What is a good morning target?
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From: Andrew B. Chung, MD/PhD on 9 Apr 2008 13:44 In our collective clinical experience, we are not seeing consistent normalization of morning blood glucose levels (70-90 mg/dl) until all the visceral adipose tissue (VAT), aka black fat, is gone from a type-2 diabetic: http://HeartMDPhD.com/BeSmart Here is a simple parable given in hopes of promoting greater understanding of the problem: http://HeartMDPhD.com/Parable Be hungry... be healthy... be hungrier... be euglycemic: http://TheWellnessFoundation.com/BeHealthier Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com A latter-day disciple of the KING of kings and LORD of lords. http://HeartMDPhD.com/HolySpirit/DiscipleNow Alfred Kaufmann wrote: > I am using Glyburide & Metformin and according to my meter I am in the > target zone except for the morning readings. According to the meter > my target should be 7.0 or less and my average reading is 7.2. Should > I even be worried? I have tried everything I can think off, dieting, > snacking, excercise and that morning number is fairly consistent. > > Al
From: yamantaka on 9 Apr 2008 14:28 On Apr 9, 10:44 am, "Andrew B. Chung, MD/PhD" <heartdo...(a)emorycardiology.com> wrote: > In our collective clinical experience, we are not seeing consistent > normalization of morning blood glucose levels (70-90 mg/dl) until all > the visceral adipose tissue (VAT), aka black fat, is gone from a > type-2 diabetic: > > http://HeartMDPhD.com/BeSmart > > Here is a simple parable given in hopes of promoting greater > understanding of the problem: > > http://HeartMDPhD.com/Parable > > Be hungry... be healthy... be hungrier... be euglycemic: > > http://TheWellnessFoundation.com/BeHealthier > > Prayerfully in the infinite power and might of the Holy Spirit, > > Andrew <>< > -- > Andrew B. Chung, MD/PhD > Lawful steward ofhttp://EmoryCardiology.com > A latter-day disciple of the KING of kings and LORD of lords.http://HeartMDPhD.com/HolySpirit/DiscipleNow > > > > Alfred Kaufmann wrote: > > I am using Glyburide & Metformin and according to my meter I am in the > > target zone except for the morning readings. According to the meter > > my target should be 7.0 or less and my average reading is 7.2. Should > > I even be worried? I have tried everything I can think off, dieting, > > snacking, excercise and that morning number is fairly consistent. > > > Al- Hide quoted text - > > - Show quoted text - Dear Dr. Chung, You persist in talking about "black fat" but this is not a term used in any reputable medical publications. Why do you use it? Also, you talk about getting rid of all VAT. How does one know when VAT is gone? How is this measured? I have many diabetics in my practice who are able to maintain fasting blood sugars of less than 100. They are still overweight and probably have VAT. You constantly refer to, "in our collective clinical experience." Please clarify who is "our?" Who are your colleagues. How many patients do you yourself personally take care of each week? You are no longer a Board Certified Internist and you have no hospital privileges. Isn't that unusual for a cardiologist? The courtesy of a reasonable reply is appreciated. Sincerely, Yamantaka, MD Board Certified Internist
From: yamantaka on 9 Apr 2008 14:45 On Apr 9, 10:44 am, "Andrew B. Chung, MD/PhD" <heartdo...(a)emorycardiology.com> wrote: > In our collective clinical experience, we are not seeing consistent > normalization of morning blood glucose levels (70-90 mg/dl) until all > the visceral adipose tissue (VAT), aka black fat, is gone from a > type-2 diabetic: Dear Dr. Chung, If a fasting blood sugar is less than 90mg/dl as you state in this thread, then why did you post in a previous thread last week that you advise your patients to withold their meds if their fasting blood sugar is 150? That is not the standard of care and contradicts what you are now saying in this thread. http://groups.google.com/group/sci.med.cardiology/browse_thread/thread/dec1be854ab3443e# Please explain your inconsistent approach.
From: Andrew B. Chung, MD/PhD on 9 Apr 2008 15:06 http://HeartMDPhD.com/Valuelesssatan
From: Nico Kadel-Garcia on 10 Apr 2008 03:24
On 9 Apr, 18:44, "Andrew B. Chung, MD/PhD" <heartdo...(a)emorycardiology.com> wrote: > In our collective clinical experience, we are not seeing consistent > normalization of morning blood glucose levels (70-90 mg/dl) until all > the visceral adipose tissue (VAT), aka black fat, is gone from a > type-2 diabetic: *Sigh*. First, the gold standard can be as high as 110, from the past few decades of actual experience. Don't make up numbers. Mornings are tricky for plenty of reaons, ranging from the idleness of the night to long-acting foods to dawn phenomenon to variability in bedtime to variation in sleeping patterns.\ Second, you don't seem to *HAVE* clinical experience. You got fired from the last job any of us know about, and spend your days spewing bad advice about your mis-read Biblical presciption of a 2-pound OMER diet. There are dietary guidelines in the Bible and the Torah, they're called "kosher food", and I don't see you advocating *that* on your placard of religious ignorance. |