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MEDICAL RESEARCH
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UCI study: Type two diabetics need specific treatments

Patients suffering from other health conditions may not respond to strict control.

By Samantha MayPublished: December 31, 2009

Dr. Sheldon Greenfield co-led the study.
A study by the UC Irvine Health Policy Research Institute suggests that physicians should develop treatments for type two diabetics that cater to each patient's individual needs.

The report found that firm control of blood glucose levels in type two diabetics with heart disease and hypertension does not always lower the risk of a serious complication, such as a heart attack or stroke.

On the other hand, strict blood-sugar control may reduce such cardiovascular problems in diabetics with fewer health issues, according to the study. Strong control involves keeping hemoglobin levels – or the A1C – below 7 percent.

“The findings reveal that strict glucose control benefits some patients but not others depending on certain factors, mainly concurrent illnesses,” says Sherrie Kaplan, study co-leader and associate dean at UCI's School of Medicine. “They also raise serious questions about guidelines advocating a single approach for all diabetics.”

UCI researchers advocate developing specialized care that accounts for other conditions, in addition to diabetes, due to the variability and potential risks in each patient's disease.

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