Abstract

Did you know that diabetes kills 3.8 million people worldwide each year, around the same number as HIV/AIDS? Good glycaemic control will at least lower the risk of cardiovascular disease in diabetes, but it's hard to achieve. R J Heine and colleagues, in their guidelines on hyperglycaemia in type 2 diabetes, unpick the tangle of treatment options (p 1200 doi: 10.1136/bmj.39022.462546.80). The authors, who are based in the Netherlands, Cameroon, and Boston, say their proposed management algorithms will help doctors even where resources are poor. But treatments to alter the relentless decline of β cell function and the clinical course of diabetes are still a long way …

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