Hi,
I have been a T1 Diabetec for 22 years & have recently been diagnosed with Hypo Unawareness. It is a condition where you lose your symptoms when having a hypo;, ie Trembling, sweating, etc.
Following a recent visit to a new consultant, after showing him some past BG graphs, he confirmed it straight away & did state, this was due to "Tight Control" from my previous consultant/nurses, trying to aim for the famous 5% HBa1C NHS target!
As my Blood sugars have been controlled in the past (average of 7.2mmol/l for the year 2008), he wanted me to run my Blood sugars high for at least 3 - 6 months for a reason....to get my awareness back. He is not concerned with this, as the condition I have developed can be life threatening.
I have no choice but to go along with his advice, (which in a way I am glad!)
However, for your brother, If he does abuse this for no reason & he should know better by being a gym instructor, then he is jeopardising his health in a big way.
Although he does smoke, my concern would be more on the fact of the Binge Drinking as this puts enormous strain on his organs.
His diet as well is also a big concern......I am surprised he has not struggled with his job.
I have always tried to have a reasonably good diet of equal Carbs & protein, but since changing insulin a month ago, I now prefer more Protein in my diet & have since turned into a Right FRUIT EATING BAT!!!!
The Diabetes is with us all for life...... either we control it as best as we can or it will control us, with sometimes, very devastating effects, as I have experienced & had virtually no knowledge of this side effect! IT WRECKED MY MARRIAGE AS THE RESULT!
There is only one choice really.
Sorry if this is to the point.
Regards,
Steve