ANCHOR LEAD: PEOPLE WITH DIABETES SHOULD LOW BALL MANY OF THEIR TARGETS, ELIZABETH TRACEY REPORTS
Lower is probably better when considering all the target values in someone with diabetes. That’s the advice of Christopher Saudek, a diabetes expert at Johns Hopkins, in considering a recent New England Journal of Medicine study on the success of a multifactorial approach in reducing diabetes-related deaths.
SAUDEK: I lower the targets when people have diabetes, in other words cholesterol for example one might say the LDL or bad cholesterol could be below 130, if you’re not at particularly high risk, but if you have diabetes the target is definitely below 100 and sometimes below 70, so to say what’s normal it depends on the situation, and I would treat a diabetic person to that very low target. Now if they already have a very low cholesterol I wouldn’t add a statin on top of it. :30
Saudek cautions that people with diabetes still need to include exercise in their regimen. I’m Elizabeth Tracey reporting.