Post Prandial Blood Glucose Trumps Hba1c As Cause Of Cvd

[lindisfel]

https://www.nature.com/articles/s41598-017-14152-y

 

[lindisfel]

Therefore it is absolutely essential all T2Ds and prediabetics are given blood glucose meters and taught to control their post prandial blood glucose.
This approach would have a far more beneficial effect on health than promiscuously feeding statins to a public not aware of what is causing their poor health status.

The problem is particularly relevant in Reactive Hypoglycemia where highs and lows cause serious health issues.
Derek

 

[kitedoc]

Therefore it is absolutely essential all T2Ds and prediabetics are given blood glucose meters and taught to control their post prandial blood glucose.
This approach would have a far more beneficial effect on health than promiscuously feeding statins to a public not aware of what is causing their poor health status.

The problem is particularly relevant in Reactive Hypoglycemia where highs and lows cause serious health issues.
Derek

Hi @lindisfel, I always think the question to ask is whether doctors would urge their family members and relatives who had been diagnosed with T2d, or pre-diabetes to obtain and use glucose meters or not ?

 

[lindisfel]

Hi kitedoc,
It needs a policy change, something will have to give in the next few years on dietary guidelines and the monitoring of diabetes with dietary modification in view.

The health condition of the population will break the health services of many countries, including the UK, within a decade or so, if this problem of metabolic syndrome continues to grow.

I guess those of us with family members in the medical profession who have seen us with reactive hypoglycemia will have no doubt we need to have a meter but o.t.h. may go along with the policy in 'normal' T2D.
The policy is mixed in the UK and therefore wrong in its application.

When one sees the fragility that diabetes induces in the elderly, some much younger than I, I do wonder how they could be helped to manage their condition with the current poor dietary advice and lack of resources.
The sick are starting to get in a situation where they really are between a rock and a hard place.

regards
Derek

Hi @lindisfel, I always think the question to ask is whether doctors would urge their family members and relatives who had been diagnosed with T2d, or pre-diabetes to obtain and use glucose meters or not ?

 

[Lamont D]

Hi kitedoc,
It needs a policy change, something will have to give in the next few years on dietary guidelines and the monitoring of diabetes with dietary modification in view.

The health condition of the population will break the health services of many countries, including the UK, within a decade or so, if this problem of metabolic syndrome continues to grow.

I guess those of us with family members in the medical profession who have seen us with reactive hypoglycemia will have no doubt we need to have a meter but o.t.h. may go along with the policy in 'normal' T2D.
The policy is mixed in the UK and therefore wrong in its application.

When one sees the fragility that diabetes induces in the elderly, some much younger than I, I do wonder how they could be helped to manage their condition with the current poor dietary advice and lack of resources.
The sick are starting to get in a situation where they really are between a rock and a hard place.

regards
Derek

If you look at dietary guidelines for both RH and T2, they mirror each other and the main advice is to avoid sugar.
In most T2s, this can work, but in most cases, a reduction in carbs and other advice is required, also if it is necessary, insulin is required.
A lot of T2s have high insulin levels and insulin resistance, so a lowering of carbs is essential for better health regardless of medication.
But for most RH ers, a total avoidance of most carbs is the preferred treatment in my experience.
The NHS is struggling to cope with the upsurge of metabolic conditions, it cannot keep up, it is an impossible situation, the system to get a referral is long and arduous and many are obviously misdiagnosed as I was. Surgeries try but they do not have the knowledge or the experience. My specialist endocrinologist is one of only a few who would be able to diagnose most metabolic conditions such as RH, you would be lucky to get a referral to him.
We have heard some horror stories on the forum, and some awful suggestions as to the treatment of hypoglycaemia.

 

[lindisfel]

Hi Lamont, eventually I realised I had to modify my diet to get the best metabolic situation. I have cut carbs to very low and reduced fruit to preserve my liver but increased avocados to c.1/day.
Already I've seen a reduction in my fasting blood glucose with readings of 5.1 and 5.2 in last week.
I have been in nutritional ketosis for about a week now. Just felt a bit tired for a day or two on change over but I was reasonably low carb anyway.
ATB
Derek