10 Questions
Which one of the following is true regarding the relationship between lowering HbA1c to 6% or lower and the risk of cardiovascular events in patients with advanced type 2 diabetes at high risk for cardiovascular disease?
Lowering HbA1c to 6% or lower increases the risk of cardiovascular events in these patients.
According to the ACCORD Study Group findings mentioned in the text, what was the effect of setting the treatment target for HbA1c below 6% in high-risk patients?
It resulted in reduced 5-year nonfatal myocardial infarctions.
What does the text state about the effect of iron and erythropoietin treatments commonly prescribed in patients with chronic kidney disease?
These treatments cause a significant decrease in HbA1c without affecting blood glucose levels.
What was a major finding of the United Kingdom Prospective Diabetes Study (UKPDS)?
The UKPDS confirmed the importance of glycemic control in reducing the risk for microvascular complications.
According to the 2018 guidance statement by the American College of Physicians (ACP), what HbA1c target should clinicians aim to achieve in most patients with type 2 diabetes?
Clinicians should aim to achieve an HbA1c level between 7% and 8%.
What effect did more frequent visits with a primary care provider have on serum glucose, HbA1c, and LDL cholesterol levels in a study by Morrison et al?
They led to markedly rapid reductions in these levels
What was a significant implication of the findings from the United Kingdom Prospective Diabetes Study (UKPDS) according to the text?
Treatment with sulfonylureas or insulin did not increase the risk of macrovascular disease
What should continue to be stressed throughout treatment for patients with diabetes?
Adherence to diet and exercise
What does the text suggest is a challenge in implementing a strategy of more frequent visits with a primary care provider globally?
Availability of resources and economic restrictions
Based on the information in the text, what is a potential drawback of aiming for stricter HbA1c targets in patients with type 2 diabetes?
Adverse effects such as low blood sugar, medication burden, and costs
Learn about the goals of caring for patients with diabetes mellitus, which include symptom elimination and complication prevention. Discover strategies for microvascular and macrovascular risk reduction as well as metabolic and neurologic risk management.
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