The diabetes control and complications trial dcct is a landmark multicenter trial designed to test the proposition that the complications of diabetes mellitus are. Objective the diabetes control and complications trial dcct was designed to test the glucose hypothesis and determine whether the complications of type 1 diabetes t1dm could be prevented or delayed. The diabetes control and complications trial and followup study. The epidemiology of diabetes interventions and complications edic observational followup determined the durability of the dcct effects on the moreadvanced stages of diabetes complications including cardiovascular disease cvd.
Sustained effect of intensive treatment of type 1 diabetes mellitus. The diabetes control and complications trialepidemiology of. In people with pre diabetes, getting them back to normal glucose tolerance is key to preventing diabetes, and weight loss is pivotal in that goal. How to use adas type 2 diabetes treatment algorithm. Pdf the diabetes control and complications trialepidemiology. The importance of diabetes treatment and management aspe. Diabetes control and complications trial dcct dcct results the dcct showed that people with type 1 diabetes who kept their blood glucose levels as close to normal as safely possible with intensive diabetes treatment as early as possible in their disease had fewer diabetesrelated health problems after 6. Note that some people may be set alternative targets by their health team.
How to use the american diabetes associations type 2. Diabetes control and complications trial dcctepidemiology of. Implications of the diabetes control and complications trial. The effect of intensive treatment of diabetes on the development and progression of longterm complications in insulin dependent diabetes mellitus. The dcct cohort has been examined annually for another 8 years as part of the followup epidemiology of diabetes interventions and complications edic study. How to use adas type 2 diabetes treatment algorithm carlos mendez, md, facp presenter disclosure information in compliance with the accrediting board policies, the american diabetes association requires the following disclosure to the participants. The dcct and the ukpds demonstrated that the risk of neuropathy and other complications can be dramatically reduced or delayed by intensified glycemic control in patients with type 1 and 2 diabetes, respectively. Documents in pdf format require the adobe acrobat reader.
The diabetes control and complications trial dcct and. Kdoqi clinical practice guideline for diabetes and ckd. The diabetes control and complications trialepidemiology of diabetes interventions and complications research group. Avoidance of degenerative lesions in diabetes mellitus. S61s70 hba1c goal is not onesizefitsall more stringent as close to 6% as possible less stringent diabetes duration short life expectancy complications, comorbidities history of severe hypoglycemia short diabetes duration long life expectancy. For example, the diabetes control and complications trial dcct. The dcct edic has been supported by u01 cooperative agreement grants 19821993, 20112016 and contracts 19822011 with the division of diabetes endocrinology and metabolic diseases of the national institute of diabetes and digestive and kidney diseases current grant numbers u01 dk094176 and u01 dk094157. The diabetes control and complications trial dcct was designed to test the. If left untreated or undertreated, diabetes can cause severe complications that can. The study showed that keeping blood glucose levels as close to normal as possible slows the onset and pro gression of the eye, kidney, and nerve damage. The diabetes control and complications trialepidemiology. Type 1 diabetes mellitus and cardiovascular dis ease. Dcct diabetes control and complications trial units measured in % ifcc international federation of clinical chemistry units measured in mmolmol the target hba1c value for most people with diabetes is 6. Early initiation of intensive diabetes therapy aimed at achieving nearnormal glycemia reduces the early.
1316 991 1126 1198 862 948 430 223 923 536 1268 1222 1438 1005 1499 520 452 698 1389 32 229 294 954 719 1428 1521 1014 489 383 808 1102 1098 170 832 1099 784 1090 632 241 881 385 382 503 887 852 1260 1009