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We know spikes are bad, but……

Whilst admitting that this us not a good scenario, can anyone give me real evidence, not just theories, or blocks of impenetrable verbiage as to what damage I might have caused in that time.

Sounds like a job for Mr Google. The University of Utah have done some research into people who have peripheral neuropathy and are not diabetic. http://www.phlaunt.com/diabetes/14045678.php
 
I expect that elevated insulin is as harm form as elevated BG, but until insulin levels are as easy to measure as BG we will not know. But we do know that keeping BG low results in keeping insulin low.
 

This study does not tell us if the high BG is killing the beta cells, or is due to the beta cells dieing.
 
No but we can say food x that produces a 3 mmol rise is fine when my pre meal BS is under 5. We can also say food y that produces a 2mmol rise is not ok if my pre meal BS is over 6.5
 
I have no particular issues with Jenny Ruhl or the advice she gives but I do have concerns when one non medical persons helpful guidelines get given the status of fact. Or "what the majority of people do'. I see the rise in BS as being indicative of what I can eat best and when
 
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The truth is no one can tell you that because science has not come up with any definite answer about it yet.
 
Not true, pure fat will not result in any increase, but it is true that worse someone's BG is the lower the carbs needs to be. This is however what is needed to get the BG under control.......
Yes but how often do we eat pure fat
 
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