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<blockquote data-quote="michaeldavid" data-source="post: 390790" data-attributes="member: 57211"><p>There is what I believe to be a highly significant linguistic issue involved.</p><p></p><p>No blood-sugar reading is ever a hypo: they're not the same thing at all. A hypo is something BEHAVIOURAL.</p><p></p><p>The fact that, etymologically speaking, 'hypoglycaemia' means 'low blood-sugar' is neither here nor there: there is just (though undoubtedly so) an important ASSOCIATION between low blood-sugar readings and the occurrence of hypos - hence the use of the word 'hypo'.</p><p></p><p>The important association involves symptomatology. A low blood-sugar reading is merely one symptom of a hypo, which may or may not be occurring.</p><p></p><p>I may feel a hypo coming on, and quickly drink a large glass of orange juice. Then almost immediately I'll start to feel better. But if I also immediately test my blood-sugar (using a meter) then I may very well get a reading of, say, 2mmol/l. And yet I'm certainly not then having a hypo on account of the large glass of orange juice I just drank!</p><p></p><p>Eating rye bread throughout the morning seems to keep a certain amount of carbohydrate constantly, slowly, leaching into my blood-stream. And this, I believe, is what prevents my blood-sugar from ever CRASHING.</p><p></p><p>So I can happily spend the day getting moderately low blood-sugar readings (using the far more economical visually read strips, I hasten to add) without any problem at all.</p><p></p><p>How healthy this practice may or may not be in the long term is, I understand, a debatable issue. I've heard about, and seen, evidence both ways.</p><p></p><p>Also, it is often claimed that by constantly having lowish blood-sugar one loses one's warning symptoms of a hypo. Well, with regard to that, I can only speak for myself. When I was first diagnosed with diabetes 30 years ago, and began taking insulin, I certainly had warning symptoms that I never get now: palpitations, sweating, ... etcetera. But I lost those kind of warning symptoms NOT VERY MUCH LESS than 30 years ago!</p><p></p><p>And I'm still here.</p><p></p><p>If, instead of the kind of diet I have, you spend your life eating white bread and potatoes (etcetera, etcetera), then I would agree with that professor (though certainly not with his form of expression): any blood-sugar reading below 4mmol/l is EFFECTIVELY indicative of the occurence of a hypo.</p></blockquote><p></p>
[QUOTE="michaeldavid, post: 390790, member: 57211"] There is what I believe to be a highly significant linguistic issue involved. No blood-sugar reading is ever a hypo: they're not the same thing at all. A hypo is something BEHAVIOURAL. The fact that, etymologically speaking, 'hypoglycaemia' means 'low blood-sugar' is neither here nor there: there is just (though undoubtedly so) an important ASSOCIATION between low blood-sugar readings and the occurrence of hypos - hence the use of the word 'hypo'. The important association involves symptomatology. A low blood-sugar reading is merely one symptom of a hypo, which may or may not be occurring. I may feel a hypo coming on, and quickly drink a large glass of orange juice. Then almost immediately I'll start to feel better. But if I also immediately test my blood-sugar (using a meter) then I may very well get a reading of, say, 2mmol/l. And yet I'm certainly not then having a hypo on account of the large glass of orange juice I just drank! Eating rye bread throughout the morning seems to keep a certain amount of carbohydrate constantly, slowly, leaching into my blood-stream. And this, I believe, is what prevents my blood-sugar from ever CRASHING. So I can happily spend the day getting moderately low blood-sugar readings (using the far more economical visually read strips, I hasten to add) without any problem at all. How healthy this practice may or may not be in the long term is, I understand, a debatable issue. I've heard about, and seen, evidence both ways. Also, it is often claimed that by constantly having lowish blood-sugar one loses one's warning symptoms of a hypo. Well, with regard to that, I can only speak for myself. When I was first diagnosed with diabetes 30 years ago, and began taking insulin, I certainly had warning symptoms that I never get now: palpitations, sweating, ... etcetera. But I lost those kind of warning symptoms NOT VERY MUCH LESS than 30 years ago! And I'm still here. If, instead of the kind of diet I have, you spend your life eating white bread and potatoes (etcetera, etcetera), then I would agree with that professor (though certainly not with his form of expression): any blood-sugar reading below 4mmol/l is EFFECTIVELY indicative of the occurence of a hypo. [/QUOTE]
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