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Bergmeyer Glucose Quantification for Microbiological Samples
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Importance of glucose control

S V Edelman1

  • 1Department of Medicine, University of California, San Diego, USA.

The Medical Clinics of North America
|August 26, 1998
PubMed
Summary

Achieving near-normal glycemic control, measured by glycosylated hemoglobin, is crucial for reducing diabetes complications. Individualized treatment plans are essential for all patients with diabetes to prevent long-term health issues.

Area of Science:

  • Endocrinology
  • Metabolic Diseases
  • Public Health

Background:

  • Glycemic control significantly reduces microvascular complications in type 1 diabetes.
  • Evidence suggests benefits for microvascular complications in type 2 diabetes, though data is less robust.
  • The collective evidence strongly supports glucose control for both microvascular and macrovascular health in diabetes.

Purpose of the Study:

  • To evaluate the importance of glycemic control in preventing microvascular and macrovascular complications in type 1 and type 2 diabetes.
  • To review the literature on the relationship between glycemic control, hyperinsulinemia, and atherosclerosis.
  • To establish a standard of care for glycemic management in diabetes.

Main Methods:

  • Review of prospective studies and interventional trials on glycemic control and diabetes complications.

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  • Analysis of literature evaluating the link between glycemic control and macrovascular disease.
  • Assessment of the relationship between hyperinsulinemia and atherosclerosis in diabetes.
  • Main Results:

    • Strong evidence demonstrates that improved glycemic control reduces microvascular complications in type 1 diabetes.
    • Collective data indicate that good glycemic control is important for reducing both microvascular and macrovascular complications in type 1 and type 2 diabetes.
    • No negative studies on the benefits of lowering glycosylated hemoglobin have been reported.

    Conclusions:

    • The primary glycemic goal for most patients with diabetes should be lowering glycosylated hemoglobin to less than 2 percentage points above the normal upper limit.
    • Individualized, tailored treatment regimens are necessary, and intensive glycemic control aims for normal or near-normal glycemic values.
    • All patients with diabetes require education and access to individualized treatment plans for normalizing glycemic control, which should be the standard of care.