Dr Not Concerned About BS in 200s

Diane987
By Diane987 Latest Reply 2010-10-14 11:00:49 -0500
Started 2010-10-13 09:38:50 -0500

Yesterday I took my Mom to the doctor because her blood sugar is out of control. Mom is Type-2 and regularly has a morning fasting BS in the 50s. However, by mid-afternoon it will be in the 210-250 range. She has also been on a weight loss plan and has lost 40 lbs in the past 8 months. Mom also takes 1000 mg of Metformin 2x's a day and 10mg Glymeperide 2x's per day. Mom has stopped taking her Lantus regularly a couple of months ago because her blood sugar was going too low, but she would take a shot if her BS got above 250. All of her lab test came back with good results, A1c was 6.5. Our doctor said that she is not concerned about the 200s but the 50s are an issue. She told her to stop taking the Lantus as needed and to do five minutes on the treadmill instead. Dr also said that the next pill to eliminate is the evening Glymeperide.

I asked why are you not concerned about the 200s. She said that at a recent conference she went to, one of the discussions/studies was about how having tight control over diabetes and trying to get BS numbers to the normal range did nothing to improve the health status of most people. In fact it killed some because their BS went too low. Doc said to let go of my philosophy that the closer to normal your blood sugar the less likely to have complications. Have any of you heard this theory before? How do you feel about this advice?


2 replies

kdroberts
kdroberts 2010-10-13 10:10:06 -0500 Report

Yes, I heard this, it was called the ACCORD study and has been largely dismissed. Most of the analysis done on it showed that having tight blood sugar control was not the cause of the increase of death but the overuse of multiple medications, especially Actos and Avandia, and a lack of emphasis on diet and exercise. Another study (ADVANCE) that did a similar thing but in a different way did not show this link. I think it's bad advice based on incomplete and old data.

You can find a mountain of articles and opinions on the studies by searching google for 'ADVANCE study' and 'ACCORD study'

Diane987
Diane987 2010-10-14 11:00:49 -0500 Report

Thanks KD,
After reading about the two studies I get why our Doc said to not worry about the 200s. I think what she is really saying is that she does not want to control it with medications. By telling her to be more active through the day her blood sugar will naturally get lower and you don't run the risk of the lows getting any lower from medications. Mom does have HBP, high cholesterol and other risk factors for cardiovascular issues so it makes sense to control the highs with exercise. Now the only trick is to make sure Mom gets on the treadmill everyday.
Thanks again for your help.

Diane