0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Hyperlipidemia and the Control of Diabetes Mellitus

ALLAN L. DRASH, MD
Am J Dis Child. 1976;130(10):1057-1058. doi:10.1001/archpedi.1976.02120110019002.
Text Size: A A A
Published online

There is a long-standing controversy between diabetologists as to whether the level of metabolic control of diabetes mellitus affects the long-term outcome. The traditional belief has been that the cardiovascular complications are a result of the metabolic derangements. Until recently, this position, however attractive, lacked substantial basic and/or clinical verification.1.2 Within the past two years,3 several studies have appeared that significantly increase the scientific basis for this position, while remaining inconclusive in a practical, therapeutic sense from the point of view of this author.

The cardiovascular complications of diabetes mellitus are of two distinctly different types. The lesion most characteristic of diabetes is the microvascular lesion, resulting in blindness, progressive renal failure, and neuropathy. It is this process that is responsible for most of the morbidity and mortality in the insulin-deficient patient of childhood or young adult onset. Several investigators have proposed that chronic hyperglycemia or some related

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();