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首页> 外文期刊>Polish Archives of Internal Medicine >Should patients with type 2 diabetes focus on glycemic control to reduce their cardiovascular risk?
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Should patients with type 2 diabetes focus on glycemic control to reduce their cardiovascular risk?

机译:2型糖尿病患者是否应重点控制血糖以降低心血管风险?

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摘要

3 very large randomized trials have recently announced their results, massively expanding the evidence base for the efficacy and safety of intensive glycemic control in patients with type 2 diabetes. Taken together, these trials indicate that tight glycemic control is potentially harmful (one of the trials was stopped earlier than planned because of an increased risk of death in patients assigned to the intensive glycemic control arm) while offering potential benefits of unclear importance to patients. In this commentary, we review these trials, their methods, results, and implications for practice. We finish by formulating a recommended approach to the contemporary evidence?based management of patients with type 2 diabetes.
机译:最近有3个非常大的随机试验宣布了他们的结果,从而大大扩展了强化血糖控制在2型糖尿病患者中的有效性和安全性的证据基础。综上所述,这些试验表明严格的血糖控制可能有害(其中一项试验早于计划中止,因为分配到强化血糖控制组的患者死亡风险增加),同时却可能给患者带来不清楚的重要性。在这篇评论中,我们回顾了这些试验,它们的方法,结果以及对实践的启示。最后,我们为2型糖尿病患者的现代循证管理制定了推荐的方法。

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