Re: a reminder to all

Ma?k <stopthespam@xxxxxxxxxxxxxxxxx> wrote:
[Default] On Wed, 30 Aug 2006 00:38:20 GMT, Alan S
<loralweightandcarbs@xxxxxxxxxxxxxxx> Maniacally Screamed the
following like a drunken Alan S <loralweightandcarbs@xxxxxxxxxxxxxxx>
into the madness of usenet:

On Tue, 29 Aug 2006 19:22:22 -0400, Ma?k
<stopthespam@xxxxxxxxxxxxxxxxx> wrote:

So why don't they lower the BG bars for those who've had heart
attacks? What is so special about BG thresholds that they set them
high in the first place, and then don't revise them downwards for
people in higher risk categories which lower BG levels are known to
affect badly?

which puts more immediate stress on the body and the heart, a slightly
elevated BG or a hypo?

That depends on whether you're talking long term or short
term. And the severity of both.

Short term, no argument, a T1 deep hypo is life-threatening.

Long term, repeated or sustained elevated BGs are also life
threatening. Why decide to risk either?

short term it does not have to be a "deep" hypo, not a term I have
ever heard used. You brought up the scenario after a heart attack has
taken place. Which means the person already has heart disease or
heart damage. In this case the goal is to seek a safe medium to avoid
hypos of any kind

Not necessarily. According to my cardiologist any stress thrown on my
heart by my mild T2 hypos is so trivial it can safely be ignored.

and to avoid long term hypers above 150 or what the
endo and the cardio team agree upon. no further damage is going to
occur at 119, 120 or even around 130.

You haven't been keeping up with the research. Heart attack risk has
been shown to be unusual among diabetic complications in having no
threshold above low normal below which you can say further BG
reduction causes no reduction in risk. There has been some discussion
and paper citations very recently here on that very topic.

Those are safe ranges for a
type 1 to aim for.

Diabetes isn't a one-size-fits-all disorder. There are other kinds
of diabetes with rather different characteristics.

--
Chris Malcolm cam@xxxxxxxxxxxxxxxxxxxx DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

.

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