As the literature swells with studies re-evaluating the risks and benefits of tight glucose control, this new study adds more caution to tight control. In this longitudinal cohort of over 16,000 patients age >65 with diabetes, the number of hypoglycemic episodes linearly increased their risk of incident dementia. This study and others dampen our enthusiasm for overly tight glucose control in diabetics (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.