Risk of Serious Trauma With Glucose-Lowering Drugs in Older Persons and how to prevent it. January 2, 2019

Objectives: To assess the risk of hospitalization for trauma associated with use of hypoglycemic glucose lowering drugs (GLDs) in individuals aged 65 and older.

Risk of Serious Trauma With Glucose-Lowering Drugs in Older Persons
Mickael Arnaud, PhD; Antoine Pariente, MD, PhD; Julien Bezin, PharmD, PhD; Bernard Bégaud, MD, PhD; Francesco Salvo, MD, PhD
Journal of the American Geriatrics Society
https://www.medscape.com/viewarticle/905336?nlid=126873_1521&src=WNL_mdplsfeat_190102_mscpedit_wir&uac=164666HZ&spon=17&impID=1850449&faf=1 

       Now please say me, what does it mean?  If I am 67 years old, do I need Insulin to decrease level of sugar in blood and improve my health and well being? If not then what do I suppose to do? What are those all authors suggest? What are all those studies about?
      I am diabetic type 2. I sill alive only thanks to Insulin and my very good doctor who Rx this medicine for me, and to my man's company which pays for high dose of insulin for me. In other worlds thanks to them I am alive today. So, what authors are suggesting? To cut Insulin for me because of high risk of trauma? To understand it more clear, would I be in high rist for trauma if I do not take Insulin? This is fist question they must to answer. As we all do remember very well, all medicine is risky. It is suggested that our doctors Rx any medicine because of risk do not take it is high then to take medicine. This is in all medical papers.
     So, what studies studied? Let us stop to eat because of it is risk to develop obesity and diabetes. There is no diabetes when one does not eat, right? Wrong. Today friend of mine posted he did not eat from Yesterday. He was going to hospital to take some test. What about his sugar? Sugar suppose to get down, right? Wrong. His sugar is above the level he usually has. But he did not take Insulin because of test.
      There is another point. Why diabetics who are in coma die? They do not eat at all. Why sugar still high in blood? If sugar drops then they maybe awake from coma. If sugar does not going down they die. The question is, do they need to take Insulin? They may die because of low blood sugar. So, to avoid risk of low sugar in hospital no one inject insulin in diabetic in coma, and diabetic die because of high blood sugar.

Trauma is a leading cause of death in older people worldwide, with more than 500 million persons dying in 2014 because of falls and road traffic accidents. Independent of death, trauma can lead to emergency department visits, hospital admissions, or nursing home care and can thus seriously reduce the quality of life. The most common reason for trauma in older persons is falling, with approximately 2.8 million older people treated in emergency departments each year in the United States.

And there is the conclusion:

Our findings suggest greater risk of hospitalization for trauma for individuals aged 65 and older with diabetes mellitus using hypoglycemic GLDs, notably insulin and glinides. Considering the large number of excess cases of serious trauma that could be related to the use of these 2 hypoglycemic GLDs in older adults, prescribers should take the risk of serious trauma into consideration when assessing the benefit-risk ratio of glinides and insulins.

        To avoid risk of trauma I suggest to stop to practice any professional sport. Right? How many trauma sportsmen do have during all professional carrier? Just stop to play football. Take safer sport such as ..... . Also never forget how risky is driving. Let take a study how many lives lost in car accidents. How many trauma and injuries got every one in car? Did it stopped us to drive our cars? Not at all. Prove? Try to find parking spot in NYC. Or another way, take a look at how many money NYC collects because of wrong parking spot. Why parking spot is wrong? Because of there is no right one, so people park around hydrant, and pay $100+. Do they know they will have parking ticket? They do. They take this risk.
       Finally I wish to ask authors, are they sure they are not in risk to fall? 
      Why authors took these studies? What are value in studies like that? Money. They got money, and there are no any risk that they are wrong. Let compare healthy people with ill people and see who visit hospitals more often. Diabetics won. So, let stop to Rx Insulin and there are more diabetes complications, more falls, and more trauma.
     Why do not try to find out why it is trauma? Why elderly people in such risk? Are they live alone? Are they need to go to shopping and carry on heavy totes with food? Are they go to clinic alone by public transportation on icy streets in cold Winter? When trauma happened and why? But this is too complicated. More difficult then to say: do you see, you do not need Insulin. We do care for you!!!!!!
      Thank you so much. Care for yourself. But let me to have my Insulin in dose I need and do not pretend I am in risk. BTW, are you sure that trauma happened because of Insulin? What if it is because of sugar is high but there is no proper medicine for your victims?

via Ravenvoron