Ensuring that patients’ blood sugar levels were closely regulated also led to them being 15 per cent less likely to have a heart attack.

More than two million people in Britain currently suffer from Type 2 diabetes, the most common kind, and experts estimate that that number could increase to four million by 2025, because of lifestyle issues such as obesity.

Diabetes occurs when the body loses the ability to control its blood sugar levels.

The disease can be kept in check with careful management of diet and the use of insulin, which help the body regulate its sugar levels.

The findings of the study, published in the New England Journal of Medicine, followed 3,277 newly diagnosed diabetes patients.

They were asked to tightly manage their blood sugar either through diet restrictions or drugs.

The results show that the group taking insulin had a 15 percent lower risk of heart attack and a 13 percent lower risk of death compared with the group who used diet.

Professor Rury Holman, of Oxford University, who led the study, said: “These results emphasise the importance of detecting and treating diabetes at the earliest opportunity and the major benefits that can be obtained with good blood glucose control.”

Dr Iain Frame, Director of Research at Diabetes UK, which part funded the study, said: “It is vital that blood glucose levels are controlled as early and effectively as possible from the time Type 2 diabetes is diagnosed.

“These results prove that quickly establishing and applying the best treatment for the individual, be it diet and physical activity alone or combined with medication, brings both long- and short-term health benefits.

“Complications of diabetes such as heart disease, kidney failure, amputation and blindness are devastating and we must do all we can to prevent them.

“This study is a perfect example of how important well-planned and executed long-running studies are in providing vital evidence to inform how clinicians treat people with diabetes.”

* Diabetes could on the rise because of a group of pollutants found in meat, fish and dairy products, and not the obesity crisis, scientists have claimed.

Researchers at Kyunpook National University in Korea claim that have found a link between high levels of the pollutants in the blood stream and diabetes, New Scientist magazine reports.

If you’ve got type 2 diabetes, the sooner you get intense about reining in your blood sugar, the better. It also pays to buckle down on your blood pressure and stay that way.

That’s the message from a long-term study of adults with type 2 diabetes.

Diabetes Videos
48×48_diabetic_snacks.jpg
Video: Diabetic Snacking Tips
48×48_vinegar_for_diabetes.jpg
Video: Vinegar for Diabetes
Video: Insulin Pump for Preschoolers?
All Diabetes-Related Videos
Diabetes Newsletter

Get the latest diabetes news and treatment options delivered to your inbox.
Related to diabetes

diabetes symptoms, hypoglycemia, type 2 diabetes, gestational diabetes, diabetes diet, type 1 diabetes, low blood sugar , glucose, insulin resistance, diabetic neuropathy, A1c, exercise and diabetes
© 2008 WebMD, LLC. All rights reserved.

It’s not news that controlling blood sugar and blood pressure are musts for managing type 2 diabetes. But the new findings show that doing so promptly and intensively are key.

What’s the payoff? Less likelihood of a heart attack and a healthier cardiovascular system, for starters, according to the findings published in The New England Journal of Medicine.
Curbing Blood Sugar

First, the study focused on blood sugar control, comparing a purely dietary approach to intensive drug therapy using medications called sulfonylureas, insulin, or metformin.

Some 5,100 British adults newly diagnosed with type 2 diabetes were assigned to one of those treatment plans. They stayed with the study for six to 20 years.

When the study ended, it was clear that complications in tiny blood vessels were rarer in the intensive drug therapy groups than in the diet-only group.

That advantage was still paying dividends a decade later.
Long-Term Perk

When the study ended in 1997, the patients were free to follow whatever type 2 diabetes treatment they chose with their doctors. Most started taking diabetes drugs.

That doesn’t mean they abandoned diet; it just means that they were all allowed to take drugs, too. A healthy diet is a staple of diabetes care.

Over the next 10 years, people formerly in the intensive drug therapy group were less likely to have a heart attack or develop diabetes-related complications, compared with people who had been in the diet-only group.

The early, intensive approach to blood sugar control amounted to a head start. The researchers — who included Rury Holman, FRCP, of Churchill Hospital in Oxford, England — call that a “legacy effect.”
Blood Pressure: Keep It Down

Holman’s team also compared intensive and not-so-intensive approaches to blood pressure among the diabetes patients in their study. High blood pressure, like diabetes, makes heart disease (and a host of other serious conditions) more likely.

More than 1,100 participants were either assigned to take an ACE inhibitor or a beta-blocker to reach a certain blood pressure goal. For comparison, other patients with high blood pressure got an easier blood pressure goal and didn’t have to take ACE inhibitors or beta-blockers.

When the study ended, the patients who took the intensive approach were less likely to have died from diabetes, had a stroke, or developed diabetes-related complications.

But two years later, when the patients could handle their blood pressure however they wanted to, it was a different story.

By then, blood pressure had crept up in the patients who had been in the intensive group, and dropped in the comparison group. That erased the benefit gaps between the groups; there was no “legacy effect.”

The bottom line: Optimal blood pressure control is “of major importance… in patients with type 2 diabetes but must be maintained if these benefits are to be sustained,” Holman and colleagues conclude.