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Effects of Intensive Glucose Lowering in Type 2 Diabetes
New England Journal of Medicine · 2008 · Vol. 358(24) · pp. 2545–2559
Hertzel C Gerstein(Population Health Research Institute)Hertzel C. Gerstein(Wake Forest University)Michael E. Miller(Wake Forest University)Robert P. Byington(Wake Forest University)David C. Goff(Columbia University)J. Thomas BiggerJohn B. BuseWilliam C. Cushman(Case Western Reserve University)Saul Genuth(Case Western Reserve University)Faramarz Ismail‐Beigi(Berman Center for Outcomes and Clinical Research)Richard H. Grimm(University of Washington)Jeffrey L. Probstfield(National Institutes of Health)Denise G. Simons‐Morton(Columbia University)
Abstract
As compared with standard therapy, the use of intensive therapy to target normal glycated hemoglobin levels for 3.5 years increased mortality and did not significantly reduce major cardiovascular events. These findings identify a previously unrecognized harm of intensive glucose lowering in high-risk patients with type 2 diabetes. (ClinicalTrials.gov number, NCT00000620.)
Diabetes Management and ResearchDiabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsMedicineGlycated hemoglobinHazard ratioInternal medicineType 2 diabetesConfidence intervalDiscontinuationDiabetes mellitusMyocardial infarctionRandomized controlled trial
MeSH terms
AdultAgedBlood GlucoseCardiovascular DiseasesDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleFollow-Up StudiesGlycated HemoglobinHumansHypertensionHypoglycemiaHypoglycemic AgentsMaleMiddle Aged
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