Risks Associated with Controlling to Non-Diabetic Ranges - Page 2

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Risks Associated with Controlling to Non-Diabetic Ranges - Page 2


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Old 04-22-2018, 21:59   #11
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Here is post from a blog on the Speaking of Diabetes, Joslin Diabetes Center titled A False Sense of Hypoglycemia. Although the actual numbers are not dangerous or life threatening, the symptoms have very real feelings.

In many cases of type 2, reducing the high swings in BG by reducing carbs has also reduced the lows, as the body readjust what it thinks is normal. I'm not sure if this holds true for those with Mody. For those on insulin, Dr. Bernstein's Law of Small Numbers, which advocates for eating lower carb, thus reducing insulin needs and lowers the risk of the severity of a miscalculation of timing or how much insulin is needed to cover carbs eaten and/or correction.

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Old 04-22-2018, 22:55   #12
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I have that url below about stages of low blood sugar. Its excellent. Thats the article you were likely talking about

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Hypoglycemia is certainly a risk for those taking insulin (type 1s and 2s) or medications that force the pancreas to produce more insulin (type 2s). Hypoglycemia is generally defined as a BG level below 70 mg/dL (3.9 mmol/L). There can be a differences between type 1 and type 2 at this point, due to a loss of hormones for type 1s that would call on the bodies natural defense system to react to lowering BG levels. Severe hypoglycemia has been said to be when BG drops below 54 mg/dL (3 mmol/L) and where symptoms may first start appearing for those that are not hypo unaware. Beginning counter measures at 70 mg/dL (3.9 mmol/L) and dropping would hopefully halt the drop before getting to that point.

I know I've seen something somewhere that listed what happens at different levels of BG as it lowered but haven't been able to find it this morning, but I found this article on Beware the Perils of Severe Hypoglycemia interesting.

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Old 04-23-2018, 00:08   #13
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Quote:
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I have that url below about stages of low blood sugar. Its excellent. Thats the article you were likely talking about
I know it is now, I thought you had posted something about low BG levels, I didn't have much time to search before church.

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Old 04-23-2018, 13:43   #14
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I've discovered that my hypo awareness is more connected to dropping BG levels and not necessarily low BG levels. It's always been that way for me.

My BGs could be within the nornal range but if I have humulog (fast acting insulin) in my system causing my BGs to continue to drop I feel it - I used to eat right away but now I test myself before taking action or not taking action.

My BGS can also be low of normal but as long as it's not dropping I feel fine.

The big factor for me as a Type 1 is the direction in which my BGs are going - when they drop regardless of where my BG levels are at the time, it feels like the beginning of a hypo - 90% of the time it's not a hypo - just a drop in BGs.

Probably another reality to add to that overall confusion in regard to hypo awareness.

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Old 04-26-2018, 01:13   #15
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My endo said the major risk for tight control is hypoglycemic episodes and losing the ability to recognize that you are having a hypoglycemic episode. In addition, increasing meds to gain that tight control increases the risk of adverse side effects. Finally, he said tight control isn't helpful to someone who is ill - it adds to the complications. So while I had this issue with the severe arthritis, he said it was better for it to be a bit higher and not to worry about it. Now that the inflammation is going down, BG has stabilized - I don't have the big swings.

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Old 04-26-2018, 03:58   #16
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I went from hypoglycemic Awareness when dx with type 1 in Sept 1977 and was aware until 1983, then began to experience hypoglycemic Unawareness in 1983 going forward.

I suspect the years 1980 thru 1982 contributed highly to the hypo Unawareness I developed when i had more than my share of lows during that 3 yr time frame. I was 24 yrs old in 1980 and that year i went from doing physical jobs for years to a desk job and my insulin requirements tripled over the following 3 years. At that time i was only taking NPH intermediate insulin (no fast acting)

On one hand, I learned that intensive glycemic control can be the most effective way to prevent/delay the onset and slow the progression of autonomic neuropathy, retinopathy, nephropathy, neuropathy and coronary heart damage. But only did i find out 20 years later after being dx with type 1 in 1977 that tight control could cause hypoglycemic unawareness (17% of type 1's develop it). Glucagon secretion is reduced in most people who have Type 1 diabetes within the first two to ten years after onset.

