Wednesday, September 4, 2019

Do you overcorrect high blood sugar?

An interesting report from dLife.com.

Do you use too much insulin to correct highs, resulting in frequent hypos?

My blood sugar was much too high in the 1940s until the 1980s when I finally had my first glucose meter, A1C testing and knowledge of carbs. I did not have a truly fast acting insulin until the mid 1990s, but my management greatly improved in the 1980s. Prior to the 1980s I did not know my actual glucose numbers, so there was no treatment of highs. The urine testing showed high most of the time, but there were no actual numbers until glucose meters were available. Treating highs began when Humalog insulin was introduced in the mid 1990s. The research done by the Mayo Clinic shows that millions of T1D's use too much insulin to lower their highs. I will admit that I am guilty of doing that, much too often. I have numbers in the 70s, and lower, frequently. Here is the report from the Mayo Clinic.

Note: The research was done with ADULTS. No children were involved. I am guessing that the results would be much the same with children

"New research from Mayo Clinic finds that more than 2.3 million adult patients in the U.S. are likely being treated too intensively for their diabetes.

The researchers find this has caused thousands of potentially preventable emergency department visits and hospitalizations for hypoglycemia (low blood sugar).

The study team, led by Dr. Rozalina McCoy, an endocrinologist and primary care physician at Mayo Clinic, sought to identify the real-world implications of intensive glucose-lowering therapy across the U.S.

Her team found that overly intensive glucose-lowering therapy — when patients receive more medication than is required based on their hemoglobin A1C level — was not only common across the U.S., but also directly contributed to 4,774 hospitalizations and 4,804 emergency department visits in a two-year period."

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