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Tight glucose control pays off over time: study reveals


Anna's Blog
By: FatCatAnna

The Roller Coaster Ride of Diabetes! Whoo! Whoo!

I am a Type 1 diabetic diagnosed back in the early 60's as a child.  I am living in Montreal, Canada and enjoy scribbling about diabetes from time to time. I’ve had my ups / downs just like any person would experience with going through life - diabetic or not.  My motto in life?  Diabetes does not control me – I control it!! 

You can find more posts/discussions at my Facebook page called "The Roller Coaster Ride of Diabetes" and also on Twitter under the name of FatCatAnna.  Feel free to follow me at both places or send me a private message!


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 Blog Entries
The joys of having Bowie my CGMS – Chapter 1 - Sep 02
 Okay, for those of you who have never read my #dblogs before, I give names to all my little gizmos that I use for controlling my diabetes.  What we have today, ...
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In a slump and scared - Jul 21
It’s rare for me to compose a #dblog that is not all “chirpy chirpy” … I think the last time I did one that was kind of down was at Diabetes1.org ...
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Surviving the Holocaust with Type 1 diabetes - Mar 27
  " To the best of my knowledge, I am the only diabetic who survived years of imprisonment in German concentration camps. This is my story "   The above words ...
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Sugar and Your Health - Mar 06
The other day I emptied out a 4 kg (about 10 lbs) of white sugar that I had dated a year ago when I opened it.  I use white sugar purely for cooking (I make my own ...
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Eating from the ground - Yuca Fries - Feb 20
I am home now from a working holiday, in the Bahamas and Miami.  Despite the weather being abit cooler then normal (they only get 2 weeks of winter - we were there in ...
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Posted: Jul 28, 2009 14:56
  • 1 Comment.
  • Tight glucose control pays off over time: study reveals

    Well, I don't really have to be told this - though I sometimes wonder about my earlier years of not really caring - and just living for the moment.  In a nutshell the article points out that with Type 1 diabetics, " very intense glucose therapy reduces the risk of complications."   Diabetics that test their blood sugar levels 5 or 6 times per day are less likely to experience vision loss, kidney failure, heart disease, or to need an amputation when compared with those who check their glucose levels once or twice per day.  I know for myself, I average about 8 times a day - and there are others who test even more then that (if they can afford the test strips that is).

    So far the only problems I have had associated with my diabetes has been trigger finger many years ago, frozen shoulder, and diabetic mastopathy (wierd noncancerous growths in the breast). My eyesight is checked twice a year - as well as following up with an endo twice a year along with other specialists that take care of my aging body. 

    It's strange though that in this article it states that frequent blood sugar testing is fairly new - but I've been doing this type of blood testings for at least 10 years - and to me - it's not new - just having the use of a blood meter rather then having to test urine is still relatively new to an old timer like myself .

    To read more of the article - which is very informative and has some other good links to help you in your goal for attaining good health with you diabetes go to :

    http://www.cnn.com/2009/HEALTH/07/27/diabetes.better.control/

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  • By: dorisjdickson: Jul, 29, 2009 10:59 AM

    Hi Anna,

    What bothers me is the loose definition of "very intense glucose therapy reduces the risk of complications."  

    Testing 5 or 6 times a day was not sufficient to safely reduce my A1C from mid 6's to 5.1.  It was the conjunction of testing 12-15 times a day and every small doses of insulin as many times a day as needed (10, 12, 15 times a day - depending on what I eat, when I eat and other non-food glucose affecting factors).

    It was actually the injections they were referencing as fairly new.  The person in the article actually uses a pump (new intensive MDI) which obviously is NOT new.  They originally put regular insulin in them and I have a vague recollection of that being at least 20 years old.  I have never researched the original pump however so please correct me on that.

    I love this comment " For diabetics, a normal blood sugar is between 90 and 130 mg/dl before meals, and less than 180 mg/dl after meals. " - Meaning- "FOR DIABETICS" blood sugar is always high!  Nice touch.

    I even heard something more stupid on one of the 24 hour news channels Monday I think.  It was about Nick Jonas.  They said he uses a pump to measure his blood sugar!  Idiots.

    I do find this amusing info:  "In those who did not practice intensive control, the rates of eye, kidney, and heart problems were 50 percent, 25 percent, and 14 percent, respectively, compared with 21 percent, 9 percent, and 9 percent in those who practiced tight control."  Again - their definition of tight control is very loose.  So, even when I practiced what I believed to be crappy control (testing 4-6 times a day, A1C low to mid 6's and target of 110-140) I was in the tight control group. 

    One number they neglected to mention ... studies show those who have no kidney disease after 30 years (including me) aren't likely to.  Also, since kidney disease and retinopathy tend to go hand in hand ... one could formulate a conclusion that we won't get that either.

    Ha - since when is this the case??? "When the DCCT study began, conventional treatment for type 1 diabetes involved one or two insulin injections a day with daily urine or blood glucose testing. Intensive therapy includes keeping glucose levels as close to normal as possible by targeting hemoglobin A1C readings of 6 percent or less with at least three insulin injections a day (or an insulin pump). "  I thought the DCCT was a target of 7 or under????  No.

    Doris



    Tags:
    testing (1) diabetic mastopathy (1) trigger finger (1) frozen shoulder (1) complications (1) blood sugar (1)

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