RT Journal
A1 Zaidi S
T1 Treatment of type 2 diabetes: One extreme to another
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2009
FD July 13
VO 169
IS 13
SP 1241
OP 1247
DO 10.1001/archinternmed.2009.186
UL http://dx.doi.org/10.1001/archinternmed.2009.186
AB 
In his article, Dr Havas1 recommends to ignore hyperglycemia in patients with type 2 diabetes mellitus until it becomes symptomatic, and even then he allows the use of metformin only, in addition to diet and exercise. I strongly disagree with his recommendations. I would like to ask Dr Havas if he would prescribe any medicine if a patient has a fasting blood glucose level between 250 and 300 mg/dL (to convert to millimoles per liter, multiply by 0.0555) while following a regimen of diet, exercise, and metformin therapy but is asymptomatic? Roughly what percentage of his patients with diabetes adhere to weight loss and exercise? For how long has he put his strategy into practice, and what kind of results is he seeing on the complications of diabetes in his patients?