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Evidence-Based Medicine 2009;14:9-10; doi:10.1136/ebm.14.1.9
Copyright © 2009 by the BMJ Publishing Group Ltd.

THERAPEUTICS

Benefits of early intensive glucose control to prevent diabetes complications were sustained for up to 10 years

The first 150 words of the full text of this article appear below.

R R Holman

Dr R R Holman, Diabetic Trials Unit, Oxford, UK; rury.holman@dtu.ox.ac.uk


STUDY DESIGN

Design:

randomised controlled trial (UK Prospective Diabetes Study [UKPDS]). Current Controlled Trials ISRCTN75451837 [controlled-trials.com] .

Allocation:

{concealed}*.{dagger}

Blinding:

blinded (outcome adjudication committee).{dagger}


STUDY QUESTION

Setting:

23 centres in the UK.

Patients:

4209 patients 25–65 years of age {mean age 53 y, 60% men}* who had newly diagnosed type 2 diabetes and fasting plasma glucose concentrations >6.0 mmol/l (108 mg/dl) and <15.0 mmol/l (270 mg/dl) after 3 months of dietary therapy. Exclusion criteria included recent myocardial infarction, current angina or heart failure, and >1 major vascular event.

Intervention:

intensive glucose control with a sulfonylurea or insulin (n = 2729) or conventional therapy with diet (n = 1138). Overweight patients were also allocated to a third group involving intensive therapy with metformin (n = 342).

Outcomes:

7 composite outcomes (any diabetes-related end point, diabetes-related death, death from any cause, myocardial infarction, stroke, peripheral vascular disease, and microvascular disease).

Follow-up period:

median . . . [Full text of this article]

Eoin P O'Sullivan, Sean F Dinneen

University Hospital, Galway, Ireland
National University of Ireland, Galway, Ireland


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