ACCORD's discord on blood sugar control
Tight control still essential, but no consensus on how low you should go.
High and wildly fluctuating levels of sugar (glucose) and insulin in the bloodstream are the hallmarks of diabetes. They can injure nerves and small blood vessels, which can lead to vision loss, kidney failure, erectile dysfunction in men, or the loss of a foot or leg. Damage to larger blood vessels is also common "" nearly two out of three people with diabetes die of a heart attack, stroke, or other form of cardiovascular disease.