Managing Diabetes in Low Income Countries by Ivica Smokovski

Author:Ivica Smokovski
Language: eng
Format: epub
ISBN: 9783030514693
Publisher: Springer International Publishing

Benefits of intensive glycaemic control on the reduction of diabetes complications in people with type 1 diabetes were initially demonstrated in the DCCT study, where SMBG was part of the multifactorial intervention [6]. Reduction in microvascular and macrovascular diabetes complications in the subjects from intensive group was also observed in the follow-up observational study EDIC (Epidemiology of Diabetes Interventions and Complications) [6].

Similar findings were reported for people with type 2 diabetes from the UKPDS and the follow-up UKPDS-PTM study, where the improvement of glycaemic control was associated with reduced risk for diabetes complications [7].

Frequent SMBG is key to achieve glycaemic targets as set by the international authorities, ADA and IDF (Table 5.1) [8, 9]. Achieving the recommended targets correlates with HbA1c below 7%, which is associated with reduced risk for diabetes complications.Table 5.1Recommended glycaemic targets by ADA and IDF, data adapted from Ref. [8, 9]

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