IF confirmed, diabetes guidelines might need revision to include a minimum HbA1c value.

Subject:	IF confirmed, diabetes guidelines might need revision to include a minimum HbA1c value.
Date:	27 Jan 2010 19:59:14 GMT

Tight glucose control ups diabetic death risk
Wed, 27 Jan 2010 14:46:29 GMT

Tight blood sugar control increases the risk of premature
death in individuals suffering from type 2 diabetes
particularly those taking insulin, a new study finds.

Previous studies had reported that the use of aggressive
drug treatment to keep blood sugar levels near normal values
can protect diabetics against serious health risks such as
heart attacks and strokes.

"Conventionally, doctors have always been told to drive down
(blood sugar levels) as low as possible. It will come as a
major surprise to many doctors that taking people down too
far appears to be quite risky," said lead researcher Craig
Currie.

According to the study published in The Lancet, both
patients with the highest and the lowest blood sugar levels
are at an increased risk of premature death.

The study found that compared to those using a combination
of oral drugs, diabetics who use insulin-based treatments
were reported to be 49 percent more likely to die.

"Low and high mean HbA1c values were associated with
increased all-cause mortality and cardiac events. If
confirmed, diabetes guidelines might need revision to
include a minimum HbA1c value," said Currie.

Scientists concluded that taking oral drugs that increase
the body's sensitivity to insulin combined with diet and
exercise is the safest way to control blood sugar in type 2
diabetics.

They, however, urged those on insulin not to stop taking
their medication based on the findings of this study.

PKH/HGH
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http://www.presstv.ir/detail.aspx?id=117195§ionid=3510210
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