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Effects of Intensive Glucose Lowering in Type 2 Diabetes

New England Journal of Medicine · 2008 · Vol. 358(24) · pp. 2545–2559
Hertzel C GersteinHertzel C. GersteinMichael E. MillerRobert P. ByingtonDavid C. GoffJ. Thomas BiggerJohn B. BuseWilliam C. CushmanSaul GenuthFaramarz Ismail‐BeigiRichard H. GrimmJeffrey L. ProbstfieldDenise G. Simons‐Morton

Abstract

As compared with standard therapy, the use of intensive therapy to target normal glycated hemoglobin levels for 3.5 years increased mortality and did not significantly reduce major cardiovascular events. These findings identify a previously unrecognized harm of intensive glucose lowering in high-risk patients with type 2 diabetes. (ClinicalTrials.gov number, NCT00000620.)

Diabetes Management and ResearchDiabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsMedicineGlycated hemoglobinHazard ratioInternal medicineType 2 diabetesConfidence intervalDiscontinuationDiabetes mellitusMyocardial infarctionRandomized controlled trial

MeSH terms

AdultAgedBlood GlucoseCardiovascular DiseasesDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleFollow-Up StudiesGlycated HemoglobinHumansHypertensionHypoglycemiaHypoglycemic AgentsMaleMiddle Aged
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