jimmylegs wrote:okay here's why i opened this topic today: interesting points on CBC radio, white coat black art. the topic was overdiagnosis and the guest was saying that managing diabetics by tryig to get them looking 'normal' had resulted in higher mortality. i went looking for the study and it's called 'accord'. turns out they were specifically managing glucose, which made me think of this topic. so here's some info about glucose management.
http://www.diabetesincontrol.com/index. ... le&id=5516
Accord Study Stops Intensive Diabetes Management Due To Increase in Deaths. Treating to normal blood sugars may cause an increase in death.
Effects of Intensive Glucose Lowering in Type 2 Diabetes
The Action to Control Cardiovascular Risk in Diabetes Study Group
Epidemiologic studies have shown a relationship between glycated hemoglobin levels and cardiovascular events in patients with type 2 diabetes. We investigated whether intensive therapy to target normal glycated hemoglobin levels would reduce cardiovascular events in patients with type 2 diabetes who had either established cardiovascular disease or additional cardiovascular risk factors.
In this randomized study, 10,251 patients (mean age, 62.2 years) with a median glycated hemoglobin level of 8.1% were assigned to receive intensive therapy (targeting a glycated hemoglobin level below 6.0%) or standard therapy (targeting a level from 7.0 to 7.9%). Of these patients, 38% were women, and 35% had had a previous cardiovascular event. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke, or death from cardiovascular causes. The finding of higher mortality in the intensive-therapy group led to a discontinuation of intensive therapy after a mean of 3.5 years of follow-up.
i'm curious what form the intensive therapy took.. no time to investigate further right now though.
jimmylegs wrote: CONCLUSIONS: Magnesium status was influenced by kidney depuration and was altered in patients with type 2 diabetes, and magnesium showed to play an important role in blood glucose control.
jimmylegs wrote:or maybe one that we have seen?
“Let food be thy medicine…” Hippocrates
...quoting Hippocrates: “Let food be thy medicine and medicine be thy food” (p 211). Although many patients are convinced of the importance of food in both causing and relieving their problems, many doctors' knowledge of nutrition is rudimentary. Most feel much more comfortable with drugs than foods, and the “food as medicine” philosophy of Hippocrates has been largely neglected. That may be about to change. Concern about obesity is rocketing up political agendas, and a growing interest in the science of functional foods is opening up many therapeutic possibilities (p 180).
jimmylegs wrote:i didn't read that one in a lot of detail but.. where do you think cell nutrition comes from?
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