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What is the legacy effect of early intensive blood glucose management as shown in the 44-year follow-up of the UKPDS?

At the 44-year follow-up of the UKPDS, early intensive blood glucose management showed a legacy effect of reducing microvascular complications and improving clinical outcomes.

The 44-year follow-up data from the UKPDS demonstrated that instituting intensive blood glucose control early in the course of type 2 diabetes produced a sustained legacy effect. This effect was seen as a reduction in microvascular complications and an improvement in overall clinical outcomes, even years after the active intervention period ended.

Key points

  • The legacy effect was demonstrated by the 44-year UKPDS follow-up data.
  • Early intensive blood glucose management was associated with reduced microvascular complications.
  • The effect also produced improvements in clinical outcomes.
Source:Oxford Handbook of Diabetes Nursing· Assessment of glycaemia and management of non-urgent hyperglycaemia· p. 122–123

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