Chapter-1 / Physiological Foundations - WHNLive Public Library

61w:o.seII6W tissutconantmltOn-i1:blood1O-/gI-117016015011,()RemarKS1~glv.r:: ' .... '20~IlYma/ /_K!.{j.,..!}% ~nlalianpH-ii!}(napain)1~:: ]'00 normo/90 increasing poin80 IUGluslight fJ!J1il70 I60 ..pain thresholdI!nopaintfangerofsliJcIr!painIPlief by opproochirytl7eb/oaiglucose leve/topaifl tl1resholdcnrpnic polyarlhnfis/Kl/fl !KJj tfisopfll'aredFig. 122 Relief of physical pain by approachingthe blood glucose level to theobserved "pain threshold"i of uch importance for pain theory. To supportour estimation we include a finding ofCa per (Deutsches Zentrum flir Sauerstoff­Mehr chritt-Therapie, Bad Fussing, FRG), onthe complete disappearance ofvery severe polyarthriticpains when the blood glucose level wasreduced to 60· ]0 -5 gil.The above considerations lead to a basic recognitionof the combat of physical pain byreducing the blood glucose: the pain does notdi 'appear only when a zero blood glucose leveli reached, which could never be attained dueto the known reasons of hypoglycemic shock,but much sooner, by reduction to levels ofaround 40-60·] 0- 5 gil. Thus there exists apain threshold of blood glucose concentration.The finding of the pain thre hold means thatwe must try to come as close as pas ible to thisthre hold in the combat of pain, by mean ofthe manipulated (and monitored!) reductionan the blood gluco e. Since this threshold existsand, furthermore at glucose levels which aretill more or Ie. tolerable, it seems that ourpath to the combat of pain can be practicallytrodden. The overview in Fig. 122the above findings.ummanzeThe further guidelines which follow re uIt fromour ideas on the combat of chronic pain: onprinciple, the aim of all measures mu t be toreduce the blood glucose to a level which is aslow and as undeviating as possible. The eatingof sweets must be cut to a minimum. In orderto reduce the deviation (Fig. 121) we recommendthat the normal rule for diabeti bestrictly observed, such a adherence to the dietregulations to keep the blood gluco e at a lowlevel, and the distributions of food intake overa larger number ofmeals.It is to be expected from the nergeti n­sideration at the beginning of thi paragraphthat a longer ]a. ting O2 utilizati n defi it in tharea of BBB and B B ha parti ularl . rpathological can qu nee and that. in r Ithe measure f th 02MT an al h lp ignificantlyin the. fi Id . H w v r, m r thanp ctation and motivat d hop hould n ten in th word, as m di al r . aT h h rtill in it arl infan .