Review Article

Macrovascular Complications in Patients with Diabetes and Prediabetes

Table 1

Intensive glycemic control and cardiovascular events in type II diabetes. There was comparable CVD risk in the intensive glycemic control group and the standard therapy group. However, the risk of hypoglycemia is significantly higher in the groups with intensive control therapy.

Clinical trialACCORDADVANCEVADT

Sample size10,25111,1401,791
Median follow-up3.5 years5 years5.6 years

Treatment groupIntensive controlStandard therapyIntensive controlStandard therapyIntensive controlStandard therapy

Mean HbA1c6.7%7.5%6.5%7.3%6.9%8.4%
CVD event6.9%7.2%10.0%10.6%30.0%34.0%
()()()
CVD mortality2.6%1.8%4.5%5.2%4.5%3.7%
()()()
All-cause mortality5.0%4.0%8.9%9.6%11.4%10.6%
()()()
Hypoglycemia10.5%3.5%2.7%1.5%1333 episodes383 episodes
()()()