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DOC News    July 1, 2004
Volume 1 Number 1 p. 13
© 2004 American Diabetes Association

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CLOSE GLYCEMIC CONTROL REDUCES DIABETIC NEUROPATHY

Tight glycemic control in type 1 diabetes leads to long-term reduction in the rates of diabetic nerve damage, according to a report at the American Diabetes Association's Scientific Sessions in Orlando, Fla.

Even 8 years after the cessation of intensive therapy, patients treated aggressively to keep their blood glucose levels near normal for an average of 6 years continue to show a lower risk for developing neuropathy compared to those treated with conventional therapy, said study coordinator Catherine Martin of the University of Michigan, Ann Arbor.

The findings are part of an 8-year observational study called the Epidemiology of Diabetes Interventions and Complications, a follow-up of the 1993 report on the Diabetes Control and Complications Trial (DCCT) initiated 20 years ago. The DCCT involved 1,441 people in a comparison of intensive and conventional diabetes controls.

"The take-home message is that good glucose control should be started as early as possible," Martin said in a written statement.


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