Libby has it right!
For perspective, the people in the ACCORD study where there was a SMALL number more deaths than the control were middle aged overweight Type 2s who were diagnosed with heart disease before the study started.
They were given some mixture of sulf drugs, Avandia, and Actos, all known to worsen heart disease, along with metformin, Byetta (so new its effects are unknown), and huge doses of basal insulin. Told to eat a VERY high carb diet and nagged on a schedule by registered dietitians to be sure they were getting their 300 grams of carb a day.
Since a bigger, longer study ADVANCE found no excess deaths when they lowered BG using only ONE drug, it’s pretty clear that the problem was some interaction of the multi-drug regimens. They say it can’t be blamed on any one drug, but the design of the study makes it statistically unlikely they can ever pin it to a combination of drugs, because there were too many different combinations and dosages being used.
Pregnant ladies with GD are told to shoot for a fasting near 70 mg/dl. It can’t be that dangerous. Most children are at that level.
My guess is that if you can stick with it you’ll end up with superb health. I would give a lot to be able to get my blood sugar down to that level, but one bizarre feature of my Type Weird diabetes is a ferocious counter-regulatory response that kicks in any time my blood sugars drops below the 90s. At one point I inched it down to the 80s, but now I’m getting jolted out of sleep again when I have as much as .5 a unit too much Lantus and if I can get a fasting bg under 95 I’m thrilled.
Though it is starting to look like I don’t have to worry about hypos. A heart attack from all that epinephrine, perhaps, but not hypos.