Re: In Diabetes, Get Glucose Control 'Just Right'

BobP <coldsignal@xxxxxxxxxxx> wrote:
On Sun, 7 Feb 2010 20:38:40 -0800 (PST), Kurt
<kurtwheeling1965@xxxxxxxxxxx> wrote:

On Feb 7, 8:01?pm, BobP <coldsig...@xxxxxxxxxxx> wrote:
On Sun, 07 Feb 2010 18:28:49 -0600, BlueBrooke

<bluebro...@xxxxxxxxxxxxxxx> wrote:
Following this logic, it's the normies who have a disease, not the
T2s. ?Why is an A1c of < 6 okay for normies, but not for T2s? ?If
someone is healthier at 7.5, then why isn't there a push to get
*everyone* to that number, normies included? ?

7.5 is a balance point between diabetics dropping dead from low blood
sugar and diabetics dropping dead from kidney failure, heart, etc.
above 7.5..

The ADA is also very cautious in the general population of diabetics
dropping dead from low blood sugar so their recommendation is 7.

That is a myth and one that is spread in here all too often. The ADA
recommends that people with diabetes work to achieve numbers as close
to normal as possible without putting themselves at risk.

"without putting themselves at risk."

The reason the ADA doesn't go along with the 6.5/6.2 is mostly because
of the increase in low blood sugar mortality.

But that depends critically on how much effective insulin production
capacity the diabetic has! T1s have none, and are the most at risk of
low blood sugar mortality. They also seem to suffer less from the
complications of higher BGs, which may be because they usually have
less insulin resistance than T2s. Whereas a T2 with enough effective
insulin production capacity not to need to use meds is at no risk at
all from low blood sugar mortality.

It's nonsense to try to set one best target A1C number for all
diabetics! I would go so far as to say any organisation trying to
suggest one such optimal target A1C number for diabetics has a great
deal to learn about diabetes!

--
Chris Malcolm
.

Relevant Pages

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  • Re: In Diabetes, Get Glucose Control Just Right
    ... sugar and diabetics dropping dead from kidney failure, heart, etc. ... dropping dead from low blood sugar so their recommendation is 7. ... Medics called and they were there fast. ...
    (alt.support.diabetes)