It’s true. With today’s goals and efforts to help people tighten their blood glucose control to minimize the long term diabetes complications, practitioners can increase the risks and possible occurrences of low blood glucose (hypoglycemia) for some.
However, if all you knew about the risks for and likely frequency of hypoglycemia was from the news (as well as movie and stage theatrics) you’d be convinced that every person with diabetes is likely to keel over regularly.
For years the way to diagnose diabetes has been to draw a blood sample and check the glucose count, either fasting or random (any time of day). Two high levels on two different days and the diagnosis of diabetes was made. Glucose tolerance tests went by the wayside years ago other than for diagnosing gestational diabetes.
On 5/13 President Obama, in his effort to keep healthcare reform on the front burner, sent a few deputies on a mission: find the best private-sector employee wellness and prevention practices in an effort to help other companies and federal workplaces implement these. I bet one of best practice that will be an element of each success story will be programs utilizing technology-based solutions (telephonic, intranet, internet, hand-held device, etc.) to provide frequent and chronic support.
The facts and figures about the financial costs of diabetes as well as the numbers of children and adults at risk of developing type 2 diabetes due to genetics, but more so being overweight, are staggering…and “sobering” as noted by Drs Judith Fradkin and Griffin Rodgers, from the diabetes division of the National Institutes of Health, in their Diabetes Care editorial The Economic Imperative to Conquer Diabetes (extract).
How low should blood glucose go? Recent news from two large studies in people (~ 10,000 each) with type 2 diabetes—the ACCORD and ADVANCE trials—raised this question…yet again. Perspective is pertinent! It’s well known that managing type 2 diabetes is not only about blood glucose control. It’s also about treating blood pressure (goal: <130/80) and blood lipids (LDL: <100 or less) to into the healthy zone.