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Glycemic control unchanged despite changes in TX strategies.(Clinical Rounds)
SAN DIEGO -- Despite a rise in the number of treatment regimens for adults with type 2 diabetes during the 1990s, surveys showed no improvement in the number of adults who achieved glycemic control, Tao Fan reported in a poster session at the annual scientific sessions of the American Diabetes Association.
"There should be more aggressive therapy--particularly pharmacotherapy--for type 2 diabetes patients," Mr. Fan told this newspaper.
He and his associates analyzed a sample of 1,215 subjects from National Health and Nutrition Examination Survey III (NHANES III, 1988-1994) and 758 subjects from NHANES 1999-2002. All subjects reported a diagnosis of type 2 diabetes and had data on diabetes medication and hemoglobin [A.sub.1c] levels, said Mr. Fan, a doctoral student in the department of pharmaceutical health services research at the University of Maryland, Baltimore. There were four therapeutic regimens: diet only, insulin only, oral antidiabetic drugs (OADs) only, or OADs plus insulin.
From NHANES III to NHANES 1999-2002, glycemic control rates dropped from 44.3% to 39.8% in subjects aged 65 years and older, but increased from ...
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