Harm Of Overly Tight Control Of Blood Sugar Level

Harm Of Overly Tight Control Of Blood Sugar Level.


Many older relations with diabetes may be exposed to undeveloped harm because doctors are trying to remain overly tight control of their blood sugar levels, a new study argues. Researchers found that nearly two-thirds of older diabetics who are in financially embarrassed health have been placed on a diabetes management regimen that strictly controls their blood sugar, aiming at a targeted hemoglobin A1C bulldoze of less than 7 percent natural medicine. But these patients are achieving that ambition through the use of medications that place them at greater risk of hypoglycemia, a feedback to overly low blood sugar that can cause abnormal heart rhythms, and dizziness or loss of consciousness, the researchers said.



Further, sticky diabetes control did not appear to benefit the patients, the researchers report Jan 12, 2015 in JAMA Internal Medicine. The portion of seniors with diabetes in deficient health did not change in more than a decade, even though many had undergone years of aggressive blood sugar treatment vigrxpillusa com. "There is increasing testify that tight blood sugar control can cause harm in older people, and older woman in the street are more susceptible to hypoglycemia," said lead author Dr Kasia Lipska, an second professor of endocrinology at Yale University School of Medicine.



So "More than half of these patients were being treated with medications that are uncongenial to benefit them and can cause problems". Diabetes is common among people 65 and older. But doctors have struggled to come up with the best trail to manage diabetes in seniors alongside the other health problems they typically have, researchers said in grounding information with the study. For younger and healthier adults, the American Diabetes Association has recommended treatment that aims at a hemoglobin A1C status of lower than 7 percent, while the American Association of Clinical Endocrinologists recommends a target of humiliate than 6,5 percent, the authors noted.



The A1C test provides a picture of your average blood sugar levels for the finished two to three months. By tightly controlling blood sugar levels, doctors hankering to stave off the complications of diabetes, including organ damage, blindness, and amputations due to gall damage in the limbs. In this study, the authors analyzed 2001-2010 text on 1,288 diabetes patients 65 and older from a US survey. The patients were divided into three groups based on their fettle status: About half were considered extent healthy despite their diabetes; 28 percent had complex/intermediate health, in that they also suffered from three or more other long-lived conditions or had difficulty performing some basic daily activities.



Roughly 21 percent had very complex/poor health, and were either dependent on dialysis or struggling with activities of continually living. Overall, 61,5 percent of all these patients had achieved stringent blood glucose control. And a little more than half of them had done so by relying on drugs that can dramatically stoop blood sugar levels. These include insulin and sulfonylureas, a medication that prompts the pancreas to provide more insulin.



People with diabetes either don't produce insulin, a hormone needed to proselyte food into energy, or cells don't process it properly. Despite this aggressive treatment, the proportions of older diabetics in brilliant and poor health did not significantly change during the 10-year study period, profession into question whether doctors are overtreating these patients to no real benefit "I don't dream we should be using insulin or sulfonylureas in older patients.



This study shows that with people in poorer health, we're treating them aggressively with these drugs, and it makes no difference". Dr Alan Garber, of the Baylor College of Medicine in Houston, said the read does cause into question the use of insulin or sulfonylureas to treat diabetes in older adults, but does not axiomatically invalidate the goal of tight blood sugar control. "I allot it very interesting that the study shows that certain medications produce adverse outcomes, but concludes that the target of treatment is the problem and not the medication," said Garber, a professor of diabetes, endocrinology and metabolism.



So "An equally valid conclusion is that it shows that many of the newer medications, which have been proven in multiple trials to have tonier outcomes with regards to hypoglycemia, should have been employed in patients at risk for hypoglycemia". However, both Garber and Lipska agreed that for older patients with diabetes, a "one-size-fits-all" diabetes remedying plan will not work.



And "We requirement to individualize diabetes management, including the goals. For some individuals, the old goals are perhaps too low for their ability to tolerate it. On the other hand, you have to try them on medications with a disconsolate risk of hypoglycemia". Lipska said she would "encourage people to talk with their physicians and to essay to understand better what are the potential benefits and what are the risks of treatment sample. There isn't one universal goal for everyone".

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