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Tight Blood Sugar Control May Not Harm Diabetics
Date:4/28/2010

re may be other barriers that we're not yet aware of," said Kendall.

The bottom line, said Kendall, is that there's no reason to change target recommendations for glucose control for most people.

Riddle said that doctors may need to suspect an increased risk of potential problems in people who don't have significant improvement in diabetes control after six months or so on aggressive treatment, and that the researchers would continue to try to tease out what factors contributed most to the increased risk of death.

In the meantime, Riddle pointed out that "treatment of type 2 diabetes early in the game, when it's easier to get good glucose control, should have a high priority." He added that many people in the ACCORD trial had been diagnosed with diabetes years earlier and were already suffering from diabetic complications.

More information

Learn more about type 2 diabetes and its management from the U.S. National Library of Medicine.



SOURCES: Matthew Riddle, M.D., professor, medicine, Oregon Health and Sciences University, Portland, Ore.; David Kendall, M.D., chief scientific and medical officers, American Diabetes Association; May 2010, Diabetes Care


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