Loading...
The January issue of Diabetes Care includes two papers with considerable practical relevance for primary care.
The first document is a “position statement” from the American Diabetes Association (ADA), the American Heart Association, and the American College of Cardiology. Until lately, the conventional wisdom had been that intensive glycemic control probably prevents cardiovascular complications in patients with type 2 diabetes. But, in three randomized trials published recently and reviewed in Journal Watch (JW Dec 29 2008), intensive glycemic control did not lower rates of cardiovascular events compared with standard treatment. In this paper, researchers examine the three trials in detail, noting that (1) study subjects generally were old…