Glycemic Control and Hyperinsulinemia

Data are limited on the efficacy of tight glycemic control in reducing risk for CHD in women with diabetes. However, available data indicate that poor glycemic control is associated with an increased risk for CHD among persons with diabetes.

For example, in a Finnish study of 133 women and men aged 45–64 years with type 2 diabetes, baseline blood sugar level was a significant predictor of death due to CHD-related causes throughout 10 years of follow-up.

Annual vaccinations for influenza, lifetime vaccination for pneumonia, regular foot and dilated eye exams, and maintenance of tight glycemic control through self-monitoring of blood glucose levels and periodic HbA1c testing are all recognized means of preventing serious complications and potential mortality associated with diabetes.

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