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Changes in Diabetes-Related Complications in the United States, 1990–2010
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Changes in Diabetes-Related Complications in the United States, 1990–2010
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Journal Article
Changes in Diabetes-Related Complications in the United States, 1990–2010
2014
Overview
Rates of diabetes-related complications have declined substantially in the past two decades. However, a large burden of disease persists because of the continued increase in the prevalence of diabetes.
Twenty-one years ago, the Diabetes Control and Complications Trial (DCCT) showed that intensive glycemic control could reduce the microvascular complications of type 1 diabetes mellitus.
1
Subsequent studies showed that macrovascular and microvascular complications could be substantially reduced with tight control of glucose levels, blood pressure, and lipid levels in adults with type 2 diabetes.
2
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5
Collectively, these studies focused attention on diabetes as a public health problem, with a course that could be altered by a combination of changes in clinical care (e.g., intensive management of risk factors), the health system (e.g., organization of care), health promotion (e.g., support for . . .
Publisher
Massachusetts Medical Society
Subject
/ Biological and medical sciences
/ Death
/ Diabetes
/ Diabetes Complications - epidemiology
/ Diabetes. Impaired glucose tolerance
/ Endocrine pancreas. Apud cells (diseases)
/ Etiopathogenesis. Screening. Investigations. Target tissue resistance
/ Humans
/ Kidney Failure, Chronic - epidemiology
