Journal Club activity: What Should A1C Target Be for Type II Diabetics?

02-14-2019 17:19

Hi folks,

In journal club, sometimes rather than evaluating a single article, we evaluate a question.  In this activity, we evaluate the evidence from RCT's which answer the question about whether we should pursue good versus perfect glycemic control.  There are 4 RCT's on the topic.  After an intro to the topic, I break the audience up into 4 groups and give them 15 minutes to find a few basic aspects of each RCT.  Then each group has 5 minutes to report.  I have a cheat-sheet of the findings which I then give at the end.  Finally I close with the ACP 2018 guideline which reviews the same 4 RCT's and comes to the same conclusion, that tight control of sugar does not improve outcomes while it does incur harms.

Feel free to share, give feedback, and improve the materials.

Best,
-- Josh Steinberg

Author(s):Joshua Steinberg
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pptx file
A1C Goal.pptx   3.39MB   1 version
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pdf file
ACCORD DM trial NEJM 6-08.pdf   316K   1 version
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ADVANCE NEJM 6-08.pdf   820K   1 version
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docx file
cheat-sheet 4 RCT's.docx   16K   1 version
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UKPDS 33 Conventional vs. Intensive Control Lancet 98.pdf   708K   1 version
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VADT NEJM 1-09.pdf   412K   1 version
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