Glucose control
2t9nty
Posts: 1,630 Member
diabetes.co.uk/news/2017/nov/tighter-blood-glucose-control-through-medication-linked-to-higher-death-risk-96381539.html
From the article...
"However, the findings won't apply to those achieving excellent HbA1c levels, and experiencing other health benefits, through positive lifestyle change which inevitably influences mortality risk. People following a low carb lifestyle without hypo-causing medication, for example, should not be affected."
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Also, I believe the medication at issue was not Metformin but rather sulphonylureas and possibly more insulin...0
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Bearing in mind that I am not a doctor, etc...
I have always been of the opinion that we focus on the metric when it is the behavior that produces the metric that really matters. Low BP is good for example. We understand that. It is really the behaviors that produce the low number that are good for the mortality and reduced incidence of stroke, whatever. We can medicate and generate the low BP numbers, but it will not have the same impact on mortality as losing weight, exercising a little, or taking up meditation.5 -
Seems like the difference between applying a band aid and treating the cause...1
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Sunny_Bunny_ wrote: »Seems like the difference between applying a band aid and treating the cause...
That seems about right. If you take medication rather than change the behaviour that causes higher BG, your outcome won't be as good. This would be interesting for those type 2 diabetics in denial who say they can still have the sweets because they'll just take more insulin and such.3 -
Also, I believe the medication at issue was not Metformin but rather sulphonylureas and possibly more insulin...
Actually, meformin had a slightly higher risk - HR of only 1.02, so not sure that is statistically significant. At the same point, it would show that control through meformin was not a benefit either.
http://onlinelibrary.wiley.com/doi/10.1111/dom.13155/full2 -
Personally, I am on Metformin and have been for about 15 years. I am now seeing where in the mornings that my sugars are running higher and I am on a low-carb diet. I do not eat sweets. I am having more trouble now with my sugars now and the doctor says he just wants to add to the metformin instead of giving me something else.0