked to take part in a face-to-face interview where it was determined whether they would prefer to live in the health state for 10 years or live in full health for a reduced amount of time. Editor's note: Low-carb diets are particularly good at preventing high blood sugar levels following meals. For guidance on how to easily incorporate a low-carb diet into your life, join our own Low Carb Program.

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My serious complications - particularly crippling peripheral neuropathy, extreme tiredness, & beginning of retinopathy & reduction of kidney function - occurred with HbA1c = 6.7%

That was with the NHS/DUK high starchy carb diet, which resulted in post-meal glucose = mid teens.

Cutting out all the obvious carbs cleared all my symptoms within three months, & they have not recurred over 8 years. HbA1c did dip to 5.9 after a few months low carb, but is now 6.6, with no complications. My post-meal glucose is normally below 9.

The post-meal glucose is best measured ONE hour after meals, before the rapid rise due to carbs has fallen again. Yet "they" always recommend a TWO-hour reading.
 
Research to prove the obvious. I guess it will be used as a foundation for mental health in diabetes findings?
 
I have found this article particularly interesting. I am definitely having trouble with my memory over the past few years, starting before I was diagnosed (type2). At the moment I am not sure if this is caused by the diabetes or statins or both. I have managed to get my hospital nurse practitioner to agree to my coming off statins for 3 months. I assume that it takes an amount of time for any drug to be fully removed from the system so I should have approx. 2 months statin free to see what the results are. I am finding this journey with diabetes to be both extremely interesting and downright frustrating. There are so many aspects and causes of diabetes and so many different outcomes for each of us. I'd better stop here before I get into my soapbox.
 
The first part of this study was a literature review. Reviews look at all the studies that have been published on a particular subject, criticise those which were badly designed, and then try to come up with an overall view of the current position. Reviews are more likely to change medical practice than a single study.

The second part of the study was more like "traditional" research. It used a "Time Trade-Off" approach where individuals were basically asked which they would prefer: living 10 years with their current condition or a reduced number of years in full health. The study showed the different numbers of years that people with mild, moderate or severe diabetes would be prepared to trade off.

There's some more info here:-
http://www.prnewswire.com/news-rele...-life-for-people-with-diabetes-599431281.html
 
Try getting the DSN's and consultants who ran my DAFNE course to accept that postprandial highs are a bad thing.

They were totally happy with postprandial readings of 15-17 mmol/L in the other course participants as long as they had come down to under 10 in a few hours.

I brought a stack of journal articles to try and explain the problem to them but they weren't remotely interested. They thought I was totally crazy trying to keep my postprandial readings under 7.5 mmol/L and were really against me bolusing 20-30 mins before a meal.

I can honestly say my DAFNE course was one of the most frustrating weeks of my life thus far!
 
probably the statins.. my mother was diagnosed with dementia but I fear it was the statins she was put on.. we took her off them about 6 months ago and she is mentally much improved.
 
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