Diabetes: The Landmark Trials

The trials that defined modern diabetes care — glycaemic control, complications, the intensive-control safety debate, blood pressure, and prevention — each in PICO format.

Modern diabetes practice rests on a handful of trials that defined how we target glucose, blood pressure, and risk. This page maps them for quick clinical reference. Each link opens a concise PICO summary with expert commentary.

Glycaemic control & complications

  • DCCT — intensive insulin in type 1 diabetes; the foundational microvascular evidence.
  • EDIC — metabolic memory: durable benefit decades later.
  • UKPDS 33 — intensive glucose control in newly diagnosed type 2 diabetes.
  • UKPDS 34 — metformin: the evidence that made it first-line.

How low to go: the intensive-control safety debate

  • ACCORD — harm from targeting HbA1c <6.0% in high-risk patients.
  • ADVANCE — nephropathy benefit without the mortality signal.
  • VADT — completing the ACCORD/ADVANCE/VADT picture.

Blood pressure & multifactorial risk

  • UKPDS 38 — tight blood-pressure control.
  • Steno-2 — treating every risk factor at once.

Prevention

Browse every summary

Explore the full archives:
Type 2 Diabetes ·
Type 1 Diabetes ·
Prevention ·
Glycaemic Control

Hormone Insight summaries are reviewed by a practicing endocrinologist and are for healthcare professionals. They summarise published evidence and do not constitute medical advice. See our Editorial Guidelines.

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