Convenient home delivery of diabetes testing supplies, The Diabetes Control and Complications Trial (DCCT) was a. 10-year controlled clinical trial for …
Chart of Blood Glucose Goals
Diabetes Studies
What Was the Diabetes Control and Complications Trial?
The Diabetes Control and Complications Trial DCCT was a 10-year controlled clinical trial for persons with type 1 diabetes The trial, which began in 1983, was well designed and reported significant results of major importance
Personal Goals for Improving Type 2 Diabetes Health Fill this chart out with the help of your healthcare team It will let you know where your blood glucose and blood pressure are, what the goal is for each of these and how you can improve your care plan to reach the goals DATE FBG A1c BP CHANGE IN CARE PLAN
What Exactly Does Having Tight Control Mean?
In the DCCT, the patients who followed intensive therapy checked their blood glucose at least 4 times per day and took 4 insulin injections per day or used insulin pump therapy They kept their blood glucose at an average of 155 mg/dL or less and were able to have an average A1c of 72 as a result Of course, since various medical conditions can be present in a person with type 2 diabetes, it is best to meet with your healthcare professional team and come up with a realistic goal for your blood glucose
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_______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ ______ _______ _______ _______ _____________________________________ GOALS 110 70 130/80
What Was the Purpose of the Study?
The DCCT was done for 2 reasons: To see if paying more attention to blood glucose levels and adjusting them would prevent or delay the start of early complicationsespecially eye damagewhen compared to standard therapy To see if tighter control of blood glucose would slow the development of these same diabetes complications if you already have them when compared to standard therapy
What Might a Typical Treatment Plan Involve?
Achieving tighter glucose control may involve checking your blood glucose several times each day, along with following a plan that indicates a balance of diet,
exercise, medications and/or insulin injections Again, your healthcare professional team will help set up a plan just for you
What Did They Find Out?
Notes
The study showed that tighter blood glucose control or intensive therapy significantly reduces the risk of diabetes complications such as damage to the eyes retinopathy, kidneys nephropathy and nerves neuropathy
Who is On My Healthcare Professional Team?
A healthcare professional team is made up of you and a doctor, diabetes nurse educator, pharmacist and dietitian Other members of the healthcare team that you may need to see occasionally include: ophthalmologist, podiatrist, cardiologist, psychologist, social worker, urologist, gastroenterologist, nephrologist, neurologist, obstetrician/gynecologist
How Does This Affect Me?
The DCCT study took a look at people with type 1 diabetes only Many people have type 2 diabetes A growing number of healthcare professionals believe that people with type 2 diabetes can decrease diabetes complications as well
Will Having Tight Control Get Rid of the Problems I Already Have?
No Unfortunately, keeping your blood glucose under control will not reverse any complications you may already
have But, having tight control can slow down the speed at which they get worse However, if you dont have some of these complications yet, keeping tight control may prevent them from starting
Facts
1 Blood glucose control significantly influences development of complications in people with diabetes PO Box 20005, Fort Pierce, FL 34979-0005 Visit us on the web at wwwLibertyMedicalcom 2 Intensive therapy designed to lower blood glucose levels reduces the risk of complications such as eye damage by 76, kidney damage by 50 and nerve damage by up to 60
Tips
To increase acceptance and ability to manage, develop a mutually realistic and satisfactory treatment plan in conjunction with your healthcare team
Convenient home delivery of diabetes testing supplies, prescription medications, A1c testing and ostomy supplies Call Liberty Toll-Free at 1-800-353-0206 to learn more about our services
Adapted from Roche Quick Tips series by Roche Diagnostics Corporation
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Dedicated to helping our patients manage their diabetes
The main message of the study is very clear: Chart of blood glucose goals People with type 2 diabetes and their healthcare teams should work hard to lower blood
glucose levels as close to normal as possible, and if high blood pressure is present, to lower it as close to normal as possible the American Diabetes Association recommends below 130/80 mmHg Thus, the results of the UKPDS confirm the results of the landmark Diabetes Control and Complications Trial DCCT, which conclusively demonstrated the same for people with type 1 diabetes
Who is On My Healthcare Professional Team?
You are the center of the healthcare team Other members include a doctor a primary care doctor and/or a specialist in diabetes, such as an endocrinologist or diabetologist, a diabetes nurse educator and a dietitian People with diabetes may need other specialists, such as an ophthalmologist to care for the eyes, a podiatrist to care for the feet, a social worker or psychologist to address the stress and coping skills for diabetes, a cardiologist to care for blood pressure, the heart and large blood vessels, a nephrologist to care for the kidneys and others
My Personal Goals for Blood Glucose/A1c
Before Breakfast: After Breakfast 2 hours: Before Lunch: After Lunch 2 hours: Before Dinner: After Dinner 2 hours: Before Bedtime: 3:00 AM: Before Exercise: A1c
__________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL __________ to __________ mg/dL ___________
How Does UKPDS Affect the Person with Type 2 Diabetes?
