What does good metabolic control of diabetes mean? - more questions than answers

Abstract

Metabolic control is a term frequently used as a synonym of the percentage of glycated HbA_1c. Many physicians intensify the therapy considering this parameter only. Authors review consequences of using HbA_1c in clinical practice and also indicate other parameters that should be taken into consideration when decision about intensifying diabetes type 2 therapy should be made. Those parameters include daily glucose concentration profiles, patient body mass, risk of hypoglycaemia, number of injections and quality of life.