DOC News March 1, 2005
Volume 2 Number 3 p. 14
© 2005 American Diabetes Association
Cardiovascular Complications of Diabetes
Although mortality from cardiovascular disease (CVD) among people with type
2 diabetes has dropped significantly in recent years, people with type 2
diabetes are still at greater risk than their nondiabetic cohorts, according
to a recent report in JAMA.
A group of researchers analyzed two sets of subjects in the Framingham
Heart Study to see whether there have been changes in cardiovascular
complications related to diabetes over a period of years. An
"earlier" group of 4,118 participants (113 with diabetes) were
initially examined between 1950 and 1966, and a "later" group of
4,063 participants (317 with diabetes) were examined between 1977 and
1996.
The incidence of CVD among those with and without diabetes was compared
between the earlier and later groups, measuring rates of myocardial
infarction, coronary heart disease death, and stroke. Participants with
diabetes tended to be older, have higher blood pressure, and be obese.
Investigators found a 50% reduction in the incidence of CVD among people
with diabetes. However, the risk of CVD is still twice as great as for those
without diabetes. Although people with diabetes have benefited from overall
improvements in medical care, they continue to need intensive management to
reduce the excess risk from CVD, the authors conclude.
Fox CS, Coady S, Sorlie PD, et al.: Trends in
cardiovascular complications of diabetes. JAMA 292: 24952499, 2004.[Abstract/Free Full Text]

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