Search Annals: Advanced search

Rapid Responses to:

Articles: Elbert S. Huang, Qi Zhang, Niren Gandra, Marshall H. Chin, and David O. Meltzer The Effect of Comorbid Illness and Functional Status on the Expected Benefits of Intensive Glucose Control in Older Patients with Type 2 Diabetes: A Decision Analysis Ann Intern Med 2008; 149: 11-19 [Abstract] [Full text] [PDF]

Send comment/rapid response letter

Electronic letters published:

Letter to the Editor

Thomas E. Finucane   (14 July 2008)

Letter to the Editor 14 July 2008
Thomas E. Finucane, M.D. Johns Hopkins Bayview Medical Center Send rapid response to journal: Re: Letter to the Editor tfinucan{at}jhmi.edu Thomas E. Finucane	Huang and colleagues introduce their article on type 2 diabetes in the elderly by stating that “intensive glucose control decreases the risk for multiple complications in patients with diabetes...” They provide 3 references. Two are trials of type 1 diabetes. The third is UKDS 33 which showed a reduction in retinal photocoagulation and little else in benefit from tight control. The authors are correct that goals of glycemic control should be discussed between physician and elderly patients. But these discussions are appropriate for younger patients with type 2 diabetes as well. Conflict of Interest: None declared