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Tight Glycemic Control for Type 2 Diabetes
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<blockquote data-quote="ianf0ster" data-source="post: 2728286" data-attributes="member: 506169"><p>[USER=195356]@dosh[/USER] I feel that the report vastly underestimates the medical problems associated with high blood glucose for the following reasons:</p><p></p><p>1. It is only considering endpoints within 5yrs. - I've had T2D over 5 yrs and been in remission over 4yrs already and I intend to live quite a few more years.</p><p></p><p>2. Diabetic complications (usually) present themselves after many years of raised BG. But the common ones would not often result in any of the listed end-points within a 5 yr period. How long did I have pre-diabetes before my HbA1C got above 48 - I don't recall the date that a GP first said that my BG was raised, but at least 5 to 10 yrs before the T2D diagnosis.</p><p></p><p>3. It's not uncommon for people to have T2D symptoms and even complications well before their BG reaches 48. I think that [USER=517579]@KennyA[/USER] said he got some when his HbA1C was around 43 or 44. They are less common at lower BG levels, but even having an HbA1C of under 40 is no guarantee that somebody won't experience them.</p><p></p><p>4. The <strong>Harms</strong> just boils down to Hypoglycemia, which is not even a possibility for somebody (no matter how Low Carb) unless they are on Insulin or Glic or certain other <strong><em>actively</em></strong> Glucose lowering drugs.</p><p></p><p>I do understand that a low HbA1C is not a competition and that for some people, remission is just unrealistic. However, that is not a reason to give up! My opinion is that (rather like weight) we should aim for a sustainably low BG rather than struggling to get it as low as possible if even for a short time. This is a marathon, not a sprint.</p><p></p><p>[URL unfurl="true"]https://www.diabetes.co.uk/forum/threads/hba1c-conversion-table.51014/[/URL]</p><p></p><p>edited to correct spelling and add the missing word 'some' in 1st sentence of last paragraph.</p></blockquote><p></p>
[QUOTE="ianf0ster, post: 2728286, member: 506169"] [USER=195356]@dosh[/USER] I feel that the report vastly underestimates the medical problems associated with high blood glucose for the following reasons: 1. It is only considering endpoints within 5yrs. - I've had T2D over 5 yrs and been in remission over 4yrs already and I intend to live quite a few more years. 2. Diabetic complications (usually) present themselves after many years of raised BG. But the common ones would not often result in any of the listed end-points within a 5 yr period. How long did I have pre-diabetes before my HbA1C got above 48 - I don't recall the date that a GP first said that my BG was raised, but at least 5 to 10 yrs before the T2D diagnosis. 3. It's not uncommon for people to have T2D symptoms and even complications well before their BG reaches 48. I think that [USER=517579]@KennyA[/USER] said he got some when his HbA1C was around 43 or 44. They are less common at lower BG levels, but even having an HbA1C of under 40 is no guarantee that somebody won't experience them. 4. The [B]Harms[/B] just boils down to Hypoglycemia, which is not even a possibility for somebody (no matter how Low Carb) unless they are on Insulin or Glic or certain other [B][I]actively[/I][/B] Glucose lowering drugs. I do understand that a low HbA1C is not a competition and that for some people, remission is just unrealistic. However, that is not a reason to give up! My opinion is that (rather like weight) we should aim for a sustainably low BG rather than struggling to get it as low as possible if even for a short time. This is a marathon, not a sprint. [URL unfurl="true"]https://www.diabetes.co.uk/forum/threads/hba1c-conversion-table.51014/[/URL] edited to correct spelling and add the missing word 'some' in 1st sentence of last paragraph. [/QUOTE]
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