Re: Diabetic women at a higher risk of dying

Hi Gys, Ted, Glass, Others:
"glass318" <glass318@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".

Gys replied to Glass:

Here is my comment on your link:

(Very elaborate)

I must read the whole experiment (See above "Science" for why) so the next time you post a link it would be very helpful to post a direct link to the Database where I can find it.Please post a full reference to the article or ,even better, a Pubmed link.

Some good general points to all posters so others can more easily access their sources.

Not so incidentally, a very good response Gys.

Next I posted an abstract of an editorial by Nanette K. Wenger, MD .She is an expert in the field so the best answer comes from her(See above "Science" for why).I think she comes up with more than one very plausible explanation.

I agree!


Next ,as a service to the people who want to find out for themselves ,I posted the abstract in the Pubmed Database(See above "Science" for why).

Next here is my personal contribution :
when I had red the whole article (See above "Science" for why) it struck me that the number of not white women had increased so much :

From Table 1 on page 3
Not White people with Diabetes (%)

NHANES I NHANES II NHANES III

Men 11.9 15.5 21.4
Women 14.7 17.2 33.9


About the only aspect that you didn't cover was covered by Ted (who I seem to recall was an insurance actuary) when he mentioned that the mortality rate for women with cancer as a cause of death declined significantly which means more women were living that could possibly succumb to some other cause of death. Adjustment for various other risk factors often account for differences in the undifferentiated higher level statistical aggregates. Ethnic differences are also significant when complications from diabetes are considered. Non-white is a category that could be quite diverse and has changed due to immigration - this is where the duration of follow-up in NHAMES studies was important for eliminating that kind of bias.

(Big snip for brevity)

Frank
.

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