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In Defence of Type 2 Diabetic´s Quality of Life.
Hello Fellows:

We all know that type 1 and type 2 diabetes mellitus are quite different disease states, beyond the common occurrence of Hyperglycaemia.

Nowadays the strict or agressive control of fasting blood glucose or HBA1C levels is being progressively abandoned because below a safety level of these surrogates for diabetes complications the clinical harms greatly outweight the clinical benefits:

Now it shows-up, again with no surprises, a new research showing that sticking the fingers of type 2 diabetics, in the name of getting better "metabolic control" adds no further clinical benefits beyond a perception by many type 2 diabetics that this measure lower their self-steem and perception of quality of life:

So, I think it is high time for the right therapeutic approaches in type 2 diabetics.

Self-Blood glucose monitoring, also increase the risk of getting Hepatitis B infection, and its utility for the vast majority of type 2 diabetic individuals is for me like drying the ice: It is just useless.

Best Regards,

Joey
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Pat Lush wrote:
I remember in the 1970s, when as a UK Medical student , I did a student elective in Chapel Hill NC. It was interestinf to see some of the different things that UK and US Doctors did. At that time the UK was prescribing oral hypoglycaemic and in Capel Hill the view at that time was diet control and insulin if needed was better than oral hypoglycaemics. I think that probably the medical profession have been a bit taken in by the use of 'surogate' end points rather than morbidity and mortality data. One of the problems is that so much research is funded by those who make the Medications.
18/2/2012 6:39 PM GMT on bmj.com