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What is it that causes the damage to body ?
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<blockquote data-quote="Member496333" data-source="post: 2162164"><p>I believe everyone (including doctors) focuses too much on blood glucose and not enough on how it's being achieved. Elevated blood glucose is only the outward facing <u>symptom</u> of type 2. The important thing is always to have low circulating insulin as often as possible, irrespective of blood glucose. It's possible to have apparently good blood glucose whilst still having very high insulin levels, particularly if using exogenous injections or some oral hypoglycaemic medicines. The aim, in my opinion, is low blood glucose <u>and</u> low insulin. In my view, "eating to the meter" doesn't cut the mustard if you want to ensure a complication-free future, especially if you have had very serious resistant diabetes for many years, possibly even undiagnosed.</p><p></p><p>The best example of unexpectedly poor outcomes is using exogenous insulin on top of existing hyperinsulinemia. This has been shown not to reduce the risk of complications despite the blood glucose appearing fine. Eyes can also be very unpredictable. In those who had unmanaged or undiagnosed diabetes for a long time, retinopathy & macular oedema can arise or worsen for up to 3-4 YEARS after regaining glucose stability.</p><p></p><p>In summary, blood glucose levels, in isolation, are not a good marker of future outcomes. Again, only in my (considered) opinion.</p></blockquote><p></p>
[QUOTE="Member496333, post: 2162164"] I believe everyone (including doctors) focuses too much on blood glucose and not enough on how it's being achieved. Elevated blood glucose is only the outward facing [U]symptom[/U] of type 2. The important thing is always to have low circulating insulin as often as possible, irrespective of blood glucose. It's possible to have apparently good blood glucose whilst still having very high insulin levels, particularly if using exogenous injections or some oral hypoglycaemic medicines. The aim, in my opinion, is low blood glucose [U]and[/U] low insulin. In my view, "eating to the meter" doesn't cut the mustard if you want to ensure a complication-free future, especially if you have had very serious resistant diabetes for many years, possibly even undiagnosed. The best example of unexpectedly poor outcomes is using exogenous insulin on top of existing hyperinsulinemia. This has been shown not to reduce the risk of complications despite the blood glucose appearing fine. Eyes can also be very unpredictable. In those who had unmanaged or undiagnosed diabetes for a long time, retinopathy & macular oedema can arise or worsen for up to 3-4 YEARS after regaining glucose stability. In summary, blood glucose levels, in isolation, are not a good marker of future outcomes. Again, only in my (considered) opinion. [/QUOTE]
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