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Metabolic and blood pressure targets set by the national service
framework for diabetes are impractical for use in routine clinical
care, argues Peter Winocour (p 1577). "It is difficult," he says,
"to see how we can realistically expect patients to comply for long
with such a draconian regimen requiring so many separate drugs."
Until combination tablets become available, targets should be based on
our clinics and individual patients, rather than set from results
attained in research studies.

(Credit: SUE SHARPLES)