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kebaldwin
Mon, Aug-20-07, 05:07
Death from heart disease twice as likely for diabetics

August 20, 2007

DIABETES
To better understand the link between heart disease and diabetes, researchers at Brigham and Women's Hospital examined the death rates of more than 60,000 heart disease patients who had a cardiac event such as a heart attack. Researchers found that those patients who also had diabetes were twice as likely to die in the first 30 days after the heart event than those without diabetes. In addition, at one year, a person with diabetes who had a less serious cardiac event was as likely to be dead as a person without diabetes who had a more severe cardiac event. "We need to focus on establishing better treatments for diabetes to lower the risks of death following heart disease," said senior author Dr. Elliott Antman, director of the Samuel A. Levine Cardiac Unit at the Brigham.

BOTTOM LINE: Since diabetics are at higher risk of death from heart disease than non-diabetics, doctors need to aggressively identify and reduce risk factors for diabetics.

CAUTIONS: The study did not account for control of diabetes -- for example, some patients may have had diabetes that was being tightly managed, whereas other patients may not have had their sugars appropriately controlled -- which may have affected the outcome of the study.

WHAT'S NEXT: A trial to test whether tight management of diabetes decreases the death rate from heart disease is needed.

WHERE TO FIND IT: Journal of the American Medical Association, Aug. 15

SUSHRUT JANGI

http://www.boston.com/news/globe/health_science/articles/2007/08/20/death_from_heart_disease_twice_as_likely_for_diabetics/

kebaldwin
Mon, Aug-20-07, 05:08
I bet if they look at the others with heart attacks (that are not clinically diagnosed with diabetes) - most of them could be classified as pre type 2 diabetes / syndrome x / metabolic syndrome

ReginaW
Mon, Aug-20-07, 08:15
I bet if they look at the others with heart attacks (that are not clinically diagnosed with diabetes) - most of them could be classified as pre type 2 diabetes / syndrome x / metabolic syndrome

Exactly! But that would mean actually looking at glycemic control and insulin values, and then taking the necessary step to identify the underlying reason for it being too high - carbohydrate. Oooops, there's a reason to look only so far at the data and no more.

Kristine
Mon, Aug-20-07, 08:25
They've got my mom on statins now, even though her lipid profile was fine, because she's diabetic. It drives me up the wall.

I think we need to split this forum into "good news" and "bad news", because I was in a good mood before I read this. :daze:

renegadiab
Wed, Aug-22-07, 07:24
CAUTIONS: The study did not account for control of diabetes -- for example, some patients may have had diabetes that was being tightly managed, whereas other patients may not have had their sugars appropriately controlled -- which may have affected the outcome of the study.

WHAT'S NEXT: A trial to test whether tight management of diabetes decreases the death rate from heart disease is needed.


Given what the medical establishment considers "tight control," I don't know how much good that will do. Rather than specifying levels of normal, non-diabetics, they say it's okay to have blood sugar in the "pre-diabetic" and even "diabetic" ranges. They need to look at the effects of true normalization, via low carb as Regina points out.

Kristine, this kind of stuff gets my dander up too. They are so fixated on cholesterol that they miss other factors for heart disease, especially those in diabetics. The medical establishement is more concerned with getting LDL cholesterol under 100 mg/dl than with getting blood sugar under 100, but I think the latter is more imporatant for heart health. Statins provide no benefit for women & the elderly and only a small benefit for middle aged men with existing CVD & diabetics. I don't think the benefit is worth the potential side effects. Dr. Mike Eads has a couple of good posts on the subject.

http://www.proteinpower.com/drmike/?p=678

http://www.proteinpower.com/drmike/?p=510

gryfonclaw
Wed, Aug-22-07, 09:43
Also, don't forget smoking. My mom is a Type 1 and she is addicted again ARGH :mad: :help: