Tired of fighting

Actually the figure of 4-6% of type 1’s dying from hypos is just not sound. I posted about this earlier, it is based on work by Philip Cryer and is deeply flawed generally confusing all cause mortality with deaths from hypos. And we need to be aware that doctors are often “risk averse” in a way that amplifies hypos over long term high blood sugars. Running high blood sugars certainly lead to complications, but you cannot trace it back a causal decision by a doctor. A hypo on the other hand could be immediately traced back by a doctors decision to start insulin treatment or increase doses. If that causes a hypo and a health consequence and liability that is bad for the doctor, hence they tend to be very hypo risk averse but often don’t seem to care when we run our blood sugars high.

2 Likes