• SOURCE: Journal of the American Medical Association

Slated Version: Maintaining Tighter Blood Sugar Control Results In Lower Mortality For Type I Diabetics



Edited Package
B-ROLL Ralph sitting at desk preparing to test his blood sugar level RALPH DINNEEN WAS DIAGNOSED WITH TYPE I DIABETES MORE THAN 32 YEARS AGO. SOT/FULL Ralph Dinneen - Diabetes Patient Super@ :06 Runs:10 “When I became diabetic it was a very confusing moment in my life. You know, I was about 30 years old and it came out of nowhere at me.” B-ROLL Ralph connecting insulin pump, cu of finger with blood and testing stick Graphic, Ralph looking at blood sugar monitor, cu of monitor, various shots of technician putting blood vial in machine, blood going into machine to be tested, Graphic HE WEARS AN INSULIN PUMP AND TESTS HIS BLOOD SUGAR 5 TIMES A DAY. RALPH PARTICIPATED IN THE DIABETES CONTROL AND COMPLICATIONS TRIAL THAT STARTED IN THE MID-1980s. HALF THE PARTICIPANTS INCLUDING RALPH, WERE INSTRUCTED ON HOW TO MAINTAIN TIGHT CONTROL OF THEIR BLOOD SUGAR. THE OTHER HALF CONTROLLED THEIR SUGARS MORE LOOSELY. THIS WENT ON FOR NEARLY 7 YEARS. THE CURRENT STUDY WAS DESIGNED TO DETERMINE WHETHER THIS INTENSIVE BLOOD SUGAR CONTROL WOULD HELP REDUCE LONG-TERM COMPLICATIONS LIKE VISION LOSS, KIDNEY FAILURE, NERVE DAMAGE AND HEART DISEASE. SOT/FULL David M. Nathan, M.D., - Massachusetts General Hospital Super@:46 Runs:06 “Tighter blood sugar control reduced those complications by as much as 60 to 70 percent.” B-ROLL Dr. Nathan greets Ralph at his office door, both go into office, door closes, Dr. Nathan examining Ralph DR. DAVID NATHAN FROM MASSACHUSETTS GENERAL HOSPITAL AND CO-AUTHORS CONTINUED TO FOLLOW THESE PATIENTS AFTER THE STUDY ENDED IN 1993. THEY WANTED TO SEE WHETHER THOSE WHO MAINTAINED TIGHTER BLOOD SUGAR CONTROL EARLY ON ALSO REDUCED THEIR LONG-TERM RISK OF DEATH. SOT/FULL David M. Nathan, M.D., - Massachusetts General Hospital Super@1:07 Runs:13 “And it turns out that although the entire group is doing quite well, including those who were originally on conventional therapy, those with intensive therapy have a reduction in mortality by about 33 percent.” GXF FULL JAMA COVER THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION. David M. Nathan, M.D., - Massachusetts General Hospital Super@1:24 Runs:10 “People with Type I diabetes are not only doing better if they have intensive therapy but that their life span is probably approximating that in the non-diabetic population.” NATSO/FULL Runs:05 “…there is no thickening of the lens, no cataracts developing which is great…” B-ROLL Dr. Nathan examining Ralph RALPH SAYS HIS KIDNEY FUNCTION REMAINS NORMAL AND HOPES TO MAINTAIN HIS GOOD HEALTH DURING THE COMING YEARS. SOT/FULL Ralph Dinneen - Diabetes Patient Super@ 1:45 Runs:09 “To be able in 20 more years to look back and say wow, that’s amazing, I am now 85, this has been good and keep going.” B-ROLL Ralph on camera CATHERINE DOLF, THE JAMA REPORT.
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