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According to an evaluation of multiple studies, taking a combination of two common types of Type 2 diabetes drugs may be linked to an increased risk of dying or ending up in the hospital due to cardiovascular disease.
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The VA Diabetes Trial, or VADT, was the third large study of tight blood glucose control and cardiovascular disease (CVD) risk in Type 2 diabetes that was presented at the June 2008 ADA Scientific Sessions. You can read about the results of the other two major studies in this vein, ADVANCE and ACCORD, in "Tight Control and Cardiovascular Disease (Part 1): ADVANCE" and "Tight Control and Cardiovascular Disease (Part 2): ACCORD."
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For the past two weeks, we’ve been delving into various medications that are often prescribed for people with diabetes (see "The Ups and Downs of Meds and Diabetes (Part 1): Steroids" and "The Ups and Downs of Meds and Diabetes (Part 2): Blood Pressure"). Some of these drugs, such as steroids, have a direct effect on blood glucose levels. All drugs have some side effects, so it’s important to have a clear understanding of what these are. Over these next two weeks, we’ll look at classes of drugs that are used to lower cholesterol and triglyceride levels.
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This is my second report on the large studies of tight blood glucose control and cardiovascular disease risk in Type 2 diabetes that were presented at the ADA Scientific Sessions earlier this month. You can read about the results of the ADVANCE trial in "Tight Control and Cardiovascular Disease (Part 1): ADVANCE." This week, I'll discuss the Action to Control Cardiovascular Risk in Diabetes, or ACCORD, trial.
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Last week, in "The Ups and Downs of Meds and Diabetes (Part 1): Steroids," we took a look at steroids, a powerful class of drugs that, while very good at doing what it's supposed to do, can cause significant hyperglycemia (high blood glucose). Frequent blood glucose monitoring and using sick-day rules are the best ways to deal with that issue. This week, we'll look at another category of drugs: hypertension (high blood pressure) medications, since many people with diabetes take these.
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Appetizers & Snacks
Stuffed tomatillos
Fish & Shellfish
Simple grilled salmon
Salads & Dressings
Crunchy broccoli salad
Vegetables
Corny zucchini medley
Desserts
Blueberry bliss