“It’s way more complicated than just sugar level alone.”
I agree. Insulin and many medications that are given to lower blood sugar are listed as potentially causing heart failure.
People get diabetes — take meds causing heart failure — then they have heart failure and continue to take the same meds which aggravate it — the more meds they take, the more their blood sugar is lowered, but the larger amounts of meds are what is causing a higher level or mortality.
I am one of those people who lost a great deal of weight. 80lbs. Have kept most if it off for the past 9 years. Losing that much weight did NOTHING for my sugar levels. The same amount of carbs raise my sugars the same amount postprandially they did before I lost weight. So I stopped eating things that raised my blood sugar (think wheat belly diet). My last a1c was 4.8 No meds. I have the option of taking metformin, which I do from time to time. Not necessarily to help with sugar levels although it does do that.
I still have about 35-40lbs to lose but my blood work continues to be excellent and my last stress test was superb.