Navigation Links
Experts Say Blood Sugar Guidelines Remain Effective
Date:12/18/2008

Despite conflicting studies, diabetes groups say good glycemic control still best course

THURSDAY, Dec. 18 (HealthDay News) -- While less strict blood sugar control may be appropriate for some diabetes patients, most should adhere to the target goal of less than 7 percent that's long been recommended for reducing the risk of diabetes-related complications.

That's the consensus from a joint statement released Wednesday by the American Diabetes Association, the American College of Cardiology and the American Heart Association.

The revised recommendations are based on the findings of three recently-released clinical trials that found no significant benefit and/or risks related to intensive glycemic (blood sugar) control and heart disease prevention in people with longstanding type 2 diabetes and high cardiovascular risk.

The three studies -- ACCORD, ADVANCE and VADT -- produced conflicting results. The ACCORD study was halted early because of an increased death rate among patients in the intensive glycemic control group. The two other studies found that intensive glycemic control didn't increase the risk of death but also didn't provide any significant cardiovascular benefit.

"Given the confusion created by these conflicting results, we thought it imperative to review our recommendations for all people with diabetes," Dr. Jay Skyler, head of the recommendation writing group, said in a joint news release from the organizations.

"What we conclude is that for most people with diabetes, there's no need to change treatment goals in light of these findings and many reasons to continue to strive for good glycemic control. But for some people with type 2 diabetes, depending upon their history and current medical condition, it may be wise to make adjustments," Skyler said.

He and his colleagues said the revised recommendations are consistent with prior guidelines that blood sugar goals should be matched to individual patients, based on their medical history.

Study data also suggests that good glycemic control may provide a cardiovascular benefit for people who've had diabetes for a short period of time and have no known cardiovascular disease.

"The lack of significant reduction in CVD (cardiovascular disease) events with intensive glycemic control should not lead clinicians to abandon the general target of AIC (a measure of blood glucose level over the prior 2 to 3 months) levels of less than 7 percent, and thereby discount the benefit of good control on what are serious and debilitating microvascular complications," the joint statement said.

However, less stringent AIC goals should be considered for diabetes patients with a "history of severe hypoglycemia, limited life expectancy, advanced microvascular or macrovascular complications, extensive comorbid conditions, and those with longstanding diabetes in whom the general goal is difficult to attain despite diabetes self-management education, appropriate glucose monitoring, and effective doses of multiple glucose lowering agents including insulin."

The recommendations were published online in the journals of each of the three organizations.

More information

The U.S. National Diabetes Education Program has more about diabetes control.



-- Robert Preidt



SOURCE: American Diabetes Association, American College of Cardiology and American Heart Association, joint news release, Dec. 17, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Plastic Surgery Experts Available to Comment on Face Transplant Surgery
2. Pharmaceutical and Health Care Experts to Detail Cost-Cutting Capabilities of Secure Digital Signatures
3. MaxCyte Presents a Panel Discussion With Industry Experts on the Challenges in Developing Cell-Based Screening Assays for Drug Discovery - LIVE Q&A to Follow
4. Holland & Knight Welcomes MARC Associates - Experts in Health Care and Intergovernmental Policy - to the Firms Public Policy & Regulation Practice
5. Experts Highlight New Tool as a Timely Addition to Asthma Treatment
6. Instrumentation Laboratory Announces ILeader Panel of Experts as Part of 50th Anniversary Program
7. Analog Devices Healthcare Team Participates in MIT Forum on Medical Device Industry : ADI's healthcare technology experts Patrick O'Doherty and Tom O'Dwyer offer insights on trends impacting next-generation medical electronic systems.
8. SkinnyAndTheCity.com Top Experts Create the Ultimate Lifestyle Guide
9. Experts: Targeted agricultural investments will yield high results, slash poverty in Africa
10. Parents of new babies should be considered for a whooping cough booster, say experts
11. Experts on JustAnswer(R) Projected to Help Thousands During the Thanksgiving Holiday
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Experts Say Blood Sugar Guidelines Remain Effective
(Date:8/19/2017)... ... August 18, 2017 , ... Paragon ... transparent, verifiable database to help the cannabis industry move towards greater legitimacy. By ... deliver a faster technology with lower fees. Paragon will build a fully verifiable ...
(Date:8/19/2017)... ... August 19, 2017 , ... The digital health and telemedicine ... pending recognition status from the Centers for Disease Control and Prevention (“CDC”) to ... live video conferencing. , The DPP resulted from clinical work conducted by ...
(Date:8/19/2017)... ... August 19, 2017 , ... Praeclarus Press has launched ... illustrations show the diversity of the breastfeeding mothers, using bright colors and ... sizes. These illustrations are also available on tote bags, notepads, smartphone cases, clocks, ...
(Date:8/19/2017)... ... August 19, 2017 , ... ... diverse community of over 1,000 passionate employees, caregivers, volunteers, thought leaders, researchers, educators ... Stonegate changed ownership, it was time to refresh the carpeting with the goal ...
(Date:8/19/2017)... ... ... “Congratulations! It's A Boy! God’s Gift: A Story of Love”: a children’s ... It's A Boy! God’s Gift: A Story of Love” is the creation of published ... Published by Christian Faith Publishing, Dale Anthony and Rachael Anthony’s new book is a ...
Breaking Medicine News(10 mins):
(Date:8/4/2017)... , Aug. 3, 2017  Agragen, LLC, ... company active in the biopharmaceutical, nutraceutical, and aquacultural ... development of its lead drug candidates, AGR131.  This ... proinflammatory cytokine from the blood of patients suffering ... and inflammatory bowel disease. ...
(Date:8/2/2017)... AROMAS, Calif. , Aug. 2, 2017 /PRNewswire/ ... by Continental Who,s Who as a Pinnacle Lifetime ... currently the Key Account Manager at Turing Pharmaceuticals, ... communications, negotiations, troubleshooting and relationship building.                ... has more than 25 years of experience ...
(Date:8/2/2017)... 2017  Life Flight Network and PeaceHealth Oregon Network announced ... care and operational efficiency for patients at hospitals in ... Cottage Grove , and Florence, Oregon ... Life Flight Network work collaboratively to move patients who require ... a time sensitive emergency exists. ...
Breaking Medicine Technology: