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Sunday, 18 March 2018

Low Blood Sugar in Diabetes Type 2. March 18, 2018

"Hypoglycemia is well recognized as a threat among people with type 1 diabetes and their healthcare providers, [but] the danger it poses to people with type 2 diabetes is underappreciated," lead author Robert Lash, MD, chief, professional & clinical affairs officer at the Endocrine Society, said in a statement.
  Endocrine Society on Reducing Hypoglycemia in Type 2 Diabetes by Pam Harrison
 https://www.medscape.com/viewarticle/893835?src=wnl_mdplsnews_180316_mscpedit_wir&uac=164666HZ&impID=1582916&faf=1
I start readings usually from the first page, often half of it, then go to comments, and then finish reading if it still interesting. Very often there is no father interest, so I just go to do something else.
So, there are comment:
 the most important is don't prescribe the sick sulphonylurea and unnecessary insulin ! Dr Hubert Penninckx Endocrinologist UAE
MD,  Endocrinology, Metabolism
So simple. Just stop to Rx insulin, and then there is no need to worry about low blood sugar. To full picture Put victim of Medical scam on Starvation Diet, and there is no victim soon, no diabetes, ether high blood sugar or low blood sugar. Brilliant!!!!!!!!!!!!!!!!!
There is nothing to add. The comment was posted three days ago. There is no one comment yet after this one. Sure, there is nothing more to say.
     Now, there is the question, why healthcare providers do not recognize the danger of low blood sugar in Diabetics type 2?
     Do they recognize that diabetics type 2 do have low blood sugar in the same level of danger as type 1 diabetics?
      How often diabetics type 2 do have low blood sugar?
      How often diabetics type 1 do have low blood sugar?
Most important question, high blood sugar how often and what level of high blood sugar do have type 1 diabetics? Type 2 diabetics?
     There are not simple questions just to ask and be cool. Not at all. What I try to say, there is no one investigation, how treatment health care provider Rx worked or not.   So simple, what health care provider do know about its patient? Really not too much. At least they simple have no one idea, treatment they Rx works or not? It is out of consideration. They Rx what Medical Industry, Big Pharma suggest to push on market, regardless of how mush damage this treatment does. It does not matter. Money is the Matter. Life, health, well being, it is out of any concern as long as money flow.
"Not surprisingly, our findings suggest that interventions to reduce hypoglycemia should focus on helping clinicians identify high-risk patients who would most benefit from an intensive effort to prevent hypoglycemic events and help patients recognize and appropriately manage hypoglycemic events when they occur," the policy authors write.
This is education and Update studies healthcare providers do have. They must identify high risk patients. So simple, they identify that patient with body weight = 140 pounds is high risk patient to develop low blood sugar, so there is no need to look at the treatment of mine because of I am 400 pounds, obviously is out of any risk to get low blood sugar. Why do I put it so long when it is obvious from the beginning? If it is so clear scam then why Med Pro publish it? What is the reason?
Identifying patients most at risk for hypoglycemia should start with age, as patients with type 2 diabetes 65 years of age and older are the most susceptible.
So, if diabetic type 2 as myself, takes 300 units of Insulin, but he/she is less then 65 years old then there is no need to worry about low blood sugar? But if diabetic type 2 control blood sugar with Life style mortification and has A1c=5.4%  this diabetic will be in danger to get low blood sugar because of this fake diabetic is 66 years old? I wish the author make itself more clear about risk, age, and identifications of diabetes, type of diabetes, low blood sugar, and all scam there published.
That said, a meta-analysis (PLoS One. 2015;10:e0126427) indicates that patients with type 2 diabetes taking insulin on average experience 23 mild or moderate hypoglycemic episodes and 1 severe episode each year, so type of glucose-lowering medication must also be considered as part of the equation.
OK< now it is getting warmer. At least there is some real  identification. Why? Why diabetic type 2, and Insulin injections lead to diabetes? Is there something important in this combination?
The National Action Plan for Adverse Drug Event Prevention also includes 6 electronic clinical quality measures for practitioners that could help prevent hypoglycemia. If such proposed measures were adopted in quality programs, the authors predict that many of the existing gaps in evidence regarding prevention and control of hypoglycemia could be addressed.
Just not so fast, please, I do not follow. Did I understand correctly that they work to develop sort of formula to prevent low blood sugar? At first I wish they identify what is the low blood sugar? I mean when blood sugar considered to be 'low'? It is important. What they are, numbers to be seen by MD as low blood sugar? When meter shot this number, what I suppose to do? Or there is nothing about diabetic type 2 and problems with diabetic's type 2 health and Well Being. It is all about studies, money.
Lash, who is also from Michigan Medicine, Ann Arbor, and colleagues from Avalere Health, Washington, DC, analyzed 31 articles from the literature and searched the internet for relevant websites.
Is this really important to continue reading of this scam? Is this really interesting to analize this article? Not for me. I do not have money for any post I publish.
Pure SCAM!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

     This is what MD. E. Topol publish in his journal. He is good in making money. What he is not good in Honor and Honesty.  He just do not need them Money not smell. So, he publish all BS, and happy with results of deposited on his account.


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