血糖达标的科学与艺术 -低血糖管理为什么要进行严格的血糖控制?UKPDS-Why Tight Control?10203040506070800567891011MyocardialInfarctionMicrovascularEndpointsUpdatedMeanHbA1C(%)AdjustedIncidenceper1000PersonYears(%)Stratton IM,et al.Stratton IM,et al.BMJ.BMJ.2000;321(7258):405-412 2000;321(7258):405-412DCCT Group.Lancet.1998;352:837-853.Ohkubo Y,et al.Diabetes Res Clin Pract.1995;28:103-117.胰岛素常规治疗与强化治疗疗效对比DCCT Type 1Kumamoto Study Type 2Normal rangeMedianHbA1c(%)1098765012345678910Time(years)Normal rangeADA actionADA goalTime(y