The UKPDS confirms the benefit of more intensive therapies for those with type 2 diabetes For people in the United States, this could mean that medical care is best handled by a specialist, such as an endocrinologist or diabetologist Also, as the American Diabetes Association has stated, the UKPDS study results should encourage a more aggressive approach in the primary care community to lower blood sugar The UKPDS puts to rest the fear that the use of insulin in type 2 diabetes contributes to cardiovascular risk heart and blood vessel problems and death In fact, it showed that aggressive management of blood glucose and blood pressure in those with diabetes reduces the risk of long-term complications A doctor might ask the person with type 2 diabetes to measure blood glucose and blood pressure at home more often and report these results more
often over the phone or by fax The office can then make changes in the care plan sooner, rather than later, to keep them controlled
Will Having Control Over My Blood Glucose and Blood Pressure Get Rid of the Problems I Might Already Have?
No Unfortunately, keeping your blood glucose under tight control will not reverse any complications that are already there However, having tight control of blood glucose and blood pressure could slow down the speed at which they get worse If these complications are not yet present, tight control of blood glucose and blood pressure could prevent or delay them from starting
What Was the United Kingdom Prospective Diabetes Study UKPDS?
The UKPDS was a 20-year controlled clinical trial on over 5,000 patients with type 2 diabetes The trial began in 1977 and was carried out at 23 clinical centers based in England, Northern Ireland and Scotland The study was run by Diabetes Research Laboratories at Oxford University
What Did They Find Out?
1 There was a significant reduction in the A1c test results of the intensively managed group level at 70 versus the conventionally treated group level at 79 2 For every percentage point decrease in A1c level, there
was a 35 reduction in the risk of microvascular complications eye, kidney, nerves and a 25 reduction in diabetes-related deaths 3 There was no threshold for the benefit of improved control In other words, every decrease in A1c all the way down to the normal range reduces the risk of diabetes complications 4 Aggressive control of high blood pressure in people with type 2 diabetes reduces the risk of heart failure by 56, stroke by 44 and death from diabetes by 32 No difference was found between the use of beta blockers or ACE inhibitors 5 The risk of hypoglycemia low blood glucose was very low in these patients 6 Overall, the UKPDS showed that better blood glucose control lowers the risk of major eye disease retinopathy by 25 and early kidney damage nephropathy by 33 Better blood pressure control reduces the risk of death from long-term complications of diabetes by 33, strokes by more than 33 and serious vision problems by more than 33
Facts
1 The UKPDS was the largest clinical study of diabetes It spanned 20 years, recruited over 5,000 patients with type 2 diabetes and followed them at 23 clinical centers based in England, Northern Ireland and Scotland 2 The UKPDS showed that the
life-threatening long-term complications of type 2 diabetes can be reduced by more intensive management using existing treatments effectively 3 Better blood glucose control reduces the risk of major diabetes related eye disease by 25 and early kidney damage by 33 4 Better blood pressure control reduces the risk of death from long-term complications of diabetes by 33, strokes by more than 33 and serious eye damage by more than 33
What Was the Purpose of the Study?
The purpose of the study was to find out if intensive therapy using current drugs diabetes pills and insulin could reduce A1c levels and blood pressure enough to lower the risk of long-term complication of diabetes A1c is an average measure of blood glucose control over the last three months and indicates a persons risk for developing the long-term complications eye damage, kidney damage, nerve damage and heart problems of diabetes People with type 2 diabetes are three times more likely to have high blood pressure, which is why control of blood pressure is so important
What Might a Typical Treatment Plan Involve?
In the study, blood glucose and blood pressure levels were measured more often than usual If blood glucose or
blood pressure were above an agreed target, the treatment dose was increased or other treatments were added Over the twenty years of the study, it clearly showed the benefits of monitoring more often and adjusting available therapies more often The Conventional Group control group of patients kept fasting blood glucose levels less than 275 mg/dL, using diet at first, but 82 eventually switched to oral agents and/or insulin at some point during the study The Intensively Managed Group experimental group had to keep fasting blood glucose levels less than 108 mg/dL and all of them either used insulin, sulfonylurea drugs or metformin to achieve this level of control For blood pressure control, drugs known as ACE inhibitors or beta blockers were used
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Source:fightdiabetesnc.com
