Due to note that there are some media movement in the news related to diabetes in a way that is not scientifically accurate, which causes in messing with diabetes in terms of some of the concepts related to the treatment of diabetes, and who ask the following question:
Is blood sugar control for people with diabetes to the quality of the first and second relieves chronic complications of diabetes? The answer: Definitely eases.
And already has Proved These Study are study ADVANCE and study ACCORD they are important and Interesting After over two years on the backs of their results, these studies still remain Interested attention and follow-up by the international organizations specialized in diabetes ... There's even a new concept began to emerge because of these studies is the concept as follows: ... "The physician has to deal with people with diabetes every unit on the degree of blood sugar control ... that is, it must be determined goal to be accessed from the cumulative analysis of blood sugar (HbA1c) for each individual patient, and goal setting by the treating physician which will take into account several other important factors articulated These studies such as duration of the disease, and the patient's age, and the presence of other diseases such as heart disease or blood vessels and some other things. but generally still goal is analyzed cumulative to less than 7% ... This is particularly Actions ... but maybe doctor advised with diabetes to continue with diabetes by reducing analysis cumulative to less than 6%, using the policy intensive treatment To reduce blood sugar, or that only a doctor access analysis cumulative to 7% or 7% - 7.5% by following policy treatment is not too intense ... Every patient has its own number of cumulative analysis of blood sugar and must be done, and this number is determined by the attending physician. "
The results of this research appeared in the year 2008. Then suffered another important Dash study is called "LED T" (VADT) And another study called Record (RECORD), which studies similar in terms of the objectives of the study with studies OIE earlier, bringing our four studies which Advance (ADVANCE), Eokord (ACCORD), "in LED T" (VADT) and RECORD. In fact, a recent study RECORD had no effect, such as the three studies that preceded it as the modus operandi of study RECORD and analyze the results of some observations and Althvdhat by doctors who specialize in the field of diabetes. All to get back to our question Is blood sugar control for people with diabetes to the quality of the first and second relieves chronic complications of diabetes?
Is this question Old or new question? In fact, this question is old and very old, but even be answered scientific research must be done to answer the question. This means that doctors experience and their belief that the sugar control for people with diabetes protects against complications is not enough, this experience and this belief is not enough to answer it is imperative to Atbat accurate scientific study. Two studies were done too are important to answer this question in the last quarter of the last century. They study the DCC T (DCCT) and the study of Yu Ki my DS (UKPDS), the first was with people with diabetes type I and was in America, and the second includes people with diabetes type II and was in Britain, and the answer to the question you adjust blood sugar for people with diabetes the quality of the first and second relieves chronic complications of diabetes? The answer was yes ... Absolutely. So adjust the sugar prevents all chronic complications. But there was another purpose of the studies examine the DCC T (DCCT) and the study of Yu Ki my DS (UKPDS), the other purpose of the studies is "in addition to answering the question you adjust the sugar in the blood of people with diabetes quality of the first and second relieves complications chronic diabetes? " There is another question, "Do you adjust the sugar intensive therapy useful more than one set of traditional sugar treatment in terms of the incidence of complications?" Or in other words, it is true that people for example have been diagnosed with diabetes and analysis was cumulative during diagnosis 11%, the diminution and adjust the sugar and get the value of analyzing cumulative for about 9%, according to scientific studies protects by a significant statistically significant from all types of diabetic complications such as trouble retina and disorder and renal function The nerve disorder parties and most importantly disorder and cardiovascular, and this is true and this scientifically Certain. But researchers in studying the DCC T (DCCT) and USB Ki study DS (UKPDS), wanted to know the answer to the question of whether, if we catch your blood sugar Intensive therapy And targeting a cumulative analysis of less than 7% have more positive results and reportedly we catch Blood Sugar Conventional therapy targeting a cumulative analysis in the range of 9%? Means researchers were able to know that the sugar control has benefits, but to what extent they can get the most benefit, do you analyze a cumulative 9%, 8%, 7%, 6%, 5%? ... No one knows What is the minimum value and useful for people with diabetes? As the study of DDT CCTV (DCCT) managed to reach the value of analyzing cumulative to only 7% (and that's engaged in the research and taking in the intensive therapy) and managed to study the Yu Ki my DS (UKPDS) access to the value analysis cumulative to 7.5% only (and that of engaging in research and take into intensive therapy). In both studies researchers found that the more intensive treatment was be more interest. Here comes another question, which is that the studies DCC T (DCCT) and USB Ki study DS (UKPDS) were able to get the value of cumulative analysis for only about 7% ... What if we intensify therapy more and more and obtain values for cumulative close analysis of the normal rates for people of others with diabetes .. Any closer than the 6% figure or less ... What will happen? Are the benefits that we have seen in the study of the DCC T (DCCT) and USB Ki study DS (UKPDS) will be more. Here comes the importance of the four studies Advance (ADVANCE), ACCORD, "in the LED T" (VADT) and RECORD. Researchers were able to obtain values for the analysis of cumulative in these studies to less than 6.5% in some of them.
In fact, the results in these studies were all agreed that more interest to complications affecting arteries such minute complications Disorder of the retina and kidney function disorders and neurological disorder parties .. This means that the sooner we can get on a cumulative analysis such as non-persons with diabetes, the less complications resulting from the injured arteries minute. But the thing that mess to seek a cumulative analysis values close to 6% or less invited to a benefit for complications and cardiovascular (Any complications that afflict large arteries) ... Not been able to four studies to obtain it, they did benefits with values statistically significant and mean benefits here benefit more from the lack of heart disease and blood vessels which is not there a difference between a person gets on the analysis of cumulative for 7% and people get on the analysis of cumulative for less than 6.5% . On the contrary, in the study of ACCORD whenever we tried to access the cumulative analysis to values less than 6.5 increased the mortality rate in this group which led to the sudden stop the search. But it is important in this regard is that the reason for increasing the proportion of deaths was not clear. And here comes the important point is not all people who tried to access the value of 6% increased their mortality, but found that the mortality more for people who have heart disease at the beginning of search or with diabetes for a long time, in other words, maybe there will benefit from diminution analysis cumulative values less than 6.5% or less than 6%, but must take into account several things before you tell with diabetes that seeks to achieve analysis cumulative to less than 6.5%, it is these results became the general concept of diminution analysis cumulative values less than 7% is a general concept. . Any generally all people with diabetes are advised to get a value of less than 7% unless the doctor something else. And by taking into account several other things.
Finally So is controlling blood sugar for people with diabetes to the quality of the first and second relieves chronic complications of diabetes? The answer: Definitely eases. But should the physician decides what is the value of cumulative analysis appropriate for you.As is known, the cumulative analysis is a method that reflects how you adjust to blood sugar. Your doctor may advise you to analyze the cumulative less than 6% Or between 6% - 7% or 7% - 7.5% or any other value ... The decision regarding the identification number is for the doctor. But in general all patients should be urged to get a cumulative analysis to about 7%. At least there are no research results show that access to the value of about 7% risk to the lives of people with diabetes. The benefits in terms of ease chronic complications are absolutely Uncertain.
Labels
sugary culture