Clinical Diabetes 19:161-167, 2001
© American Diabetes Association ®, Inc., 2001
Hypoglycemia: An Excuse for Poor Glycemic Control?
Mohammad Saleh, MD and
George Grunberger, MD, FACP, FACE
IN BRIEF
Although long-term maintenance of normoglycemia can prevent the onset and delay the progression of the microvascular complications in diabetes, a large percentage of diabetic patients continue to have poorly controlled glucose levels. The risk of hypoglycemia is a real obstacle to achieving glucose targets in type 1 diabetes. However, risk of severe hypoglycemia in type 2 diabetes is minimal and should not be used as an excuse for failing to achieve glycemic goals. This article reviews the incidence of severe hypoglycemia in the major diabetes trials, the results of attempts to optimize glycemia to date, and the ways to ameliorate severe hypoglycemia in the treatment of both type 1 and type 2 diabetes.

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Copyright © 2001 by the American Diabetes Association.
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