Pay more attention to the balance between “treat to target” and risk of hypoglycemia——Comment on the strategy of glycemic control in diabetic patients with cardiovascular disease
10.3760/cma.j.issn.1000-6699.2012.01.001
- VernacularTitle:关注血糖达标与低血糖风险之间的平衡——谈糖尿病合并心血管疾病的降血糖治疗
- Author:
Guangwei LI
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Cardiovascular disease;
Hyperglycemia;
Hypoglycemia
- From:
Chinese Journal of Endocrinology and Metabolism
2012;28(1):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Diabetes results in excess cardiovascular mortality.Unexpectedly,more strict glucose control induced more death in a large scale clinical trial and the increased hypoglycemia was a suspected offender.In order to decrease the risk of hypoglycemia,three steps should be taken into consideration in future treatment of hyperglycemia in diabetic patients with cardiovascular disease: ( 1 ) Identifying hypoglycemia early even in its paradoxical feature.( 2 )Achieving glucose targets with personality.( 3 ) Designing the strategy of lowering plasma glucose more carefully,to pay special attention avoiding hypoglycemia.
