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Diabetes

Steno-2 — a small study with a big heart

In the Steno-2 trial, 160 individuals with type 2 diabetes mellitus, mostly in their 50s, were randomly assigned to multifactorial interventions or conventional care. Whereas microvascular and macrovascular complications were reduced during the 7.8 years of the trial period with intensive therapy, the observational follow-up data at 13.3 years and, now, 21 years demonstrate a benefit on mortality.

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Figure 1: Forest plot of intervention trials exclusively performed in individuals with diabetes mellitus.

References

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Correspondence to Bernard Zinman.

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Competing interests

H.B. has received consultancy fees or honoraria from Abbott, Amgen, AstraZeneca, Boehringer Ingelheim, Eli Lilly, Janssen, Merck, Novo Nordisk, Sanofi-Aventis and Valeant, and grant support from Abbott, Astra Zeneca, Eli Lilly, Genkyotex, Merck, Novo Nordisk, Pfizer, Sanofi-Aventis and Valeant. B.Z. has received consultancy fees or honoraria from AstraZeneca, Boehringer Ingelheim, Eli Lilly, Janssen, Merck, Novo Nordisk, Sanofi and Takeda, and grant support from Astra Zeneca, Boehringer Ingelheim and Novo Nordisk.

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Bajaj, H., Zinman, B. Steno-2 — a small study with a big heart. Nat Rev Endocrinol 12, 692–694 (2016). https://doi.org/10.1038/nrendo.2016.172

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