Higher Glucose Levels for people with Diabetes had better outcomes with Heart Failure

Stethoscope - BSN

(Best Syndication News) - A new study from UCLA found that diabetes patients that had heart failure had better survival rates and need for heart transplants with higher A1C levels also known as glycosylated hemoglobin levels. The study is published online in the American Journal of Cardiology.

Typically, the goal is to lower blood glucose levels for diabetes patients. The new research from UCLA suggests that heart failure patients might not benefit from this management of the disease.

The UCLA researchers tracked A1C levels in advanced heart failure patients that had diabetes and that did not have diabetes. The A1C levels or glycosylated hemoglobin are assessed by a blood test. The higher the A1C levels the higher the blood glucose levels are on average.

The researchers then compared the A1C levels with mortality outcomes. They found that advanced heart failure patients with diabetes decreased their mortality rate by 15 percent for every unit increase in A1C levels. This was contradictory to the standard goal of lowering blood glucose levels for optimal benefit to health.

"We were surprised that the optimal level of glycosylated hemoglobin in this patient population with diabetes was higher than levels in current treatment guidelines," said senior author Dr. Tamara Horwich, assistant professor of cardiology, David Geffen School of Medicine at UCLA. "We may find that doctors who treat patients who have both advanced heart failure and diabetes may not need to focus on aggressively lowering blood sugar, but rather keep it under moderate control."

The researchers mention that the A1C levels in non-diabetes heart failure patients did not have a risk associated with varying levels.

Heart failure patients should always discuss their health concerns and treatment methods with their professional medical care provider.

By: Marsha Quinn
Health Reporter



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