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31 Cards in this Set

  • Front
  • Back

Bernstein said in ACCORD

1- lowering blood sugar does not help cvs disease


2-ADA improve blood sugar eye nerve kidney but not heart


3-Lowering A1c bad for the heart

How many patient in accord trial and what is the question

10,251 divide into below 6 and standard threapy 7-7.9


Question was is decrease ha1c decrease risk cvs out come ?

What is conclusion accord

Higher mortality in intensive groups lead to discontinue the study after 3.5 years follow up

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Other clinical trial what they say decrease HA1C

1inc. 18% cvs event


1 inc A1c. 12-14 death


1 inc A1c. 37% retinopathy

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Other clinical trial what they say decrease HA1C

1inc. 18% cvs event


1 inc A1c. 12-14 death


1 inc A1c. 37% retinopathy

When they terminated ACCORD

After 17 month

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Other clinical trial what they say decrease HA1C

1inc. 18% cvs event


1 inc A1c. 12-14 death


1 inc A1c. 37% retinopathy

When they terminated ACCORD

After 17 month

What about method of ACCORD?

Muticenter clinical study


Uk and canada


Sponsor by national heart lung and blood institute nhlbi


77 clinical center

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Other clinical trial what they say decrease HA1C

1inc. 18% cvs event


1 inc A1c. 12-14 death


1 inc A1c. 37% retinopathy

When they terminated ACCORD

After 17 month

What about method of ACCORD?

Muticenter clinical study


Uk and canada


Sponsor by national heart lung and blood institute nhlbi


77 clinical center

What about parcipatented


Accord

Age more than 40 to 79 + cvs event or two risk factors


Athescleosis or albuminuria


LVH

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Other clinical trial what they say decrease HA1C

1inc. 18% cvs event


1 inc A1c. 12-14 death


1 inc A1c. 37% retinopathy

When they terminated ACCORD

After 17 month

What about method of ACCORD?

Muticenter clinical study


Uk and canada


Sponsor by national heart lung and blood institute nhlbi


77 clinical center

What about parcipatented


Accord

Age more than 40 to 79 + cvs event or two risk factors


Athescleosis or albuminuria


LVH

What is criteria out from study?

Fregancy hypo


No complaince to hgm


Bmi more than 45


Creatine more than 1.5 or other serious inllness

Who they split the 10251 in accord?

Intensive 352 event and 257 died


Standard 371 event and 203 died


There association weight gain more than 10 kg

Other clinical trial what they say decrease HA1C

1inc. 18% cvs event


1 inc A1c. 12-14 death


1 inc A1c. 37% retinopathy

When they terminated ACCORD

After 17 month

What about method of ACCORD?

Muticenter clinical study


Uk and canada


Sponsor by national heart lung and blood institute nhlbi


77 clinical center

What about parcipatented


Accord

Age more than 40 to 79 + cvs event or two risk factors


Athescleosis or albuminuria


LVH

What is criteria out from study?

Fregancy hypo


No complaince to hgm


Bmi more than 45


Creatine more than 1.5 or other serious inllness

What is strength of the study and weakness

Random


Dollow up


High risk people


Bp control and lipid


Weakness whte is the rate of lowering glucose is optimal