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[IPk] Re: ip-uk-digest V1 #209

Hello Julette & Everyone,

Here is an interesting graph that represents the "relative risk associated
with a range of glycosylated hemoglobin (HbA1c) values in patients with
diabetes mellitus."



> Date: Mon, 6 Mar 2000 12:29:01 -0000
> From: Julette Kentish <email @ redacted>
> Subject: RE: [IPk] Dusseldorf protocols
> Joan Everett is the best person to discuss this as she has compared both
> Dusseldorf education programme for management of diabetes patients and
> the Gouda (Holland) approach. She has developed an integrated programme
> which has been on trial here in Bournemouth for 6 months - so far
> feedback from attendants has been excellent. There will be a poster on
> this at the BDA. I get the impression this approach they are going to
> try at Kings is part of a more structured trial to compare methods of
> education. It is more about telling patients how the body works, what
> are the important aspects of care for diabetes patients and how to
> adjust their insulin according to meals, BGL, activity/stress etc. It is
> fairly intensive. It is not necessarily about getting people to be near
> hypo to achieve good hba1c. I believe anything under 6% does not show
> any more improvement that achieving 7%.

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