Treatment guidelines for diabetes have become increasingly stringent as most research shows that more aggressive intervention reduces the risks for complications. Community data on the effect of these interventions are lacking.
Looker, H. C., Krakoff, J., Andre, V., Kobus, K., Nelson, R. G., Knowler, W. C., & Hanson, R. L. (2010). Secular trends in treatment and control of type 2 diabetes in an American Indian population: a 30-year longitudinal study. Diabetes Care, 33(11), 2383-9. https://doi.org/10.2337/dc10-0678