Trial

Population

N

Intervention Target

Achieved Intervention

Findings in Intensive Care Group

Comments

DCCT

T1DM

1441

Intensive therapy targeting fasting and postprandial blood glucose vs. conventional therapy

HbA1c 7.3% vs. 9.1%

Decreased microvascular complications (including microalbuminuria, proteinuria, retinopathy, and neuropathy)

EDIC

T1DM

1375 patients that completed DCCT

Observational follow-up of DCCT with all getting intensive therapy

HbA1c 7.8% vs. 7.9%

Reduction in microalbuminuria and proteinuria

UKPDS

Newly Diagnosed T2DM

3867

Intensive therapy targeting a fasting blood glucose vs. conventional therapy

HbA1c 7% vs. 7.9%

Reduction in any diabetes-related end point in aggregate

Reduction not seen in kidney-specific events (microalbuminuria, proteinuria, or doubling of Scr)

ACCORD

T2DM and CV event history or risk

10,251

HbA1c < 6.0% vs. 7% - 7.9%

HbA1c 6.4% vs. 7.5%

Increased CV and total mortality

No benefit on kidney end points

ADVANCE

T2DM and CV event history or risk

11,140

HbA1c < 6.5% vs. routine care

HbA1c 6.3% vs. 7.0%

No benefit on CV outcomes; reduction in microvascular events

Albuminuria reduced by 21%

VADT

T2DM and poor BP control

1791

Reduction in HbA1c of 1.5% vs. routine care

HbA1c 6.9% vs. 8.4%

No benefit

No benefit on kidney end points