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From: GysdeJongh on 2 Aug 2008 03:25
Hi Alan I read your Blog :
http://loraldiabetes.blogspot.com/
Wednesday, July 30, 2008 How Often Should We Test?

It seems that you got some help :)
My two cents for most of us :
Download the full text, print and handover to your gp :)

http://www.idf.org/webdata/docs/Guideline_PMG_final.pdf

Here are a few excerpts:
Poorly controlled diabetes is associated with the development of such
complications as neuropathy, renal failure, vision loss, macrovascular
diseases and amputations.

There appears to be no glycaemic threshold for reduction of either
microvascular or macrovascular complications; the lower the glycated
haemoglobin (HbA1c), the lower the risk.

Although control of fasting hyperglycaemia is necessary, it is usually
insufficient to obtain optimal glycaemic control. A growing body of evidence
suggests that reducing postmeal plasma glucose excursions is as
important,(20) or perhaps more important for achieving HbA1c goals.

Postmeal and postchallenge hyperglycaemia are independent risk factors for
macrovascular disease
Postmeal hyperglycaemia is associated with increased risk of retinopathy
Postmeal hyperglycaemia is associated with increased carotid intima-media
thickness
Postmeal hyperglycaemia causes oxidative stress, inflammation and
endothelial dysfunction.
Postmeal hyperglycaemia is associated with decreased myocardial blood volume
and myocardial blood flow.
Postmeal hyperglycaemia is associated with increased risk of cancer.
Postmeal hyperglycaemia is associated with impaired cognitive function in
elderly people with type 2 diabetes.

Self-monitoring of blood glucose (SMBG) is currently the optimal method for
assessing plasma glucose levels.
Self-monitoring of blood glucose (SMBG) should be considered because it is
currently the most practical method for monitoring postmeal glycaemia.
Diets with a low glycaemic load are beneficial in controlling postmeal
plasma glucose
hth
Gys




From: Alan S on 2 Aug 2008 07:39
On Sat, 2 Aug 2008 09:25:50 +0200, "GysdeJongh"
<jongh711(a)planet.nl> wrote:

>Hi Alan I read your Blog :
>http://loraldiabetes.blogspot.com/
>Wednesday, July 30, 2008 How Often Should We Test?
>
>It seems that you got some help :)
>My two cents for most of us :
>Download the full text, print and handover to your gp :)
>
>http://www.idf.org/webdata/docs/Guideline_PMG_final.pdf
>
>Here are a few excerpts:
>Poorly controlled diabetes is associated with the development of such
>complications as neuropathy, renal failure, vision loss, macrovascular
>diseases and amputations.
>
>There appears to be no glycaemic threshold for reduction of either
>microvascular or macrovascular complications; the lower the glycated
>haemoglobin (HbA1c), the lower the risk.
>
>Although control of fasting hyperglycaemia is necessary, it is usually
>insufficient to obtain optimal glycaemic control. A growing body of evidence
>suggests that reducing postmeal plasma glucose excursions is as
>important,(20) or perhaps more important for achieving HbA1c goals.
>
>Postmeal and postchallenge hyperglycaemia are independent risk factors for
>macrovascular disease
>Postmeal hyperglycaemia is associated with increased risk of retinopathy
>Postmeal hyperglycaemia is associated with increased carotid intima-media
>thickness
>Postmeal hyperglycaemia causes oxidative stress, inflammation and
>endothelial dysfunction.
>Postmeal hyperglycaemia is associated with decreased myocardial blood volume
>and myocardial blood flow.
>Postmeal hyperglycaemia is associated with increased risk of cancer.
>Postmeal hyperglycaemia is associated with impaired cognitive function in
>elderly people with type 2 diabetes.
>
>Self-monitoring of blood glucose (SMBG) is currently the optimal method for
>assessing plasma glucose levels.
>Self-monitoring of blood glucose (SMBG) should be considered because it is
>currently the most practical method for monitoring postmeal glycaemia.
>Diets with a low glycaemic load are beneficial in controlling postmeal
>plasma glucose
>hth
>Gys
>
>
>
Thanks Gys

The times, they are a-changing...

Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
Blog http://loraldiabetes.blogspot.com
DLife column http://tinyurl.com/5v74xr
http://loraltravel.blogspot.com (The Taj Mahal)
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