The targets

The aim of diabetes care is to return the patient to as close a non-diabetic state as is safe and practical for that particular person. The targets are set out in Appendix A. Please note that they apply to adults. Children also need careful diabetes care, aiming for safe, near normalization of parameters, but this has particular risks in children. They should be cared for by specialist teams. I have deliberately chosen the most stringent targets available from current literature, recognizing that they will not be possible in some patients and that care is needed in their application. There is increasing evidence that there is no threshold effect for blood pressure or glucose providing they remain within physiological levels (i.e. providing adequate perfusion and cerebral glucose delivery respectively). There appears to be no threshold effect for cholesterol either, although research continues. Risk reduction will also be discussed in the chapters on complications of diabetes.

Delicious Diabetic Recipes

Delicious Diabetic Recipes

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