Strict glycemic control and mortality risk among US adults with type 2 diabetes
Date
2011
Authors
Davila, E.P.
Florez, H.
Trepka, M.J.
Fleming, L.E.
Niyonsenga, T.
Lee, D.J.
Parkash, J.
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Journal article
Citation
Journal of Diabetes and its Complications, 2011; 25(5):289-291
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Abstract
To assess the relationships between strict HbA1c levels and mortality risk among adults with type 2 diabetes by age, insulin therapy, and hypertension comorbidity
Data of adult participants with type 2 diabetes from the third National Health and Nutrition Examination Survey (1988–1994) and its linked mortality file (with follow-up death up to 2000) were used.
Having strict glycemic control (i.e., HbA1c ≤6.5%) was associated with a lower risk of mortality (hazards ratio=0.69; 95% confidence interval=0.48–0.98). However, among those with strict glycemic control levels, statistically significant results were not found.
Reaching strict glycemic control levels in the general US population with type 2 diabetes appears to be associated with lower mortality. Further research is needed as to how strict glycemic control affects certain diabetic groups.
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Copyright 2011 Elsevier