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<blockquote data-quote="Pneu" data-source="post: 242761" data-attributes="member: 28827"><p>The NHS's position on diabetes both type 1 & 2 is a total joke... in my local diabetic clinic the advice on the plasma screen was and I quote "make sure your 2 hour post meal readings are below 12.5 mmol/l". When I questioned this the consultant said that they didn't want to set unrealistic targets and dis-hearten people... I pointed out that surely they will be more dis-heartened when they lose a limb or their sight in 10 years?!? </p><p></p><p>The medical fact is that for every 1% increase in HbA1c over 5.5% you increase your chance of diabetic complications... worse still this increase is linear.. so an hbA1c of 12% is not 5% more likely to get complications over someone with 7% but more like 8 times or 800%.. Now I know this is scary but how are people to make an informed decision when the general guidance from the NHS is so lacking in information... </p><p></p><p>Finally reference hypo's.... </p><p>Hypo's are dangerous in two situations:</p><p></p><p>1. You rapidly fall below 3mmol/l - this can only be induced by insulin I do not believe that you can drop your blood glucose quick enough via any other measure that's not going to give you warning. </p><p></p><p>In any person once you start exercise or start to fall low your body will stop producing insulin and your liver will start dumping glucose.. At that point you are more likely to fatigue before you drop below a dangerous level... you would practically have to ignore your body screaming at you to eat.. which in a sub 3 mmol/l hypo situation is an uncontrollable urge to stuff your face.. to do yourself real harm. </p><p></p><p>2. You have repeated hypos (multiple in the same day) - meaning that you have no glucose reserve to dump from the liver.. </p><p></p><p>Feasibly if you are type 2 and you drop below 4 mmol/l enough in the same day without eating anything then you might have a problem due to no liver dump.. but in reality that is not going to happen..</p></blockquote><p></p>
[QUOTE="Pneu, post: 242761, member: 28827"] The NHS's position on diabetes both type 1 & 2 is a total joke... in my local diabetic clinic the advice on the plasma screen was and I quote "make sure your 2 hour post meal readings are below 12.5 mmol/l". When I questioned this the consultant said that they didn't want to set unrealistic targets and dis-hearten people... I pointed out that surely they will be more dis-heartened when they lose a limb or their sight in 10 years?!? The medical fact is that for every 1% increase in HbA1c over 5.5% you increase your chance of diabetic complications... worse still this increase is linear.. so an hbA1c of 12% is not 5% more likely to get complications over someone with 7% but more like 8 times or 800%.. Now I know this is scary but how are people to make an informed decision when the general guidance from the NHS is so lacking in information... Finally reference hypo's.... Hypo's are dangerous in two situations: 1. You rapidly fall below 3mmol/l - this can only be induced by insulin I do not believe that you can drop your blood glucose quick enough via any other measure that's not going to give you warning. In any person once you start exercise or start to fall low your body will stop producing insulin and your liver will start dumping glucose.. At that point you are more likely to fatigue before you drop below a dangerous level... you would practically have to ignore your body screaming at you to eat.. which in a sub 3 mmol/l hypo situation is an uncontrollable urge to stuff your face.. to do yourself real harm. 2. You have repeated hypos (multiple in the same day) - meaning that you have no glucose reserve to dump from the liver.. Feasibly if you are type 2 and you drop below 4 mmol/l enough in the same day without eating anything then you might have a problem due to no liver dump.. but in reality that is not going to happen.. [/QUOTE]
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