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Clinical Diabetes 19:161-167, 2001
© American Diabetes Association ®, Inc., 2001


Feature Article

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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Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 2001 by the American Diabetes Association.