Paul Saladino· MD
Elevated blood sugar is a manifestation of diabetes but it is the underlying metabolic dysfunction that drives most of the associated pathology.
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The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
Elevated blood sugar is a manifestation of diabetes but it is the underlying metabolic dysfunction that drives most of the associated pathology.
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the question is is the hypoglycemia driving the problem itself or is the metabolic dysfunction that's predisposing the hyperglycemia the primary culprit for the the problems alone and is the hypoglycemia yeah maybe it's a problem when blood sugar is too elevated but that's not the initiating causal factor it's actually this metabolic dysfunction