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Wednesday, 27 February 2019

How should glycemic control attempted at Diabetes type 2, NIDDM. February 27, 2019

How should glycemic control attempted?
  • Simple calorie-restrict diet;
  • High fiber, low fat diet;
  • exercises;
  • SU;
  • Biguanides;
  • Insulin;
  • Insulin and SU. 
Care for diabetes type 2 patients
by Robert Tattersall
page 90
Recent trends in management of diabetes mellitus
eddited by N.Sakamoto
International Congress Series
Excerpta Medica 1987
       As it was mentioned in the beginning of the article best results can be achieved with best high blood sugar control. So, how to control blood sugar? Author suggested to start with simplest and less expensive therapy. What can be more simple then diet? There is nothing to pay, just regular meal intake. With all restrictions the amount and simplicity of diet for diabetes control is beneficial for the budget. Does diet possible can control blood sugar level?
      Diet should not only to control blood sugar, it must also decrease level of sugar in blood, and there is no one evidence every studied what food to take to decrease level of sugar by 10mg/dl for instance. No one evidence what are the number of calories must be taken that sugar in blood would be decreased by any number. This logic applies to any diet, low calorie or high fat.
     What exercise is doing in body? How exercises decrease the numbers on glucose meter? How many sets to take, what work out to do? No one  ever will answer to this question. It is depend on the individual training. But what is important to remember, we are talking about ill people, diabetics, who very often not able to get out of bed. When I look at all those treatment options I see that the fact, diabetics are ill people, low energy, simple never taken into consideration. Our bodies heavy with water, severe edema. Try to do work out after taking water in big quantities. Don't you feel how heavy you are? Try to bend, to run, to jump. This is what author suggest to diabetic.
     Now finally SU, most effective medicine to decrease number on diabetic's glucose meter. For how long? Is this medicine control blood sugar numbers, blood sugar level? Not at all. Take a look at the medical articles, what are they about? Diabetes is progressive, very highly progressive disease. Why? Because of SU not only do not treat diabetic but slowly kill diabetic's beta cells and with time there is nothing what left. Think twice before taking SU, even it is less expensive then work out and diet.
     Metformin. Very simple to take test if Metformin work for you or not. Stop to take Metformin for awhile and check your numbers. If numbers go up, then Metformin is good for you. If numbers still the same or even dropping then show me reason to take this medicine. Every medicine has own side effects. It is better do not take medicine which we do not need to take.
      Insulin. Insulin leads to weight gain. Also it is highly effective in glycemic control. Worst what can be suggested or RX is to take medicine together with SU. Insulin is easy to decrease or increase in dosing. Combination SU + Insulin not possible to control. If one has medical degree then say me why this is published in medical test book? How possible it is suggested to combine SU and Insulin? Better do not trust in any one then trust in MD who suggest this potentially fatal combination.


via Ravenvoron

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