The study found patients treated to tough HbA1c, cholesterol and blood pressure targets did not have significantly different risks of cardiovascular events after five years compared with those receiving standard diabetes care from GP practices.
The study provides further evidence to undermine moves to intensify diabetes treatment early on and provides evidence that standard GP care may be sufficient to prevent an increase in cardiovascular risk.
Routine care consisted of a standard pattern of diabetes care according to current recommendations applicable in each centre. All patients with a cholesterol level over 3.5mmol/l were prescribed a statin"
“Intensively managing risk factors in patients newly diagnosed with diabetes in primary care does not have any significant effect on their cardiovascular outcomes compared with usual care, concludes a UK study”
Was this intensive therapy brought about by a high med approach as in the ACCORD study ? Perhaps drugs such as Actos and Avandia were used. For type two diabetics the only proven and safe drug is Metformin. Met can bring about a reduction in HbA1c of 1.5% max. The correct diet and exercise can reduce HbA1c by 5% safely. I know of hundreds of diabetics who have achieved this.
“All patients with a cholesterol level over 3.5mmol/l were prescribed a statin”
How low does the medical profession want to go ? Three, two mmol/l. Check out the diabetes audits for the last five years, the HbA1c numbers are appalling, and no improvement whatsoever. Intensive drug therapies for type two diabetics is not and will never be the answer.
I am beginning to think the unthinkable, most, but not all medics, are clueless, when it comes to treating type two diabetes.
Eddie
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