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DOC News    January 1, 2005
Volume 2 Number 1 p. 22
© 2005 American Diabetes Association

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CVD Risk Factors Predict Type 2 Diabetes

A number of studies show the presence of increased cardiovascular risk factors before the onset of diabetes. It's possible that high cholesterol and high blood pressure, in addition to obesity and cigarette smoking, may lead to not only increased cardiovascular disease (CVD), but also increased risk for type 2 diabetes.

Researchers in the U.S. and Finland collaborated to determine whether CVD risk factors predicted development of diabetes after controlling for insulin resistance, obesity, and other variables. Researchers studied 872 participants with normal or impaired glucose tolerance who were enrolled in the Insulin Resistance Atherosclerosis Study. One hundred forty-three subjects (16%) developed diabetes in 5 years.

Results of the study showed that significant risk factors for developing type 2 diabetes included high plasminogen activator inhibitor-1, high blood pressure, high triglycerides, low levels of HDL cholesterol, and impaired glucose tolerance. Each additional risk factor more than doubled the risk of type 2 diabetes.

Agostino RB, Hamman RF, Karter AJ, Mykkanen L, Wagenknecht LE, Haffner SM: Cardiovascular disease risk factors predict the development of type 2 diabetes. Diabetes Care 27: 2234–2240, 2004.[Abstract/Free Full Text]


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