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What's the Optimal HbA1c Level in Elders?

In an observational study, glycosylated hemoglobin between 8% and 9% was best.

Experienced clinicians have long recognized that tight glycemic control can be perilous in frail older patients with type 2 diabetes. Now, an observational study addresses that concern. Researchers in San Francisco studied 367 community-dwelling, older patients (mean age, 80) with diabetes who participated in a comprehensive adult day-care program and were unable to live independently.


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Diabetes + HIV = A Double Whammy for CKD

Diabetes and HIV infection each contribute to progressive chronic kidney disease, but the two factors together are especially detrimental.

Chronic kidney disease is responsible for an increasing burden of disease in HIV-infected patients, driven in part by an increasing prevalence of diabetes in this population. In the present study, researchers evaluated the relative contributions of HIV infection and diabetes to the risk for chronic kidney disease.


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Blood Sugar, Blood Pressure and Cholesterol

People with diabetes are more often achieving recommended targets for blood sugar, blood pressure, and cholesterol, but fewer than 20% are meeting all three, according to new data from an ongoing national health survey.

Doctors treating people with diabetes look at three different goals called the ABCs: A1c level (from HBA1c for diabetes), blood pressure, and cholesterol. People with diabetes who achieve these goals lower their risk of health complications and death.


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The DASH Diet Eating Plan

Why was the DASH diet ranked as the best diet, the healthiest diet, and the best diet for diabetes, two years in a row? The expert panel of physicians assembled by US New & World Reports chose DASH because it is proven to improve health, has a balance of healthy food groups, and it actually works.


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Patients' Understanding of Hypertension Affects Drug Adherence

In all ethnic groups and geographical regions, stress was perceived to be both a factor for and a consequence of hypertension.

Many patients with hypertension adhere poorly to their antihypertensive drug regimens. In this systematic review, investigators summarized the results of 53 qualitative research studies of hypertensive patients' understanding of, and experiences with, hypertension and antihypertensive drugs.


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