Diabetes :: 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, 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.

Report published in British Medical Journal.


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