Lowering blood glucose alone in diabetes management can exacerbate large vessel complications like heart disease and cancer, while microvascular complications may improve.

“if you look at all of the diabetes studies that are out there in terms of diabetes control they all improve hemoglobin a1c and the patient dies anyway the UKPDS the Accord study and several others all show that you can lower blood glucose you can reduce micro vascular complications diabetic retinopathy neuropathy nephropathy all small vessel complications by lowering the glucose but what you do is you exacerbate the large vessel complications like coronary heart disease or cancer and you end up dying just the same”