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Rajeev SP, Wilding J. Set individualised targets for patients with type 2 diabetes. Practitioner 2016;260(1796):23-26

Set individualised targets for patients with type 2 diabetes

23 Sep 2016Pais-up subscribers

In type 2 diabetes regular physical activity totalling 30 minutes most days of the week improves muscle insulin sensitivity, lipid profile and blood pressure although a total of 60-75 minutes a day is required for weight reduction and better metabolic profiles. NICE guidelines acknowledge the need for individualised treatment targets. Lowering HbA1c is beneficial in reducing microvascular complications and may have macrovascular benefits in the long term. However, intensive glycaemic control in the elderly with more advanced disease may not have similar benefits and poses a risk due to hypoglycaemia.

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