Article ; Online: Realising the long-term promise of insulin therapy: the DCCT/EDIC study.
2021 Volume 64, Issue 5, Page(s) 1049–1058
Abstract: The introduction of insulin in the treatment of juvenile-onset, now type 1, diabetes mellitus transformed a rapidly fatal disease into a chronic degenerative one. During the insulin-treatment era, long-term microvascular and cardiovascular complications ... ...
Abstract | The introduction of insulin in the treatment of juvenile-onset, now type 1, diabetes mellitus transformed a rapidly fatal disease into a chronic degenerative one. During the insulin-treatment era, long-term microvascular and cardiovascular complications proved to be the bane of existence for people with type 1 diabetes, leading to blindness, kidney failure, amputations, cardiovascular disease (CVD) and premature mortality. The nascent understanding of the link between non-physiologically regulated glucose levels and these complications led to the development of new treatment tools in the 1970s and 1980s that facilitated the delivery of insulin to achieve glucose levels closer to non-diabetic levels. These therapeutic advances set the stage for definitive testing of the glucose hypothesis. The Diabetes Control and Complications Trial (DCCT), supported by the National Institute of Diabetes Digestive and Kidney Diseases, National Institutes of Health (NIH), definitively established the benefits and risks of intensive therapy that substantially lowered mean blood glucose levels, measured by HbA |
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MeSH term(s) | Clinical Trials as Topic ; Diabetes Complications/pathology ; Diabetes Complications/therapy ; Diabetes Mellitus/drug therapy ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus/history ; Follow-Up Studies ; History, 20th Century ; History, 21st Century ; Humans ; Insulin/history ; Insulin/therapeutic use ; National Institute of Diabetes and Digestive and Kidney Diseases (U.S.) ; National Institutes of Health (U.S.) ; United States |
Chemical Substances | Insulin |
Language | English |
Publishing date | 2021-02-06 |
Publishing country | Germany |
Document type | Historical Article ; Journal Article ; Review |
ZDB-ID | 1694-9 |
ISSN | 1432-0428 ; 0012-186X |
ISSN (online) | 1432-0428 |
ISSN | 0012-186X |
DOI | 10.1007/s00125-021-05397-4 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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