BMJ  2006;333 (9 December), doi:10.1136/bmj.333.7580.0-d

This week in the BMJ

How to achieve strict glycaemic control in type 2 diabetes

Effective treatment of hyperglycaemia and strict glycaemic control are key to reducing microvascular complications in patients with type 2 diabetes. In a clinical review (doi: 10.1136/bmj.39022.462546.80), Heine and colleagues say that achieving this goal usually involves complex treatment with combinations of glucose lowering agents. Because the natural course of type 2 diabetes is characterised by a gradual decline in cell function, the usual stepped approach to management often results in recurrent hyperglycaemia. The authors discuss effective interventions that reduce treatment failure and improve long term outcomes.

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Relevant Article

Management of hyperglycaemia in type 2 diabetes: the end of recurrent failure?

R J Heine, M Diamant, J-C Mbanya, and D M Nathan
BMJ 2006 333: 1200-1204. [Extract] [Full Text] [PDF]