Болезнь должна быть нормальной

Болезнь, как и здоровье, в философском измерении суть одна из категорий меры. Значит, как и здоровье, по определению должна иметь свои нормы. Эти нормы (далеко) не всегда совпадают с нормами здорового человека. И если показатели больного загонять в нормы показателей здорового, может случиться беда.

Очередной раз беда пришла в клиническом испытании ACCORD (Action to Control Cardiovascular Risk in Diabetes). В нем проверялась гипотеза, что снижение гликозилированного гемоглобина у больных сахарным диабетом 2 типа до нормального (для здоровых!)) уровня ниже 6,0% будет предотвращать развитие сердечно-сосудистых осложнений. Оказалось, что смерность возросла, и исследование в этой части прекратилось.

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