For as long as I have practiced medicine, the mantra par excellence with regard to medical care for diabetics has been to control sugar. All diabetes associations, university professors, endocrinologists and diabetes educators agree. The main guideline is "Lower your blood sugar to a normal level at all costs, soldiers!" And the only acceptable answer is "Yes sir!" "Insubordination is not tolerated.
At first glance, the strategy of lowering blood sugar first seems logical. The premise behind this strategy is that high blood sugar is the primary cause of morbidity. But remember, high blood sugar is just a symptom of diabetes. In type 1 diabetes, insulin levels are very low, while in type 2 diabetes, levels are very high. The symptom is the same (high blood sugar), but the two diseases are essentially the opposite. So how can the same treatment be beneficial in both cases?
It is difficult to imagine that the same solution could exist for two opposite problems. Take for example the hypoactive and hyperactive thyroid glands, for which we do not use the same treatment. We also do not use the same treatment for overeating and undernourishment, nor to treat fever and hypothermia. Clothes are not washed by soaking them in water and then drying them by soaking them in water.
Type 1 diabetes is caused by a lack of insulin. So, it is normal that the cornerstone of treatment is the replacement of this missing insulin. Type 2 diabetes is, however, caused by excess insulin. It would therefore be normal for the cornerstone of treatment to be to reduce this excess insulin. In addition, being mainly a food-borne illness, treatment should be dietetic rather than pharmaceutical. Medicines cannot cure a foodborne illness. Only correcting the diet can. These embarrassing facts have simply been overlooked.
For much of the early and mid-20 th century, much of the diabetes research focused on type 1 diabetes insulin replacement therapy was effective in controlling type 1 diabetes, severe lack of insulin. Untreated patients, usually children, lost weight until they died, emaciated and skeletal. With insulin injections, the weight stabilized and this once deadly disease became manageable. But the insulin injections came with their own complications.