Trying To Avoid Diabetes Complications

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Trying To Avoid Diabetes Complications


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Old 12-12-2011, 21:55   #1
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Default Trying To Avoid Diabetes Complications

TRYING TO AVOID DIABETES COMPLICATIONS

The Diabetes Health magazine published an article stating that diabetics should maintain a good BG average and A1c, and avoid a roller coaster type of control. The roller coaster type of control involves having many highs and lows, and that would involve data widely scattered above and below the average. Blood sugars that rise and fall on the path of a roller coaster are a shock to the body. Experiencing this shock over a long period of time can lead to diabetes related complications, even if the A1c is good. I will demonstrate with two examples.

Patient 'A' has test results 40, 55, 65, 100, 135, 145, and 160. The average is 100, but there are numbers that indicate unhealthy highs and lows.
Patient 'B' has test results 72, 80, 94, 100, 106, 120 and 128. The average is again 100, but the data is more closely packed, and none of the numbers are undesirable. Patient B is experiencing much better control, and is much less likely to have diabetes complications.

The purpose of this discussion is to discuss the fact that a very good blood sugar average can still involve diabetes complications if there is a significant number of highs and lows over a long period of time. Don't rely solely on a blood sugar average and A1c. Try your best to avoid so many highs and lows. A good average accompanied by a stable control is the best way to avoid complications. Proper dieting and well chosen exercise routines can help very much in avoiding the highs and lows.

I had A1c's less than 6.0 for several years, but had the beginning stages of neuropathy and retinopathy. My control had been tight, but it was necessary to make it even tighter. I stopped having so many highs and lows and after a few months had passed, the retinopathy disappeared. The neuropathy is still present in one foot, but I rarely experience any pain. If I have high blood sugar for several hours there is sometimes mild pain during the night. I have been a diabetic for 66 years, and have not had any serious complications. I want to keep it that way!!

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Old 12-12-2011, 22:27   #2
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Don't get me wrong Richard, I'm glad you are on very tight control, but even you will run into problems some day thats life, sounds like to me you are letting the Diabetes run your life.

What do you class as serious complications

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Old 12-12-2011, 22:32   #3
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I am one who believes in tight control, too. Since I rarely go lower than 90 I never have a lot of lower bgs to average out higher ones. So I try to keep bgs between 90 and 120. I'm hoping this is enough to prevent complications in the future.

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Old 12-12-2011, 22:34   #4
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Quote:
Originally Posted by Will-Sandy View Post
you will run into problems some day thats life
Why is this true? My understanding is that diabetic complications come from high bg, full stop; if you tightly control your bg (A1c below 6 and no spikes over 140), you shouldn't have complications. This is wrong?

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Old 12-12-2011, 23:23   #5
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I don't believe it's wrong, WV Mom, I think it's a very practical way of dealing with a situation that can get out of hand way too quickly if ignored. If we don't take responsibility for our own sugar levels, nobody else will.

Richard is not just lucky; he will be the first to tell you he has encountered a few snags in his lifetime, but he has taken the trouble & done the research to find solutions and incorporate them into his routine. I do not believe in "that's life". I believe life is what you make it. If we insist on continuing our merry unfettered way, then we'd better prepare to go blind and hobble around on stumps.




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Old 12-12-2011, 23:25   #6
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Quote:
Originally Posted by Will-Sandy View Post
Don't get me wrong Richard, I'm glad you are on very tight control, but even you will run into problems some day thats life, sounds like to me you are letting the Diabetes run your life.

What do you class as serious complications
More to the point, what do YOU consider serious complications, Will?




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Old 12-12-2011, 23:44   #7
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Will, diabetes does not run or ruin my life. With my good control and no complications I have run diabetes OUT of my life, at least it seems that way.

If diabetics deny or ignore their diabetes, then complications are highly likely to occur. Under those conditions they have indeed let their diabetes run their lives. Diabetes is the leading cause of blindness, and amputations in the US. It is also one of the leading causes of kidney failure. (Maybe it is the leading cause of kidney failure, does anyone know?) The leading cause of death among diabetics is heart disease. It is the number seven cause of death in our country.

Don't let your diabetes run your life, Will. YOU run your own life and don't let diabetes stop you in any way.

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Old 12-13-2011, 01:11   #8
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I believe you can choose to have a healthy life even if you are diabetic. Of course that mean you cant just live your life like you did before D and eat and drink whatever you want.
Or you can choose to live your life exactly as you did before D and just ignore it, but usually you put yourself in a high risk for getting complications.
And you can have bad luck even if you really try to live healthy.
I was diagnosed with Polyneuropathy last week although I do my very best to control my BG.
I was told since I have hypothyrodism, psoriasis, diabetes and is really, really low in vitamine D I would have had extremely much luck if I were able to avoid this complication even if my A1c has been fine after the first month were I got A1c down from 12,6 to 6,3.

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Old 12-13-2011, 03:44   #9
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I definitely agree with "no highs and no lows" (it's in my signature after all), but doubt if that is sufficient to prevent complications and I want to do more.

The agent of complications is glycation. High blood sugar causes glycation. However a much more potent agent of glycation is methylglyoxal which does its dirty work WITHIN the cells (so measuring circulating MG is probably irrelevant). I believe this is why the body responds to too much glucose with insulin resistance.

Methylglyoxal is a by-product of the SUCCESSFUL utilization of glucose within the cells. As such, the amount of MG present is directly proportional to the amount of glucose successfully metabolized. What we measure with our meters is the amount of glucose NOT (or not yet) successfully metabolized.

For some reason, those of us with the "predisposition" to diabetes either produce more of it than others, are unable to purge it effectively or are more sensitive to its damaging effects - or some combination of those three.

Anyway, since MG is a much more potent glycating agent than high blood sugar, the body opts via insulin resistance to refuse much of the glucose - at the same time sending a signal that you need to quit dumping so much into your blood and find other sources of fuel.

So, my objective is not just reducing blood sugar ("overflow") but more importantly reducing the total amount of glucose I am processing. I can actually get slightly lower numbers by processing a little more glucose but I don't believe it is better.

If I eat a little more glucose producing foods regularly, my pancreas gets stimulated and I usually go to 73 - 83 waking and between meals. But when I am on my "optimal" diet, in full ketosis and procesing as little glucose as possible, my fasting tends to average closer to 90.

As much as I love little numbers like 73, I believe this is a better scenario. It seems that my body adjusts to the tiny amount of incoming glucose and learns to "conserve" a little better in case of sudden need (by those 5% of cells which can only use glucose).

So, it is my belief that the way to prevent complications (and progression) is to minimize TOTAL glucose, not just the measurable overflow - which of course is the FIRST step.

And I don't believe that complications (or even progression) is "inevitable". I hope to give a positive report on that in 20 years or so!

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NO MEDS, No Highs, No Lows
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Old 12-13-2011, 19:30   #10
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Salim, I have noticed the same thing. If I choose to eat sprouted grain bread or a few more carbs it will force my pancreas to produce more insulin giving me lower bgs. But like you I am not sure this is good. By not eating these things my fasting stay in the 90-100 range and stay there most of the day. My highest numbers of the day are usually late morning from hormone production.

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