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TOO TIGHT?

ANCHOR LEAD: CAN PEOPLE OVERMANAGE THEIR DIABETES?  ELIZABETH TRACEY REPORTS

If some is good, is more better?  That’s one question related to average blood sugar in the management of diabetes, where for years physicians have been shooting for as average values for hemoglobin A1c of around 6.  Now a new study suggests that 6 may be too low, since low blood sugar is also associated with a host of deleterious health consequences.  Christopher Saudek, a diabetes expert at Johns Hopkins, comments.

SAUDEK: What we’re thinking is that the wrong message is often taken from that study.  The message from that accord study is that pushing multiple, multiple drugs and insulin doses on people whose hemoglobin A1c  is already well-controlled is not the thing to do, that if you have an A1c under about 7 then you’re in a good risk category and you should not pile on the drugs.          :27

Saudek says people who’d like their blood sugar to be lower can also employ diet and exercise rather than more medications to help.  At Johns Hopkins, I’m Elizabeth Tracey.


-- JHMI --

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