Wednesday, June 17, 2009

Therefore and However

A very important word in the New Testament is THEREFORE. It's a sign you need to go back and reread the paragraphs that come before. That is usually (if you're reading Paul who wrote most of the NT) the death and resurrection of Jesus. Lots of peace and justice Christians miss the whole point by not checking. An important word in medical studies is HOWEVER. What often follows that word in medical studies are phrases such as "such optimism has been tempered," "there are questions about safety and utility," "more refinements are needed," "some have questioned," "seem to be unrealistic expectations," and "further studies are required to clarify the underlying mechanism." That's the part they don't mention when they breathlessly report something in 30 seconds on the evening news.

However, that being noted, there's a very interesting article in the April 15 JAMA (Vol. 301, no. 15, p. 1565-1572), "Hypoglycemic episodes and risk of dementia in older patients with type 2 Diabetes Mellitus."

Now I didn't know that people with diabetes were at increased risk of dementia, or that insulin can cause hypoglycemia or that there was no research evaluating hypoglycemic episodes in older patients who have diabetes. I found the results and conclusions very interesting. They certainly had a wealth of evidence to work with--27 years of records of 16,667 patients with a mean age of 65 years who are members of Kaiser Permanente in California.

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