Autonomic neuropathy affects the nerves that control the heart, regulate blood pressure, and control blood glucose levels. It also affects other internal organs, causing problems with digestion, respiratory function, urination, sexual response, and vision. In addition, the system that restores blood glucose levels to normal after a hypoglycemic episode may be affected, resulting in loss of the warning symptoms of hypoglycemia

In my next life im coming back as a rag doll cat as I hear type 1 diabetes is very rare in felines plus they have 9 lives.

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Old 04-26-2018, 09:43   #17
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Smile In the Lecture Hall taking notes...

Thanks guys for sharing these great insights. The diversity in which diabetes manifests can be baffling, many times needing to be addressed so differently for every individual at different times and under varying circumstances. Does keep us on the ball.
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In my next life im coming back as a rag doll cat as I hear type 1 diabetes is very rare in felines plus they have 9 lives.
Now that right there is funny!


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Old 04-27-2018, 06:18   #18
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It is my understanding that for type II diabetic, it is VERY unlikely to experience a 'dangerously low blood sugar' unless they are taking fast acting insulin.

Now let me contradict that with some conditions....

Of course if one is on slow acting insulin, and grossly overdoes , it probably could be dangerous. As far as I know, Metformin would not cause a dangerous low unless you are taking much more than required for your diabetic condition. These seem to be the two basic drugs used by type II diabetics and actually preferred by most of us type II's on this website...my opinion of course. The reason I prefer these two drugs is that they are unlikely to cause a dangerous low, they are well tested in the market place for many years, and have few dangerous side effects. And generally they work if one watches carb intake....

I also recognize that their are 100's maybe 1,000's of 'other drugs' mostly new, that doctors may prescribe for type II diabetes, and no doubt some of them could cause a dangerous low. If one decides to take one of these, be sure to understand the known side effects and how they work, and know can they cause dangerous low blood sugars....

We all have to be diligent in researching and asking questions about drugs we are prescribed to take.....

rsfletcher, I completely understand your position on controlling blood sugars and the possible onset of complications. Therefore I am not meaning to challenge or question your experiences or perspective....

But, my experience has been different, I too followed my doctors advice trying to stay below 7.0 on my A1c, I was successful for many years, until 2014 when I started seeing a steady increase in my BS! My doctor said, it is progressive and prescribed Januvia....dang near killed me....! I quit Januvia, as it did nothing for my BS, but it did make me very sick off and on for a year. I found a new doctor, continued with metformin and Lantus slow acting insulin. My feet were starting to burn, scratches on my legs and feet healed slowly and I could not feel cuts on my toes..? Then I found LCHF...and in 6 months, my A1c was at 5.8, weight down, health indicators all improved and my feet were much better....I going on 3 years now on LCHF and nothing but good stuff health wise, I will be 68 next month! So like you, based on my own results and observations and research, I believe controlling BS 24/7 does at least delay the onset and severity of complications.....and maybe even stop these complications all together!

I guess we all will find out what really worked or not worked in due time....as none of us will get out of this a live....
As another example of how "We're all different," I had several lows (53-71) before I started using any insulin or medication. My first hint that I would have blood sugar issues was 55 years ago when I was 10 years old. I skipped breakfast one morning & my bike ride to school was only one mile. I started feeling strange when I got off my bike & passed out in class. I didn't know what was wrong. I woke up while the nurse was wheeling me into her office & I was unconscious for at least 25 minutes.

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Old 05-15-2018, 20:03   #19
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Its true that low can be dangerous but not controlling your blood sugar is dangerous too.
The difference is that with high numbers, the damage is more subtle and shows its symptoms 10-15 year later.

i think we should take middle route.
One don't need to strive for numbers which make too difficult for us to live normal life.
But one should also be careful of the numbers getting too high, this can do serious damage to your organs.

I think control in diet and exercise can help you maintain good numbers (it did in my case)

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Old 05-16-2018, 00:42   #20
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How low you can go safely also depends on the person and their history. If you take diligent records and have a doc you can work with, you certainly can work out parameters that meet both your needs. That's where a dictatorial doctor does not work - you need to find someone who will work with you UNLESS they give a good reason why your goals are not safely achievable. Listen carefully, as your goals could very well be unrealistic. Some of my goals aren't working the way I want them to, but I test frequently and can see that. Poo.

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