If left untreated or undertreated, diabetes can cause severe complications that can. Type 1 diabetes mellitus and cardiovascular dis ease. S61s70 hba1c goal is not onesizefitsall more stringent as close to 6% as possible less stringent diabetes duration short life expectancy complications, comorbidities history of severe hypoglycemia short diabetes duration long life expectancy. The dcct cohort has been examined annually for another 8 years as part of the followup epidemiology of diabetes interventions and complications edic study. In people with pre diabetes, getting them back to normal glucose tolerance is key to preventing diabetes, and weight loss is pivotal in that goal. The diabetes control and complications trial dcct and. Pdf the diabetes control and complications trialepidemiology. How to use adas type 2 diabetes treatment algorithm carlos mendez, md, facp presenter disclosure information in compliance with the accrediting board policies, the american diabetes association requires the following disclosure to the participants. The diabetes control and complications trial and followup study. The diabetes control and complications trial dcct was designed to test the. The importance of diabetes treatment and management aspe. The epidemiology of diabetes interventions and complications edic observational followup determined the durability of the dcct effects on the more. The diabetes control and complications trialepidemiology of.
The dcct edic has been supported by u01 cooperative agreement grants 19821993, 20112016 and contracts 19822011 with the division of diabetes endocrinology and metabolic diseases of the national institute of diabetes and digestive and kidney diseases current grant numbers u01 dk094176 and u01 dk094157. The effect of intensive treatment of diabetes on the development and progression of longterm complications in insulin dependent diabetes mellitus. The diabetes control and complications trialepidemiology. Implications of the diabetes control and complications trial. The diabetes control and complications trialepidemiology of diabetes interventions and complications research group. Note that some people may be set alternative targets by their health team.
Kdoqi clinical practice guideline for diabetes and ckd. How to use adas type 2 diabetes treatment algorithm. Early initiation of intensive diabetes therapy aimed at achieving nearnormal glycemia reduces the early. Dcct diabetes control and complications trial units measured in % ifcc international federation of clinical chemistry units measured in mmolmol the target hba1c value for most people with diabetes is 6. For example, the diabetes control and complications trial dcct. Documents in pdf format require the adobe acrobat reader. Diabetes complications can be dramatically lowered in people with type 1 and type 2 diabetes by intensive insulin.
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