editorial in the same issue of the journal.
“We’ve learned over time that how you lower blood glucose matters when it comes to cardiovascular risk. With newer medicines that have different mechanisms of action, the benefits for cardiovascular disease are pretty quick,” she said.
But she said that controlling other risk factors for heart disease and stroke is crucial. “Very tight control of glucose for cardiovascular disease is not the best way to reduce risk. Avoiding smoking, blood pressure control, statin therapy [to lower cholesterol] are known to reduce cardiovascular disease risk,” Lipska said.
That doesn’t mean that controlling blood sugar isn’t important, it is. But there needs to be a balance. People shouldn’t be trying to lower their blood sugar so much that they end up having a dangerous low blood sugar episode.
“Patients need to have a conversation with their
