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Since I started working on the Log for Life diabetic logging project I have been doing a lot of research into the tie between preventative maintenance of diabetes and longer live spans. Here is a very interesting study I came across that I wanted to share and have a discussion on.

A study titled The Diabetes Control and Complications Trial (DCCT) was conducted from 1983 to 1993. The study showed that keeping blood glucose levels as close to normal as possible slows the onset and progression of the eye, kidney, and nerve damage caused by diabetes. This study was done on type 1 patients. Type 2 have it even easier. You may not even have to inject yourself, instead you may just need to change your diet and exercise routine and/or take some oral medications.

Normal range is considered an A1C of 6 percent or less.

“Intensive” blood glucose control is defined as:

1) Testing blood glucose levels four or more times a day
2) Injecting insulin at least three times daily or using an insulin pump
3) Adjusting insulin doses according to food intake and exercise
4) Following a diet and exercise plan

By doing what the trial considers intensive control of your blood glucose numbers you will reduce the risk of:

Eye disease by 76%
Kidney disease by 50%
Nerve disease by 60%
Any cardiovascular disease event by 42%
Nonfatal heart attack, stroke, or death from cardiovascular causes by 57%

Doing these 4 things will equate to you living a longer and healthier life?

What more needs to be said other than, why would you not do this? Do you want to have complications? Do you want to die before your time?

I want to know why if you are a diabetic you would not do these things that enable you to live longer...

Tags: blood, blucose, care, complications, control, dcct, life, longer, preventative

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Replies to This Discussion

I needed to hear that, Elaine. Thanks.
I was very rigid for years. NO refined foods, ate with caloric guidelines, exercised religiously. Didn't do a thing. I am worse off now. This is genetic, and you can't fight it.
Years ago, they told people who had ulcers it was caused by stress, now they know that is not true, it is a bacteria.

So telling diabetics they can control their blood sugar, etc., doesn't work. I have a doctor who told me not to bother with testing. I said Really? He just put me on Metformin, which ravages your system.
Metformin "ravages your system"? What does that mean? Metformin is one of the most effective treatments for T2!
and Metformin is very hard on your kidneys. just because a drug is good for one thing, doesn't mean it is good for another.
Hey Joe,

Yes of course the math is simple. Good control = longer, healthier life. But the day to day can be a lot more complicated and difficult. I was diagnosed with type 1 at 16. Of course from day one I was taught that if I didn't take care of myself I'd be looking at (no pun) blindness, kidney problems, circulation issues, and early death. But the rigidity of keeping control can be suffocating to youth who are diagnosed. If I run high sugars for two weeks, what is the short term problems? i may feel a little crummy and pee a bit more often but really, it is easy to ignore. I don't know if you have kids, but I worked at a diabetic camp and having experienced it myself, I can guarantee young people do not think about next week let alone 40 to 50 to 60 years down the road.

Please stop using words like "stupid" and being negative and aggressive. Type 2 diabetics have to overcome a lifetime of bad habits. Yes, they have it easier, but no one "wants to die early". You sound like a child. You don't want to help anyone, you want to tell everyone your 5.9 A1C and let off some steam. Chill out! Do something pro-active. How do you keep your A1C so low? What has worked for you? Is your insurance good about paying extra for strips etc? If I use more than 3 strips per day, my insurance won't cover the extras.

Stop being negative. I'm glad you are doing well with your diabetes and it is fine to be frustrated. But calm down.
I'm not a type I diabetic. I do what needs to be done to keep my blood sugars under control as a type II. Yet, with all I do, I get very discouraged and frustrated that things don't work out. I've had it! I've not quit, I love being alive, but I want to meet with a doc, that will give me some definitive answers to questions and remedies that will work for me. I exercise 8 days a week at swimming, biking, and pilates --- this is what I can do with my arthritis. I take my meds, although I question their ability to control anything. I eat well balanced meals with three snacks a day --- all with in the scope of what my doc has given me. I educate myself about what I need, I pay close attention to what I am doing, and what is working. I live in a rural area, where the endocrinologist is about 250 miles away, and no finances to get to him or pay his bill.

Why wouldn't I do this? I would, if I had the means to do so. I am doing the best I can. Messages like yours tend to make it sound as if we aren't doing anything for ourselves. I am a tad bit offended by the whole concept.

Cathy jacobson
Why don't some of us take better control? Because whatever you do you can't control it ...ever. It does whatever it wants, whenever it wants, despite doing all the " recommened " actions. And who the hell wants to live like this?
This discussion raised a lot of emotions, but I think ended up being very educational in the end. If you are looking for a meaningful discussion on this topic, I encourage you to read through the 6 (!) pages of comments (not only the initial question). The discussion is much more positive and encouraging! I think you will be able to relate!

Like happens so often in this community, our discussions became a chance for us to learn from each other!
I would love to have this discussion with Joe in 10-20-30 years from now and see if he was able to have as tight control. THose four simple things just don't cut it for me. I test 6-12 times daily and have issues. I know it is my diet and stress etc.. but those are harder to change. I find it interesting that most of the people on this site with tight control are normally the first to defend the idea of not having tight control. They know how hard it is and that sometimes it isn't possible. I love the idea of four simple things for tight control, but if they were as effective as they should be I wouldn't be having problems seeing the screen right now.

After 30 years with this disease the only thing I know for sure is, it is never EASY!

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