Diabetes is associated with a reduced lifespan, largely as aconsequence of cardiovascular disease.1,2,3 Although diabetessignificantly increases the risk of cardiovascular events,1the relative increase in events for each percent increase inglycated hemoglobin is modest.4 Microvascular complicationsof diabetes remain the leading causes of blindness and renalfailure in the developed world and are much more closely associatedwith hyperglycemia than with macrovascular complications.4
Though there is a link between hyperglycemia and cardiovascularrisk, there is less evidence that glucose lowering is associatedwith reduction in risk. Patients with type 2 diabetes whoseglycated hemoglobin levels were reduced . . . [Full Text of this Article]
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Drs. Dluhy and McMahon are editors at the Journal.
This article (10.1056/NEJMe0804182) was published at www.nejm.org on June 6, 2008.
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