Early and tight glycaemic control - the key to managing type 2

Aust Fam Physician · Sep 2012

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Early and tight glycaemic control - the key to managing type 2 diabetes.

The prevalence of type 2 diabetes is on the rise in Australia. A large number of patients with type 2 diabetes do not reach currently recommended glycaemic targets. ⋯ Early, tight glycaemic control in patients with type 2 diabetes has been shown to result in better outcomes in terms of micro- and macrovascular disease and mortality even if control is relaxed later in the course of the disease. Clinical inertia is one of the contributing factors that prevent patients from reaching glycaemic targets. A proactive approach to treating type 2 diabetes is recommended: therapy should be individualised with early consideration of combination therapy and ongoing reinforcement of lifestyle modification messages. In newly diagnosed patients, the goal should be to achieve an HbA1c of.

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- Gary Deed, John Barlow, and Ivan Kuo.
- g.deed@uqconnect.net
- Aust Fam Physician. 2012 Sep 1; 41 (9): 681-4.
BackgroundThe prevalence of type 2 diabetes is on the rise in Australia. A large number of patients with type 2 diabetes do not reach currently recommended glycaemic targets.ObjectiveThis article looks at how clinical inertia contributes to suboptimal glycaemic control in patients with type 2 diabetes, describes the 'legacy' effect of early high HbA1c levels and highlights the importance of early, tight glycaemic control.DiscussionEarly, tight glycaemic control in patients with type 2 diabetes has been shown to result in better outcomes in terms of micro- and macrovascular disease and mortality even if control is relaxed later in the course of the disease. Clinical inertia is one of the contributing factors that prevent patients from reaching glycaemic targets. A proactive approach to treating type 2 diabetes is recommended: therapy should be individualised with early consideration of combination therapy and ongoing reinforcement of lifestyle modification messages. In newly diagnosed patients, the goal should be to achieve an HbA1c of.

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Early and tight glycaemic control - the key to managing type 2 diabetes.

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