Strict glycemic control is most likely to reduce the risk for which of the following diabetic complications? - USMLE Forums
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  #1  
Old 05-07-2012
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Question Strict glycemic control is most likely to reduce the risk for which of the following diabetic complications?

A question from medscape
You are seeing a 56-year-old woman who has just been diagnosed with type 2 diabetes. Strict glycemic control is most likely to reduce the risk for which of the following diabetic complications for this patient?
a.) Nephropathy
b.) Myocardial infarction
c.) Stroke
d.) Cardiovascular mortality
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  #2  
Old 05-08-2012
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Default B

don't know but guess is A
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Old 05-08-2012
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I think, it should be > d.)Cardiovascular mortality
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Old 05-08-2012
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Strict glycemic control is most likely to reduce the risk for which of the following diabetic complication

The morbidity and mortality associated with macrovascular events far outweigh the risks of microvascular complications

Although improving glycemic control clearly reduces microvascular complications, it is important to recognize that the incidence of severe or end-stage microvascular complications is much lower for type 2 diabetic patients than for type 1 patients, presumably because of their older age of onset and increased competing risks for death.

This mean that microvascular complication are more likely to be time-related more than just glycemic control related.

so i think the ANS is A
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Old 05-08-2012
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It's A.
Neuropathy n nephropathy r sorta preventable with strict glycemic control.
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Old 05-08-2012
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Quote:
Originally Posted by chienpolska View Post
A question from medscape
You are seeing a 56-year-old woman who has just been diagnosed with type 2 diabetes. Strict glycemic control is most likely to reduce the risk for which of the following diabetic complications for this patient?
a.) Nephropathy
b.) Myocardial infarction
c.) Stroke
d.) Cardiovascular mortality

-DM ass with major cardiovascular risk factor(hyperlipidemia,obesty ,hypertention).ans D.
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Old 05-08-2012
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d.) Cardiovascular mortality
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Old 05-08-2012
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Quote:
Originally Posted by bisho View Post


Strict glycemic control is most likely to reduce the risk for which of the following diabetic complication

The morbidity and mortality associated with macrovascular events far outweigh the risks of microvascular complications

Although improving glycemic control clearly reduces microvascular complications, it is important to recognize that the incidence of severe or end-stage microvascular complications is much lower for type 2 diabetic patients than for type 1 patients, presumably because of their older age of onset and increased competing risks for death.

This mean that microvascular complication are more likely to be time-related more than just glycemic control related.

so i think the ANS is A
sorry NOT A

and cardiovascular mortality mean MI & Stoke & PVD
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Old 05-08-2012
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i will go with A because other are diabetic macrovascular complication and glucose control has not been shown to be of benefit there. whats the ans?
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Old 05-09-2012
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i go with A.), too.

But I dont know the answer, either. It is a question from medscape. Anyone knows the correct answer?






Quote:
Originally Posted by tyagee View Post
i will go with A because other are diabetic macrovascular complication and glucose control has not been shown to be of benefit there. whats the ans?
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Old 05-10-2012
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Default Ans is A nephropathy

strict glycemic control prevents microvascular complications well ...for macrovascular complications ... strict glycemic control is sort of avoided ...
please read the articles below :

http://www.medscape.org/viewarticle/762634?src=cmemp



http://care.diabetesjournals.org/con....full.pdf+html

regards
megamind
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Old 05-11-2012
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Answer is Nephropathy

check this

http://www.medscape.org/viewarticle/762634
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