Re: Diabetic women at a higher risk of dying

glass318 <glass318@xxxxxxxxx> wrote:
: On Jul 30, 9:45 pm, Alice Faber <afa...@xxxxxxxxx> wrote:
: > In article <1185849352.988728.74...@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>,
: >
: >
: >
: >
: >
: > glass318 <glass...@xxxxxxxxx> wrote:
: > > On Jul 30, 9:18 pm, "johnniemccoy@" <johnniemc...@xxxxxxxxxxxxxxxxx>
: > > wrote:
: > > > "glass318" <glass...@xxxxxxxxx> wrote in message
: >
: > > >news:1185847441.858160.47050@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
: >
: > > > >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.
: >
: > > > Thanks for the article. I especially liked the part where you said, "My
: > > > mission is simple. Help answer questions about Diabetes and share
: > > > experiences. Hope this little pep talk sparks something in you that will
: > > > push you towards the lifestyle modification needed to control this disease."
: >
: > > > Please, I've asked you 4 times how we can get your book. I've got the money,
: > > > really.
: >
: > > > John- Hide quoted text -
: >
: > > > - Show quoted text -
: >
: > > Any ideas about this health disparity? Why are diabetic women being
: > > left behind?
: >
: > Don't you have to factor out the effects of women being undertreated for
: > heart disease, perhaps because of the bias that pre-menopausal women
: > don't have heart attacks? If this is true, in general, there's no reason
: > to think it wouldn't be true of diabetic women as well.
: >
: > --
: > AF
: > "Non Sequitur U has a really, really lousy debate team."
: > --artyw raises the bar on rec.sport.baseball- Hide quoted text -
: >
: > - Show quoted text -

: They compared diabetic versus nondiabetic women. The death rate
: doubled in diabetics when you compare the two groups. That removes the
: potentially confounding effects of the overall undertreatment of heart
: disease and other gender-related issues.

: So, regardless of what happens to women across the board, diabetic
: women are doing even worse.

No necessarily. If diabetics in general, are more at risk fo rCVD, heart
attacks and strokes than non-diabetics, if the women are given less
cardio/stoke preventive care there will be more deaths from the highly
suseptible diabetic women than among the less susseptible non-diabetic
women, exacerbaiting the difference.

Wendy
.

Relevant Pages

  • Re: My stress test and a thank you!
    ... I have heart disease concerns. ... As should all diabetics ... John, I am constantly changing my appontments to fit my "feelings." ... My doctor told me this!!!!!! ...
    (alt.support.diabetes)
  • Re: Addiing a little spice to your lives
    ... What is worth researching if one accepts that avoiding ... I suffer from a condition called vascular spasm. ... the second is a major cause of sudden heart death. ... It is common in diabetics, and while I did know that diabetics have 4 times ...
    (alt.support.diabetes)
  • dRe: Article: 36% of heart attacks are in diabetics!
    ... Whichever way you look at it - it's wise for diabetics to ... heart attack risk varies directly with A1c, ... pay attention to saturated fat. ... definitions of moderation. ...
    (alt.support.diabetes)
  • HRe: Higher blood sugar better for patients with advanced heart failure?
    ... >> blood sugar levels under control, ... >> healthy diabetics, elevated hemoglobin A1c ... >> improved outcomes in patients with heart fail- ... lying, and the guilt-tripping, and the failure of society ...
    (alt.support.diabetes)
  • Re: Higher blood sugar better for patients with advanced heart failure?
    ... Some diabetic meds do not ... >>increased risk of heart attack. ... Casting dispersions on diabetics. ... Oh yeah, I guess what I'm saying, and this ...
    (alt.support.diabetes)