Tough targets are necessary in effective diabetes care

BMJ 2002; 325 doi: https://doi.org/10.1136/bmj.325.7367.775 (Published 05 October 2002) Cite this as: BMJ 2002;325:775

This article has a correction. Please see:

  1. Tahseen A Chowdhury, consultant physician (diabetes and metabolic medicine) (Tahseen.Chowdhury@bartsandthelondon.nhs.uk),
  2. Shawarna S Lasker, general practitioner
  1. Diabetes Centre, Royal London Hospital (Mile End), London E1 4DG
  2. Oakland Medical Centre, Hillingdon UB10 9NL

    EDITOR—Winocour in his article on targets in diabetes care argues that targets for glycaemia, blood pressure, and lipids are unrealistic as only 50% of these targetswere attained in clinical trials—which are removed from the “real” world.1 It is worrisome that even in affluent rural areas, doctors struggle to convince their patients to comply with medication. The problem is probably much worse in deprived inner city areas.

    Diabetes care has benefited from the publication of large scale randomised controlled trials, so that we now have an …

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