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Intensive treatment and support helps patients with poorly controlled type 2 diabetes

BMJ 2006; 332 doi: (Published 02 February 2006) Cite this as: BMJ 2006;332:0-e

Research question Can intensive treatment and support help patients with poorly controlled type 2 diabetes achieve the goals set by the Canadian Diabetes Association?

Answer An intensive management package was better than standard care over one year, but gains were lost soon after it ended

Why did the authors do the study? Both American and Canadian guidelines recommend that people with type 2 diabetes are managed by a multidisciplinary team offering drug treatment, lifestyle, and dietary advice tailor made for each patient and intensified according to response. These authors wanted to test this strategy formally by comparing it with standard care. Specifically, they wanted to know if an intensive strategy would help …

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