Improvement in neuropathy outcomes with normalizing HbA1c in patients with type 2 diabetes
Diabetes Care Nov 23, 2018
Ishibashi F, et al. – In this study, researchers investigated the effect of normalizing HbA1c by extensive HbA1c control (EHC) on neuropathy outcome measures (NOMs), nephropathy, and retinopathy in patients with type 2 diabetes. Researchers performed detailed clinical and neurological examinations in two cohorts of 38 patients with uncontrolled type 2 diabetes at baseline and after glycemic control (GC) with or without EHC through diet restrictions and hypoglycemic agents over 4 years, with 48 control participants with normal glucose tolerance (NGT) and 34 participants with impaired glucose tolerance (IGT) at baseline only. Compared with the standard GC, the normalization of HbA1c in type 2 diabetes of short duration improves microvascular complications, including neuropathy and nephropathy, but not retinopathy more effectively.
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