The discrepancy between the results of the study (ACCORD) and the results of the study (ADVANCE) continues and persists. There is no obvious reason why excess mortality in the study (ACCORD). Now to the important point of interest to the patient with type II diabetes and physician, after the results of these two studies Is there a suggestion Last cumulative value analysis of blood sugar that diabetics must be accessed and targeted?. Knowing that the previously proposed value is less than 7%.. Is not it? ... So is there a suggestion for other value? Let's look first to comment Editors (Editorials) These studies in the renowned medical journal New England Journal (NEJM) published the latest results of these studies as previously explained
First editor: "Study (ACCORD) study (ADVANCE) Point to the existence of benefit of reducing the cumulative analysis of blood sugar (HbA1c) to less than the values currently in place, a 7% intended to benefit here is the complications of the heart and blood vessels "........ because the study ACCORD explained that this Move and increases the proportion of heart disease.. and Advance study did not find any difference in the treatment Intensification regarding the incidence of heart disease.!!!
The other editor: "Better to Keep the goal is to analyze the cumulative blood glucose 7% with an attempt to reduce this value in cases of diabetes and who have no Susceptible to diseases of the heart and blood vessels ... If I target physician values less than 7% doctor This should that assesses the benefits and detriments caused.. And benefits is the lack of micro-vascular complications (complication eyes, kidneys and nerves) The disadvantages are heart disease referred to. "
1. Target all patients a very good intensive control (especially type II diabetics) and who strive to be the cumulative level of analysis of blood sugar less than 6% .... Are re-assess their situation in terms of the presence of evidence of heart disease or blood vessels .... If there is evidence of heart disease or blood vessels or having high blood pressure or a rise in blood lipids ..... Physician can be allowed to analyze the cumulative blood sugar to be On average 7% or a little more ... Which reduces the severity of treatment to control diabetes. As well as the doctor to give the patient aspirin tablets with other targeting factors that help in the prevention of heart disease and blood vessels, such as refraining from smoking and maintain ideal weight, etc..
2. Each type II diabetics And who have Diseases of the circulatory system or heart disease And who have succeeded Access the value of cumulative analysis of blood sugar to less than 6% must re-evaluation of treatment used and if the patient is prone to the incidence of hypoglycemia, or even that they are not vulnerable to declines in sugar ... .. Then the doctor could allow cumulative analysis of blood sugar to be in Average 7% or a little more ... Which reduces the severity of treatment to control diabetes.
3. Any person with diabetes and cumulative analysis of more friendly than or equal to 8% The physician should be directed to the values between 7.0 to 7.9 or perhaps less than 7.0 But under the supervision of a doctor who specializes in diabetes.
Each thing is very clear is that good blood sugar control Reduces the incidence of complications arising from diabetes, such as eye complications and kidney complications and neurological complications parties and the two types of diabetes Type I and Type II.
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