Diabetic women at a higher risk of dying

A recent cohort study using NHANES I,II, and III data has unearthed
what seems to be a very disturbing trend for diabetic women. To be
published in the August 7th issue of the Annals of Internal Medicine.

The researchers looked at data from 3 different national surveys
(about 20000 people) that took place in 1971 -1974, 1976 - 1980 and
1988 - 1994. They asked people whether they had diabetes or not and
then followed them for up to 12 yrs to see who was still living and
who had died. They also looked at causes of death and compared data
from all groups.

They found that overall death rates among the general population (with
and without diabetes) had decreased by about 42% from 1971 to 2000.
Death from heart disease decreased at a similar rate. Men with
diabetes experienced a drop in death rate from all causes and from
heart disease similar to the general population.

For diabetic women, however, the death rate DOUBLED from 1971 to 2000,
when compared to nondiabetic women! Death from heart disease did not
change significantly (as opposed to the significant decrease in
everyone else).

Now, we have to figure out the real reason for this trend.

Regardless of the limitations of this cohort study, the difference in
trends is alarming, IMO.

Probable causes:

- Diabetic women are less likely to receive appropriate care (as
suggested by an analysis of HEDIS data from 2005--this analysis
suggests that physicians do a poor job modifying cardiovascular risk
in women)
- Hormones? Much can be speculated.
-What else?

Some food for thought, especially for the women in the group.

.

Relevant Pages

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    ... Death from heart disease decreased at a similar rate. ... For diabetic women, however, the death rate DOUBLED from 1971 to 2000, ... change significantly (as opposed to the significant decrease in ... we have to figure out the real reason for this trend. ...
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  • Re: Diabetic women at a higher risk of dying
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