Cheah J S
Ann Acad Med Singap. 1981 Jul;10(3):383-8.
There is overwhelming evidence that the microangiopathy complications (retinopathy, nephropathy, and neuropathy) of diabetes can be minimised, prevented or improved by optimal blood glucose control. There is little evidence to show otherwise. This paper reviews evidences to demonstrate that poor diabetic control predisposes to diabetic microangiopathy. The only way to minimise diabetic microangiopathy is to avoid hyper glycaemia and achieve euglycaemia for most part of the day. In doing so, the dangers of hypoglycaemia must be clearly recognized and avoided.
有压倒性的证据表明，通过最佳血糖控制，糖尿病的微血管并发症（视网膜病变、肾病和神经病变）可以减至最低程度、得到预防或改善。几乎没有证据表明情况并非如此。本文回顾相关证据以证明糖尿病控制不佳易引发糖尿病微血管病变。将糖尿病微血管病变减至最低程度的唯一方法是避免高血糖，并在一天中的大部分时间实现血糖正常。在此过程中，必须清楚认识并避免低血糖的风险。
