Question

Current controversy or issues in diabetes for an essay supporting one side of the issue, like a position essay.

Question: What is a good current issues or controversy in diabetes that is worth writing a position essay on? Four argument points to support the chosen stance

Answer 1

* New contraversy on blood sugar lowering- inside the community of diabetes experts and organizations a heated issue in current scenario.

* The debate centers around blood sugar levels which reveals an unfortunate tendency to take complex chronic medical conditions.

* The current issue raised by American college of physicians released a guidance statement of this month.

* This suggests that lowering the long term blood sugar levels of people with type 2 diabetes.

* In type 2 diabetes measurement known as A1C is below 7 % which is the current recommendation is not such a good idea.

* It recommended between 7 & 8 % for most patients.

* The ACP primary rationale is that aiming for lower blood sugar values that does not benefit health.

* Many drug treatments keep patients at risk for low blood sugar and past studies shown harm from aggressive blood sugar lowering.

* The ACP raises that such treatment is frequently very expensive and focus on treating blood sugar can lead other aspects of care to be neglected.

* Focuses on lifestyle healthy behaviors which mainly include dietary practices, sleep, physical activity and management of weight.

* Other medical problems associated with diabetes include hypertension, a propensity for blood clotting , obesity and abnormal cholesterol levels.

* so strategies associated with the above problems for goals is less cost.

* Recently ADA states that deeply concerned about the proposed higher blood sugar levels.

* It reflects on common bias that blood sugar is main problem faced by people having diabetes.

* The ADA arguement appear to favor pharmaceutical companies selling the newest diabetic medications to overcome this problem.

* Hypoglycemia is common side effect of many diabetic medications is not really problem as new medications are come into marker and uses to overcome this.

so aggressive blood sugar lowering can make sense clinically if patients have achieved first:

* Blood pressure below 130/80 mm Hg.

* Body weight is decreasing.

* physical activity part of lifestyle.

* cholesterol abnormality for which usually statin medications.

* Diet with reduced intake of carbohydrates that is sugar rich foods etc..

This is a good current issue or contraversy in diabetes with respective to current scenario.