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Cardio Diabetes Medicine 2017 531

Standard Approaches to Therapy Result in
Prolonged Exposure to Elevated Glucose

10% Diet/Exercise Sulfonylurea or Combination Insulin
Metformin Therapy
Monotherapy 9.6%
at Last 9% 8.6% 9.0%

MeanA1C Visit 8%

7%
ADA
Goal
<7%
6%
Diagnosis 2 3 4 5 6 7 8 9 10
Years

At insulin initiation, the average patient had:
■ 5 years with A1C >8%
■ 10 years with A1C >7%

Brown JB, et al. Diabetes Care.
2004;27:1535-1540.

Cardio Diabetes Medicine