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Diabetes Adds 15 Years

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Colleagues, the following is FYI and does not necessarily reflect my own

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Reported June 30, 2006

Diabetes Adds 15 Years

http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=14016

(Ivanhoe Newswire) -- People with diabetes can expect to develop

cardiovascular disease about 15 years sooner than people without the

condition.

That's the key finding from Canadian researchers who studied a large

population of people in Ontario, assessing heart disease risks among

those with and without diabetes. Among those who had heart attacks or

strokes, or who died from any cause, men with diabetes entered the high

risk category at about age 48. Women were about 54. When researchers

looked at outcomes for people who also required cardiovascular

procedures such as bypass surgery or revascularization, the high-risk

ages dropped to about 41 for men and 48 for women.

The investigators believe these results suggest cardiovascular risk

factors should be treated more aggressively in diabetic patients in

their 40s, noting statins to lower cholesterol, aspirin therapy, and

ACE-inhibitors may confer some benefit. However, treatment in younger

diabetic patients, who did not appear to be at increased risk for heart

disease in this study, requires additional evaluation.

" Diabetes confers an equivalent risk to aging 15 years, " write the

authors. " Age should be taken into account in targeting of risk

reduction in people with diabetes. "

People with diabetes are about four-times more likely than those without

the condition to suffer from cardiovascular disease, and cardiovascular

disease accounts for much of the increased mortality seen in the

diabetic population.

This article was reported by Ivanhoe.com, who offers Medical Alerts by

e-mail every day of the week. To subscribe, go to:

http://www.ivanhoe.com/newsalert/.

SOURCE: The Lancet, 2006;368:29-36

--

ne Holden, MS, RD < fivestar@... >

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