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Diabetes as Deadly as CHD

Chris Isles, MD, of Dumfries and Galloway Royal Infirmary, Scotland, and colleagues studied the risks of diabetes and CHD in a cohort of 7,052 men and 8,354 women age 45–64 years. Participants were screened first in 1972–1976 and then again 25 years later.

Investigators found the highest mortality among people with both diabetes and CHD, and the lowest mortality among people with neither. Participants with diabetes or CHD were in an intermediate-risk group. Men with diabetes were only 1.2 times more likely to have a vascular death than men with CHD. The risk for women was much higher, almost double with diabetes than with CHD.

In short, the authors conclude that diabetes should be considered a risk equivalent to CHD, particularly among women, and should be treated aggressively by clinicians.

Whiteley L, Padmanabhan S, Hole D, et al.: Should diabetes be considered a coronary heart disease risk equivalent? Results from 25 years of follow-up in the Renfrew and Paisley survey. Diabetes Care 28:1588–1593, 2005.[Abstract/Free Full Text]

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Services Email this article to a friend Similar articles in this journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Search for Related Content Social Bookmarking                What's this?