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Effect of Strict Diabetes Control on Heart Still Unclear


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Similar to the ACCORD trial, the authors reported no beneficial effect of intensive glucose control on cardiovascular events and, ever since, have been trying to figure out why.

One message, however, is that tight blood sugar control is not bad overall, which is in line with previous thinking.

"The closer to normal range the better, and that is what we've been recommending all along," said Dr. Helena W. Rodbard, past president of both the American Association of Clinical Endocrinologists and the American College of Endocrinology. "We have to aim for good control, but good control early on."

Text Continues Below



More information

Visit the American Diabetes Association for more on type 2 diabetes.

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Copyright © 2009 ScoutNews, LLC. All rights reserved.
Last updated 6/9/2009

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SOURCES: Helena W. Rodbard, M.D., medical director, Endocrine and Metabolic Consultants, Rockville, Md., past-president, American Association of Clinical Endocrinologists and past president, American College of Endocrinology; June 9, 2009, teleconference with Richard M. Bergenstahl, M.D., executive director, International Diabetes Center, Minneapolis; Matthew C. Riddle, M.D., professor, medicine, Oregon Health Science University, and member, ACCORD Glycemia Management Group; and William C. Duckworth, M.D., director, diabetes research, Carl T. Hayden VA Medical Center, Phoenix, and professor, clinical medicine, University of Arizona, and co-chair, VA Diabetes Trial


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