A1C, heart failure and mortality - Page 2

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A1C, heart failure and mortality - Page 2


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Old 12-02-2011, 20:04   #11
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I know that the sandwich bread has carbs, but it is one carb my body seems to do well with. I have eaten this before with the coconut oil and cinnamon with no spike, or minimal spike. I just checked my bg again and it is 222. Shouldn't be that high. I have had a problem with another humulog pen during Thanksgiving week that was not acting right, so this one is from the same box. I just wonder if it is a bad batch of Humulog? I mean the other night, I had half a baked potato with full fat sour cream, asparagus with hollaindaise sauce, and a bit of venison steak and I ended up with a low that I had difficulty bringing up. That was another pen that seemed to be working just fine obviously. I just don't get it sometimes. :?

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Old 12-02-2011, 20:07   #12
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Oh, and by the way, just so you all know...I don't typically eat starchy carbs ever. Just thought I'd have a little of what I know doesn't spike me. Otherwise it is no-no with starchy carbs at all. I do not typically eat bread, pasta, potato, rice...nothing. Usually the only carb I am eating is what is in veggies. I don't even eat fruit with the exception of an occasional honey crisp small apple (maybe 1 every 2 weeks). I have been trying to get more high fat in the diet as this seems to be key.

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Old 12-02-2011, 20:46   #13
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Quote:
Originally Posted by naynay View Post
Oh, and by the way, just so you all know...I don't typically eat starchy carbs ever. Just thought I'd have a little of what I know doesn't spike me. Otherwise it is no-no with starchy carbs at all. I do not typically eat bread, pasta, potato, rice...nothing. Usually the only carb I am eating is what is in veggies. I don't even eat fruit with the exception of an occasional honey crisp small apple (maybe 1 every 2 weeks). I have been trying to get more high fat in the diet as this seems to be key.
Good decision. I think if I were you, Renee, until I could get this thing under control, I'd ditch every one of 'em, every time. Thin sandwich bread, half a potato, tart apples . . . anything that remotely resembles a double fourteenth cousin to a carb - avoid it like poison. Yes, it may be that it hasn't spiked you in the past, but I've had to retest a few things after many months of safe usage, when the numbers just weren't adding up. Once you get your numbers down & stable, you can always begin adding back. It's just that right now, every little thing is suspect. I wouldn't run the risk, if it were me.




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Old 12-02-2011, 22:16   #14
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I think a lot of the research that goes into some of these studies came from the ACCORD Study. First off many of the participants were older, poorly controlled diabetics for many years. They threw every kind of medication and insulin combo at them to get their HbA1c's down. They even used the drug Avandia which has now been taken off the market in a lot of places. Many of these poorly controlled D's ended up going low because of all the drugs they used. So yes they got HbA1c under 7, but they did this by having lots of hypos which we know is not good. I think we all have to know our own bg profile. I have an HbA1c in the low 5's but my bgs are extremely stable. I rarely go below 90 and rarely over 120. Most of the time I stay in the 95-110 range. I think achieving good bg control is very individual. There are certain drugs like sulfyurea drugs like Glipizide that I avoid like a 10 foot pole because of the hypos. I really think keeping HbA1c above 7 like recomended is much more dangerous for your heart.

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Old 12-02-2011, 23:31   #15
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Originally Posted by Francois View Post

The conclusion of the research is:
In a large national cohort of patients with diabetes and
established HF, we demonstrate that the association between
levels of HbA1C and mortality appears U-shaped
More on "U" shape wrt Glucose toxicity and Optimal health (in general).
Perfect Health Diet Safe Starches Symposium: Dr Ron Rosedale

 
Old 12-03-2011, 00:17   #16
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Now I didn't read this article carefully in its entirety but I did read enough to get this from it:

1) Nowhere (and forgive me if I overlooked it) did it mention anything resembling any kind of exercise. So it appears these people all were junked up with meds as their only means of lowering their Bg levels and then they were expected to survive longer than two years. Please!

