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DOC News    March 1, 2005
Volume 2 Number 3 p. 14
© 2005 American Diabetes Association

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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: 2495–2499, 2004.[Abstract/Free Full Text]


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