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What is the latest treatment for diabetes
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<blockquote data-quote="dnfuss" data-source="post: 103669" data-attributes="member: 15487"><p>In Bernstein's view, the goal is to achieve truly normal blood sugars, the same as healthy non-diabetics, i.e., fasting blood sugar in the mid-80s, 100 or below one hour after a meal and fasting blood sugar by two hours. These are the numbers for healthy non-diabetics with truly normal blood sugars no matter what they eat or how much (or how little) they exercise.</p><p></p><p>If you are a diabetic (or pre-diabetic for that matter), Dr. Bernstein's protocol (highly simplifed) for achieving truly normal blood sugars in a nutshell in order of application is</p><p></p><p>1. Low-carb diet. Dr. Bernstein 's diet is below 30 grams per day for average-sized adults. If your blood sugar control is only marginally compromised, you might first try below 100 grams per day, then 50, then 30.</p><p></p><p>2. If insufficient to achieve normal blood sugars, add exercise, both resistance and cardio.</p><p></p><p>3. If still insufficient, add oral agents. Metformin first and foremost. If that doesn't work, there are others to try.</p><p></p><p>4. If still insufficient, add insulin.</p><p></p><p>HgbA1c can be a useful marker to track, but alone is not sufficient to either diagnose diabetes or determine if blood sugar is being managed properly (of note to those on TRT, blood donation will result in HgbA1c lower than might otherwise be expected given one's average blood sugars).</p><p></p><p>It is primarily high post-meal spikes in blood glucose (over 140), and secondarily fasting blood sugar, that appear to drive diabetic complications and progression of the condition. Diabetics, including Type 1s, who achieve and consistently maintain truly normal blood sugars can avoid complications and live a full life-span.</p></blockquote><p></p>
[QUOTE="dnfuss, post: 103669, member: 15487"] In Bernstein's view, the goal is to achieve truly normal blood sugars, the same as healthy non-diabetics, i.e., fasting blood sugar in the mid-80s, 100 or below one hour after a meal and fasting blood sugar by two hours. These are the numbers for healthy non-diabetics with truly normal blood sugars no matter what they eat or how much (or how little) they exercise. If you are a diabetic (or pre-diabetic for that matter), Dr. Bernstein's protocol (highly simplifed) for achieving truly normal blood sugars in a nutshell in order of application is 1. Low-carb diet. Dr. Bernstein 's diet is below 30 grams per day for average-sized adults. If your blood sugar control is only marginally compromised, you might first try below 100 grams per day, then 50, then 30. 2. If insufficient to achieve normal blood sugars, add exercise, both resistance and cardio. 3. If still insufficient, add oral agents. Metformin first and foremost. If that doesn't work, there are others to try. 4. If still insufficient, add insulin. HgbA1c can be a useful marker to track, but alone is not sufficient to either diagnose diabetes or determine if blood sugar is being managed properly (of note to those on TRT, blood donation will result in HgbA1c lower than might otherwise be expected given one's average blood sugars). It is primarily high post-meal spikes in blood glucose (over 140), and secondarily fasting blood sugar, that appear to drive diabetic complications and progression of the condition. Diabetics, including Type 1s, who achieve and consistently maintain truly normal blood sugars can avoid complications and live a full life-span. [/QUOTE]
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What is the latest treatment for diabetes
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