Sources: QOURA.COM
Why is diabetes so bad?
I’ll answer from a doc’s perspective (having been a pre-diabetic for many years, a few years a type 2 diabetic not on meds, after losing weight and more exercise back to being a pre-diabetic again). Diabetes is much more than just an elevated blood sugar. It involves one’s whole body.
It can and often does lead to serious complications.
Even in well controlled diabetes, middle aged diabetics people have a much higher rate of having a myocardial infarctions, as if they already had had one before AKA “risk equivalent” this is why all middle aged diabetics are prescribed a statin, even when having normal serum lipids, this has been proven to lower the risk for a myocardial infarction by 25%, not to the level of non diabetics -in diabetics strict blood pressure control <130/80 mmHg is needed so not to develop diabetic kidney disease, the number one reason for end stage kidney failure -strict blood sugar control will largely prevent diabetic retinopathy/eye disease from developing, of not regularly checked for and if needed treated will lead to calamitous blindness.
Strict blood sugar control also will lower the risk for nerve damage, diabetic polyneuropathy, which usually causes a terrible burning pain in the legs, sometimes arms, loss of gnostic (feeling how a limb/finger is positioned) feeling, leading to loss of balance and falls, in more severe cases loss of muscle strength, even leading of paralysis of the stomach (vomiting, thus risking low blood sugars) and/or treatment resistant constipation: autonomic neuropathy.
A lower HBA1c, reflecting an overall better diabetes regulation,In the middle aged, but especially in the elderly, a HBA1c of less than 6% correlates with more deaths, probably because of more unfelt (e.g. nightly) low blood sugar episodes in people having coronary heart disease causing arrhythmias and death To see more graphs please see If I am diabetic, my A1c is 6.0-6.7, is my current diet enough? If my A1c is in the target range, is any further reduction in my diet called for? Do I have to cut out all desserts and candy?
Why is diabetes so bad?
I’ll answer from a doc’s perspective (having been a pre-diabetic for many years, a few years a type 2 diabetic not on meds, after losing weight and more exercise back to being a pre-diabetic again). Diabetes is much more than just an elevated blood sugar. It involves one’s whole body.
It can and often does lead to serious complications.
Even in well controlled diabetes, middle aged diabetics people have a much higher rate of having a myocardial infarctions, as if they already had had one before AKA “risk equivalent” this is why all middle aged diabetics are prescribed a statin, even when having normal serum lipids, this has been proven to lower the risk for a myocardial infarction by 25%, not to the level of non diabetics -in diabetics strict blood pressure control <130/80 mmHg is needed so not to develop diabetic kidney disease, the number one reason for end stage kidney failure -strict blood sugar control will largely prevent diabetic retinopathy/eye disease from developing, of not regularly checked for and if needed treated will lead to calamitous blindness.
Strict blood sugar control also will lower the risk for nerve damage, diabetic polyneuropathy, which usually causes a terrible burning pain in the legs, sometimes arms, loss of gnostic (feeling how a limb/finger is positioned) feeling, leading to loss of balance and falls, in more severe cases loss of muscle strength, even leading of paralysis of the stomach (vomiting, thus risking low blood sugars) and/or treatment resistant constipation: autonomic neuropathy.
A lower HBA1c, reflecting an overall better diabetes regulation,In the middle aged, but especially in the elderly, a HBA1c of less than 6% correlates with more deaths, probably because of more unfelt (e.g. nightly) low blood sugar episodes in people having coronary heart disease causing arrhythmias and death To see more graphs please see If I am diabetic, my A1c is 6.0-6.7, is my current diet enough? If my A1c is in the target range, is any further reduction in my diet called for? Do I have to cut out all desserts and candy?
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