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Glycemic Targets and Prevention of Chronic Complications

  • Simona Cernea
  • Avivit Cahn
  • Itamar Raz
Reference work entry
Part of the Endocrinology book series (ENDOCR)

Abstract

Hyperglycemia is the main cause and critical initiating factor of chronic microvascular complications of diabetes and also a major contributor to the macrovascular complications. In diabetes care it is therefore essential to set appropriate glycemic targets (or target ranges) that guide the management of the disease in order to reduce the risk of long-term complications, while avoiding unnecessary burden or adverse events. In this chapter we discuss the role of hyperglycemia in inducing diabetes chronic complications and evidence from clinical trials proving the benefit of glycemic control in preventing or ameliorating the progression of micro- and macrovascular complications. We also review the recommendations of current clinical guidelines, including individualization of glycemic targets when treating patients with diabetes.

Keywords

Glycemic targets Microvascular complications Macrovascular complications Glycemic control Clinical trials Guidelines 

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department M3/Internal Medicine IVUniversity of Medicine and PharmacyTîrgu MureşRomania
  2. 2.Diabetes, Nutrition and Metabolic Diseases Outpatient UnitEmergency County Clinical HospitalTîrgu MureşRomania
  3. 3.Diabetes Unit, Department of Internal MedicineHadassah Hebrew University HospitalJerusalemIsrael
  4. 4.Endocrinology and Metabolism Unit, Department of Internal MedicineHadassah Hebrew University HospitalJerusalemIsrael

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