2) Notice that all of the subjects have BMIs in the low 30s. Go back to my first point. Now, we have a number of Type 2s that are highly obese and not exercising (from what we can tell, and if they are, it's not done as part of the treatment programme). These subjects are also pumped full of meds and it's highly likely that they are following ADA dietary advice. Their lipid levels are probably all over the place. To me, it doesn't matter what their BG levels are at any time... they are all in for serious problems!

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Old 12-03-2011, 00:35   #17
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Quote:
Originally Posted by naynay View Post
Oh, and by the way, just so you all know...I don't typically eat starchy carbs ever. Just thought I'd have a little of what I know doesn't spike me. Otherwise it is no-no with starchy carbs at all. I do not typically eat bread, pasta, potato, rice...nothing. Usually the only carb I am eating is what is in veggies. I don't even eat fruit with the exception of an occasional honey crisp small apple (maybe 1 every 2 weeks). I have been trying to get more high fat in the diet as this seems to be key.
Yep ... natural fat will help fill you up while keeping levels down.

Sounds like you don't have my problem with wheat (unpredictable BGs), but something else is going on.

I don't use pens, but have acquired some self-inflicted experience with insulin bottles gone past their prime. I spiked on everything and nothing. I also possess a certain degree of paranoia about new bottles starting out bad. So, personally, I go super light on the carbs until I know my current supply is good.

It appears your insulin may be OK, but the pens in that box are iffy. Is there a way to inspect/test them before using? (I hope that's not an ultra-ignorant question. Please pardon me if it is.)

Hope the rest of your pens are reliable!

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Old 12-11-2011, 21:53   #18
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Interesting discussion, I did have a Heart Attack Oct 6, 2011, 3 stents inserted, was in CCU three days then in the Heart Institute the rest of the week and I am still recovering, they took me off of Humilin N and R and put me on Lantus and Novorapid never been in such poor control of my sugars, usually my A1C are 7.1, but I spiked to 8.2 could be I was having min heart attacks since February, doctor blamed the A1C and me for my Heart Attack IDIOT, seems my sis had a Heart Attack at 40 so it runs in the family, there is a strong push out there that if your Diabetic you will have Heart problems, everybody that goes into the Heart Institute with heart problem will automatically be tested for Diabetes, I saved them a step

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Old 12-11-2011, 23:38   #19
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I believe this is exactly the answer. The lessen learned from ACCORD and other like it is not the evils of normal A1Cs, but the evils of heavy medication and insulin use to get there. It is well-known that lows are more harmful (and more quickly) than highs. Given a choice between 7.0 on no meds vs. 5.0 on several pharmaceuticals plus insulin, I'd take the 7.0 any day. Yes, I believe it would be healthier in every way. But I'm much more at peace with my low-5s with zero meds or insulin. Why doesn't anyone want to test that?


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Originally Posted by jwags View Post
I think a lot of the research that goes into some of these studies came from the ACCORD Study. First off many of the participants were older, poorly controlled diabetics for many years. They threw every kind of medication and insulin combo at them to get their HbA1c's down. They even used the drug Avandia which has now been taken off the market in a lot of places. Many of these poorly controlled D's ended up going low because of all the drugs they used. So yes they got HbA1c under 7, but they did this by having lots of hypos which we know is not good. I think we all have to know our own bg profile. I have an HbA1c in the low 5's but my bgs are extremely stable. I rarely go below 90 and rarely over 120. Most of the time I stay in the 95-110 range. I think achieving good bg control is very individual. There are certain drugs like sulfyurea drugs like Glipizide that I avoid like a 10 foot pole because of the hypos. I really think keeping HbA1c above 7 like recomended is much more dangerous for your heart.

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Old 12-12-2011, 20:00   #20
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Later studies of the accord data reached the conclusion that the aggressive treatment one group received was risky, but only to people who had type 2 for more than 20 years, without good control.

Can you say "Damage already done?"

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