Lowering HbA1c in type 2 diabetics results in reduced risk of coronary heart disease and all-cause mortality

被引:28
作者
ten Brinke, Rien [1 ]
Dekker, Nicky [1 ]
de Groot, Marjolein [1 ]
Ikkersheim, David [1 ]
机构
[1] Univ Med Ctr Utrecht, Van Brakelstr 9 Bis, NL-3572 XP Utrecht, Netherlands
关键词
Diabetes mellitus type 2; HbA1c; Coronary heart disease; Mortality;
D O I
10.1016/j.pcd.2007.12.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: To assess to which extent lowering the level of HbA1c influences the 10-year risk of coronary heart disease (CHD) and all-cause mortality in patients with type 2 diabetes mellitus. Methods: A literature search in Pubmed and Embase was performed, and the absolute risks in the results of the relevant and valid studies compared. Results: Each study shows that with a decreasing percentage of HbA1c, both the risk of developing CHD and the risk of mortality decrease. Conclusions: Lowering HbA1c in type 2 diabetics decreases the absolute risk of developing CHD by 5-17%, as well as decreasing all-cause mortality by 6-15%. (C) 2008 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:45 / 49
页数:5
相关论文
共 18 条
[1]  
Adler AI, 1999, AM HEART J, V138, pS353
[2]  
*AM DIAB ASS, 2006, DIABETES CARE, V29, P54
[3]  
[Anonymous], 2006, HUISARTS WET
[4]   Derivation and validation of a prediction score for major coronary heart disease events in a UK type 2 diabetic population [J].
Donnan, Peter T. ;
Donnelly, Louise ;
New, John P. ;
Morris, Andrew D. .
DIABETES CARE, 2006, 29 (06) :1231-1236
[5]   The relationship between dysglycaemia and cardiovascular and renal risk in diabetic and non-diabetic participants in the HOPE study: a prospective epidemiological analysis [J].
Gerstein, HC ;
Pogue, J ;
Mann, JFE ;
Lonn, E ;
Dagenais, GR ;
McQueen, M ;
Yusuf, S .
DIABETOLOGIA, 2005, 48 (09) :1749-1755
[6]  
International Diabetes Federation, Global Guidelines for type 2 diabetes
[7]   The association between metabolic control and prevalent macrovascular disease in Type 2 diabetes: The VA Cooperative Study in diabetes [J].
Kirkman, MS ;
McCarren, M ;
Shah, J ;
Duckworth, W ;
Abraira, C .
JOURNAL OF DIABETES AND ITS COMPLICATIONS, 2006, 20 (02) :75-80
[9]   Changing targets in the treatment of type 2 diabetes [J].
Massi-Benedetti, Massimo .
CURRENT MEDICAL RESEARCH AND OPINION, 2006, 22 :S5-S13
[10]  
McIntosh A., 2001, Clinical guidelines and evidence review for Type 2 diabetes:Blood glucose management