Implications of the DCCT: Looking beyond tight control

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Abstract
The main conclusion of the recently completed, landmark Diabetes Control and Complications Trial (DCCT), i. e., the fact that tight control significantly reduces the risk of diabetes-related complications, has been widely acclaimed. This enthusiasm has been fueled in part by the magnitude of the advantage tight control seems to offer: the 2% difference in average HbA1c between the DCCT standard and intensive treatment groups was associated with a 60% reduction in risk for diabetic reti-nopathy, nephropathy, and neuropathy.

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