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Understanding The Triangle of Diabetes Care

Understanding The Triangle of Diabetes Care




February 27, 2015


April 21, 2016

Program Description

This CPD module discusses the basis for a model of diabetes care that is centred on a trio of treatment goals rather than the single focus on long-term glucose exposure as measured through an HbA1c reading.

Educational Objectives

After completing this activity, healthcare professionals should be able to:
  • Recall the outcomes from The Diabetes Control and Complications Trial (DCCT) and the UK Prospective Diabetes Study (UKPDS) and the relationship between HbA1c control and microvascular and microvascular complications of diabetes.
  • Interpret the evidence that a reduction in HbA1c must be aligned with avoidance of hypoglycaemia as part of a structured management approach for people with diabetes.
  • Understand that as day-to-day blood glucose variability increases, death from all causes becomes more likely.
  • Review the evidence that oscillating from low to high blood glucose can activate thrombotic events through the processes of oxidative stress, and link this to the aetiology of coronary heart disease and stroke.
  • Credit



    Learning Credit(s)


    Initiated, funded and reviewed by Abbott.
    Date of preparation July 2015; ADCMDP150013c(1)


  • Dr Sarah Jarvis, GP, GP trainer and medical broadcaster, London
  • Dr Ramzi Ajjan, Consultant Physician and Associate Professor of Diabetes and Endocrinology, Leeds Teaching Hospitals NHS Trust

  • Exam author
  • Dr Rob Brines, Medical Director, Bite Medical Consulting
  • Instructions

    This is an industry-supported activity provided by and a score of 100% is required to claim the 1.0 credits (60 minutes learning). This credit award is a recommendation based on completing the exam, reflecting on what has been learned and planning learning outcomes. Participants may claim less than the recommended value if less time has been spent learning.

    This activity is offered at no cost to participants. Please proceed with the activity until you have successfully answered all test questions, completed all sections and received your certificate. This will be saved as a PDF on within your Profile/Exam History, which you can then access at any time.


    Hardware and Software Requirements
    • A computer with an internet connection
    • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
    • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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