地域医療日誌 by COMET

糖尿病診療を変えるのに一体いくつの根拠が必要?

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 Journal Watchから。
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How Much Evidence Do We Need to Change Practices in Which We Firmly Believe?
Enough already! Randomized trials show that tight glucose control in patients with long-standing type 2 diabetes isn't beneficial.

In three recent large randomized trials (ACCORD, ADVANCE, and VADT), tight control in patients with long-standing type 2 diabetes did not lower overall mortality, cardiovascular-related mortality, stroke, amputations, or even clinical (as opposed to surrogate) microvascular endpoints.
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 HbA1cを一生懸命下げても効果がないことがわかってきています。しかし、日常診療の現場はなかなか変えられないもののようです。悪しき慣習は、一体いつになったらやめられるのでしょう?

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