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Carl Heneghan

Carl Heneghan

Deputy Director of the CEBM, GP and clinical lecturer at the University of Oxford.

Ami Banerjee

Ami Banerjee

Cardiology trainee and clinical research fellow at the University of Oxford

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diabetes

25th May 2009 11:04am

Is tighter glucose control better for the heart in diabetes?   Ami Banerjee

The global burden of diabetes mellitus (DM) is the theme of this week’s Lancet. Four-fifths of the 225 million diabetic patients live in developing countries and type 2 DM is the most common form. The major cause of morbidity and mortality is coronary heart disease (CHD). Tight control of glucose in diabetic patients has a proven benefit for microvascular disease (retinopathy, nephropathy and neuropathy) [1]. However, the existing trials have not consistently shown a benefit for macrovascular disease (coronary heart disease, or CHD, and stroke) [2].

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