Tight diabetes control can bring you close to normal blood glucose level within safe limits. The target (ideally) should be between 70 and 130 mg/dl before meals, not more than 180 mg/dl two hours after starting a meal and A1C level of less than 7 percent. Achieving the target is not impossible but certainly demands sustained and dedicated efforts.
Nonetheless, even getting close to tight control has its own advantages which should not be undermined.
The Benefits Of Tight Diabetes Control
High glucose levels can lead to complications in diabetes. It is essentially important to keep glucose levels as low as you can to prevent or delay the complications related to diabetes. Tight diabetes control can produce both short and long term advantages in diabetes.
The short term benefits can be seen as increase in energy, improved quality of life making you feel better, reduced meal time restrictions and the liberty to enjoy several activities.
With tight diabetes control, it has been found that people with diabetes can delay complications and prevent them from turning into worse. Illnesses as diabetic eye disease, nerve disease and kidney disease can be avoided or delayed with tight diabetes control. This was found out in a research -Diabetes Control and Complications Trial (DCCT). Intensive control over blood glucose can produce more benefits than the standard treatment procedures. Another long term benefit of tight glucose control is reduction in the risk of birth defects.
The Limitations Of Tight Diabetes Control
According to the DCCT, tight control can pose two main problems – hypoglycemia and weight gain.
When you are exercising tight diabetes control, you can be at risk for blood glucose reactions as hypoglycemia. The research (refer above) revealed that the instance of hypoglycemia was three times more in people exercising tight blood glucose control than those not exercising tight control.
This may demand resorting to the standard treatment unless done with extreme care and caution. People wanting tight diabetes control should get proper education about hypoglycemia to avoid damaging or fatal outcomes.
Tight control can pose greater risk for weight gain than the standard insulin treatment. In the abode research, the average was 10 pounds. Preparing a meal and exercise plan may help in preventing it.
For having tight control, you will need frequent doctor (or health care expert) visits. This may be costlier than injection therapy.
Even a regular supply of pumps can put strain on your wallet.
Not Meant For Everyone
Tight diabetes control is likely to benefit healthy people having considerable longevity. It is not safe to exercise tight diabetes control under certain conditions. People who already have complications, like chronic kidney disease or severe vision loss, should not consider having tight diabetes control.
Other conditions which can restrict people from exercising tight control include coronary artery disease and vascular disease. These complications can be too demanding to benefit from tight control.
Children and elderly people can also be unfit for tight diabetes control. Children need enough glucose in the blood for their brain development. Tight control may be unfit until a child is 13 years old; some experts consider children aged 7 to be fit for implementing the same. Elderly people can be at risk for strokes and heart attacks with tight control.