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Tight Blood Sugar Control Helps Diabetics Long-Term


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This leads Holman to believe that control of blood sugar, rather than blood pressure, may be the most effective way to help diabetics over the long-term, in terms of reducing diabetes-linked complications.

"The full benefit of blood pressure lowering was achieved during the trial, but for glucose, the benefits persisted and increased with time in the intensively treated group, even though glucose levels no longer differed with respect to the conventional group," Holman said. "This suggests that early glucose-lowering treatment brings greater benefits than starting later in the course of the disease, reducing not only micro but also macrovascular risks."

Wang agreed.

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"Both blood sugar and blood pressure are important for diabetic complications, including heart diseases," he stressed. "However, the effect of blood sugar and blood pressure behave differently. Blood sugar [control] has a long-lasting effect, even after 10 years."

More information

For more on diabetes, visit the American Diabetes Association.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 9/10/2008

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SOURCES: Rury Holman, professor, diabetic medicine, director, Diabetes Trials Unit, University of Oxford, U.K.; Ping H. Wang, M.D., professor of medicine, director, Center for Diabetes Research & Treatment, University of California, Irvine; Sept. 9, 2008, early online edition, New England Journal of Medicine


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