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A comment on Cutting Back Sugar Improves Obese Children's Health in Just 10 Days. Parent comment

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by vonmoltke on Tuesday October 27, 2015 @10:39PM (#10462587)
> With enough carbs (as few as 50g for some) the end result at that stage of the condition is still a highly-adverse event, a high blood sugar spike above 100 mg/dL. Even if the spike is controlled down within 1-2 hours, there is a lot of accumulating evidence that it isn't the duration or absolute value of high blood sugars, but the spikes (the occurrence of any delta in the first place) themselves that cause cellular damage.

The "normal" threshold for an oral glucose tolerance test (OGTT) at 2 hours post-load (75g glucose after fasting) is 140mg/dL. Where is this research indicating that a spike above 100mg/dL is "highly-adverse"? All the research I have seen, and the position of the ADA, is that it is normal to go well above that after a heavy carb load.

I have seen claims by Dr. Richard Bernstein and his adherents that the ADA is wrong and that "normal" is much lower and flatter than they claim. I have seen no supporting research on this, and even active criticism of that idea fro various medical researchers.

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Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by yourapostasy on Wednesday October 28, 2015 @12:56PM (#10465671)
My bad, sorry, my post should read 140 mg/dL. I was thinking of some (minority) of the more aggressive patients sharing their experiences on diabetesdaily.com forums, and they are holding down to below 100 mg/dL post-prandial, to aim for as close to below 140 mg/dL OGTT as possible; I'm interested in reading their stories because that cohort is self-reporting far more success at stopping medication, and still respond "normally" to OGTT and A1c tests, so that they fall into the "insulin resistant but not cured" category.
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