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ditto what cassandra said, except i would be a lttle less politic.

please seek medical attention immediately! if you are fasting at 237, it likely means that, assuming you have not completely eliminated carbs, for many hours of the day your glucose is 300-400. your body can only withstand this assault for so long. waiting for another experiment next summer is the wrong approach. you are suffering kidney, retinal and circulatory damage right now. you can stop suffering further damage RIGHT NOW. please seek the help in the name of whomever you love, whether it's kids, spouse or your dog.
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