Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

A Proactive Path Beyond the Diagnosis

4 Jun 2026 · 1 min

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A diabetes diagnosis is a starting point for preventing heart attacks and dementia, not an endpoint. Repeated low blood sugar episodes increase cardiovascular and cognitive risks, so treatment should balance glucose control with safety rather than chasing the tightest numbers possible.

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Diagnosis isn't the end, it's a beginning of a choice. And once you're diabetic, that doesn't mean that we got to just control your diabetes, as I mentioned earlier. They need to constantly think, now that I have diabetes, now that I'm on the right track, what else can I do to prevent that first heart attack? What else can I do to prevent dementia? What else, you know, repeated hypoglycemia or low blood sugars can increase the risk of cardiac outcomes or increase the risk of heart attack and increase the risk of forgetfulness or dementia. So we got to be on the right treatment path where our Intense control should not worsen the outcomes.