Diabetes Basics Part 20

medication

I want to wrap up the FAQ on blood sugar testing by mentioning that, as Dr. Hite points out, a big goal of blood sugar testing is to look to figure out what affects our blood sugar, and this certainly isn’t limited to the food we eat, as important as that is.

He also mentions we want to see whether we are high or low, but we should never be low, or do anything that even risks this.  It’s not so much that this is dangerous, it’s that this is surely a sign that we are not using the right approach.  Risks of lows are necessary for type 1 diabetics and that just comes with the territory, there just isn’t another way to manage this disease besides injecting insulin.

WIth a type 2 going hypo though, this means we’ve elevated insulin way too much, whether this be by way of elevating our own insulin production by taking a drug to do that, or to by injecting it, or are using some other medication that may decrease our blood sugar to dangerously low levels.

It’s actually pretty hard to make a type 2 diabetic hypo, because the nature of our disease is that we overregulate our blood sugar, and do too good of a job keeping us away from low blood sugar, and there are actually some good reasons for that.

Now getting this down to normal, provided we do so in a healthy way that is in tune with the body’s needs, is a great idea, but doing so in an unhealthy way, the way prescription medications do, is not, for several reasons.

The most obvious one is that this is going to introduce a serious concern to our diabetes management that we do not need, nor does it make sense to add it.  While we already suffer from chronic insulin toxicity, going hypo is an acute toxicity, and therefore has more profound effects upon us, such that you can even die from this.  Diabetes is enough of a bother treating and dealing with and getting your head around without worrying about hypo episodes, leaving you desperately clutching for glucose tabs to save your ass.

Type 1 diabetics have to go through this, and unless we are one, and have the kind of diabetes that is actually insulin dependent, you need insulin to live, we do not want any of this.  Of course our insulin levels are typically already too high, so why in the world would we want to worsen this?

So Dr. Hite does caution against low blood sugar, I am going to say, don’t ever even go there, do anything to risk this, without this being medically necessary.  The problem is that medically necessary doesn’t even enter into the discussion most times with us, and to administer insulin in anywhere near close to a responsible way, this requires close monitoring and the goal has to be to restore normal levels of this hormone, not to pile on excesses.

Elevating insulin just to temporarily bash blood sugar down, leading to a worsening of the diabetic condition over time, including making blood sugar control more and more difficult, not only does not qualify as medically necessary, it it is absolutely foolish.

From time to time someone will point out that we’re doing this to manage blood sugar and insulin does do that, but I direct them to what happens in the long term when we do this, with insulin or any other prescription medication for that matter, and then they get to see the ugly truth here that people conveniently close their eyes to.

All of these medications, or any combination of them, fail to help us long term, and just worsen us actually.  Type 1 diabetics regress as well from insulin resistance, although not as dramatically as type 2’s do, but type 2’s use larger amounts typically, accelerating the deterioration more.

Going back to the A1C question for a moment, these goals need to account for both the risks of a certain blood sugar level and the risks of seeking to achieve a given blood sugar level, but we tend to see this just one sided, in favor of eliminating the blood sugar risks but not even paying attention to the risks that go along with our strategy.

Luckily, the medical profession does realize that there are diminishing returns with medication, they don’t get the fact that the returns are all diminished when you compare with more natural means of treatment, dietary control, exercise, and natural medicines, with far better risk profiles.

For instance, they did have the wisdom to discontinue a study that compared diabetics shooting for more modest control and more modest amounts of medication, versus the group with tighter control and more intensive medication.  The more intensively treated group, using higher levels of insulin basically, did show better blood sugar, but enough of them were dying from this that the study was abruptly ended prior to its completion on ethical grounds.

So they do tend to lighten up on you somewhat in practice, and this is why the goals are what they are, and they are higher than some diabetics prefer them to be, diabetics that would not be pleased at all with something like an A1C of 7, but they achieve their better targets mostly, if not entirely, through natural means, mostly diet, something the medical profession is actually against, so we’re talking about two completely different approaches, with completely different risk profiles.

The next question has someone asking if they need to worry about being a pre diabetic since their doctor told them that there is nothing to be done here.  As a kid, perhaps you remembering having a toy doctor bag, and what was in that bag was what you used when you pretended you were a doctor.

Well real doctors work the same way pretty much, they are limited to what is in their doctor’s bags, and there is little in this bag for the pre diabetic.  Perhaps they could be put on metformin, although this is really a medication that’s supposed to be used for diabetics, but some are anyway.  Metformin is only a complimentary medicine at best to support a more healthy diet though, they aren’t told to change that much, maybe cut down on the cake and candy or whatever, they aren’t told about the excessive starch consumption that is rampant as well, and we’re waiting for them to get sick enough for the stuff in the doctor’s bag.

Next, it’s asked what the warning signs are for diabetes, and a few common things are mentioned by Dr. Hite, including measuring blood sugar of course, waist size, triglycerides, cholesterol, and blood pressure.

These are all manifestations of chronic hyperinsulinemia, high insulin.  We might want to measure that instead of just measuring some of the things it ravages, and it is behind every one of these conditions by the way.  So testing for insulin to see if it is too high has been proven to be the surest indication of diabetes risk, apart from measuring blood sugar, but if it is already elevated, you’re already in trouble here.

We don’t measure this because it’s not said to be clinically relevant, meaning they don’t care about it and don’t care about treating it because doing so isn’t part of their protocols.  It surely needs to be, but don’t hold your breath here, they want to do more business, not less, and if we ate in such a way that controlled our insulin levels much better, they would sell a hell of a lot less medication, which their puppet masters are not so keen on seeing happen.

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