Scientists will tell you that they don't consider anecdotes-personal stories about something-to be evidence that establishes a fact. Say you have 10 people swear they've been abducted by aliens, and all of their descriptions of the kidnapers match. That still wouldn't be enough for scientists to declare that aliens are real. It would take other types of evidence, not just word of mouth, for the actual existence of aliens to be accepted as a plausible explanation for people's reported disappearances.
So, what is it that affects my glucose levels and why is it so hard to manage diabetes? In this case, we're talking type 1 diabetes; mine seems to be extremely stubborn and "brittle" by nature. Honestly, sometimes balancing this chronic condition is downright exhausting. Some days it's a scientific equation, weighed and measured, a standard protocol. Other days, it's a roller coaster, a compounding tidal wave, a boxing match.
Three decades ago, the landmark Diabetes Control and Complications Study was just beginning. To mark the anniversary of the most important advancement in diabetes care in most of our lifetimes, I've been recalling how the study came about and what it revealed. In short, the DCCT proved the tight control of type 1 diabetes not only was an achievable goal, but that it prevented or delayed complications.
What do three decades mean to you? In absolute terms, 30 years is a serious amount of time. If you're under the age of 40, for example, it's the vast majority of your life. But in the world of medical research, where studies can take many years to complete--and even longer to affect everyday practice--three decades can go by surprisingly quickly.
Here's a development to keep your eye on: Bariatric surgery performed on a small group of morbidly obese type 1s led to considerable weight loss, improved glycemic control, and improved metabolic profiles up to three years later.
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