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Comment & Response
September 24, 2019

Measuring the Quality of Diabetes Care—Reply

Author Affiliations
  • 1Division of Community Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • 2Division of Endocrinology, Mayo Clinic, Rochester, Minnesota
JAMA. 2019;322(12):1212-1213. doi:10.1001/jama.2019.11148

In Reply Dr Giugliano and colleagues comment on our Viewpoint1 and agree that reducing glucose levels is important to prevent both immediate symptoms and sequelae of hyperglycemia and the long-term complications of diabetes. However, 3 important questions remain: (1) To what extent should blood glucose be reduced? (2) How should glycemic reduction be measured? and (3) Is glycemic reduction sufficient for improving the outcomes that are meaningful and important to people living with diabetes?