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Glycemic Control dysglycemia is Often conceived of as a vasculopathic process. Preclinical ath- erosclerosis and epidemiological studies Generally support this relationship. Clin- ical trial of data from the DCCT supplied de fi nitive fi ndings strongly in favor of bene fi cial effects of better glycemic con- trol on CVD outcomes. Glycemia is associated with preclini- cal atherosclerosis in studies that in- clude tests of endothelial function, arterial stiffness, CIMT, autonomic neuropathies ropathy, and left ventricular (LV) func- tion in T1DM (16,39,126-132). The extent of atherosclerosis by intravascu- lar ultrasound Also correlated with HbA1c over 18 years of follow-up in the Oslo Study; a 1% Increase in mean HbA1c was associated with a 6.4% Increase in coronary vessel stenosis (78). Intensive diabetes therapy has been shown to Prevent the Increase in resting heart rate charac- teristic of Patients with T1DM (133), and autonomic function was signi fi cantly
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