Over the past few years considerable data have emerged showing that genetic factors make an important contribution to the pathogenesis of diabetic microvascular complications (15). This explains why certain patients with good glucose control still develop diabetic microvascular complications, whereas, there are those with poor control who appear to escape the long-term complications of diabetes. The United Kingdom Prospective Diabetes Study showed that strict glycemic control can modify the risk of microvascular disease in patients with type 2 diabetes mellitus (T2DM). Previously, the Diabetes Control of Complications Trial (DCCT) in patients with type 1 diabetes mellitus (T1DM) showed that strict glycemic control can both delay the onset of microvascular complications and slow the rate of progression of already established complications. The DCCT was able to demonstrate a nonlinear relationship between the life-time risk of complications and mean levels of HbAlc (16,17).
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.