Additional Attention to Modifiable Risks in DM Could Benefit Greatly

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Additional Attention to Modifiable Risks in DM Could Benefit Greatly
Additional Attention to Modifiable Risks in DM Could Benefit Greatly

WEDNESDAY, April 8, 2015 (HealthDay News) -- For adults with diabetes, inadequately controlled risk factors account for a considerable proportion of cardiovascular events and death, according to a study published online in Diabetes Care.

Gabriela Vazquez-Benitez, Ph.D., from the HealthPartners Institute for Education and Research in Minneapolis, Minn., and colleagues examined the incidence of major cardiovascular hospitalization events and all-cause death among 859,617 adults with diabetes and with or without cardiovascular disease (CVD; 31 percent had CVD). The authors assessed the correlation between inadequately controlled risk factors (glycated hemoglobin, high low-density lipoprotein cholesterol, high blood pressure, current smoking) and the incidence of major cardiovascular events.

The researchers found that per 100 person-years, event rates for adults with diabetes with CVD versus without CVD were 6.0 versus 1.7 for myocardial infarction/acute coronary syndrome, 5.3 versus 1.5 for stroke, 8.4 versus 1.2 for heart failure, 18.1 versus 4.0 for all cardiovascular events, and 23.5 versus 5.0 for all-cause mortality. Inadequate risk factor control was associated with 11 and 3 percent of cardiovascular events and deaths, respectively, among those with CVD, and with 34 and 7 percent, respectively, among those without CVD.

"Additional attention to traditional cardiovascular risk factors could yield further substantive reductions in cardiovascular events and mortality in adults with diabetes," the authors write.

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