Castagno, D., Baird-Gunning, J., Jhund, P. S, Biondi-Zoccai, G., MacDonald, M. R, Petrie, M. C, Gaita, F. & McMurray, JJ. (2011). Intensive glycemic control has no impact on the risk of heart failure in type 2 diabetic patients: Evidence from a 37,229 patient meta-analysis. American Heart Journal,162(5), 938-948. United States: Mosby Inc.. Retrieved from https://doi.org/10.1016/j.ahj.2011.07.030
More intensive glycemic control reduces the risk of microvascular disease in patients with diabetes mellitus but has not been proven to reduce the risk of macrovascular events such as myocardial infarction and stroke. Poorer glycemic control, as indicated by glycated hemoglobin level concentration, is associated with an increased risk of heart failure ( HF ), but it is not known whether improved glycemic control reduces this risk. We conducted a meta-analysis of randomized controlled trials comparing strategies of more versus less intensive glucose-lowering that reported HF events.
Mary MacKillop Institute for Health Research
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