Re: Lower Glucose Level Increases Death Rate!
- From: Jefferson <fwroy@xxxxxxxxxxxxxxxxxxxx>
- Date: Fri, 08 Feb 2008 10:17:55 -0500
Jeff wrote:
This is a different study published last week: http://content.nejm.org/cgi/content/abstract/358/6/580
In the ACCORD study, the patients were different (long standing diabetes and high risk for cardiovascular disease) and only one thing control (blood glucose). http://www.nhlbi.nih.gov/health/prof/heart/other/accord/index.htm
ACCORD stands for Action to Control Cardiovascular Risk in Diabetes.
The following excerpt from the ACCORD TELEBRIEFING PREPARED REMARKS
WEDNESDAY, FEBRUARY 6, 2008 together with the first link given by Jeff above sheds a lot of light on this topic and also supports Wendy's comments.
http://www.nhlbi.nih.gov/health/prof/heart/other/accord/remarks.pdf
"All 10,251 participants had type 2 diabetes on average for 10 years, when they enrolled in the study. In addition, ACCORD participants had blood sugar levels that were higher than most type 2 diabetes patients in the U.S. today, that is, on entry, their A1C levels were about 8.2 percent. To be eligible for the study, participants also had known heart disease or at least two risk factors, in addition to diabetes, including high blood pressure, high cholesterol levels, obesity, and smoking. In other words, they had diabetes plus other risk factors which place them at even higher risk for heart disease than if they just had diabetes alone. In this population of individuals with type 2 diabetes at especially high risk for heart disease, it has been observed that the risk of death is approximately 50 deaths per 1000 individuals per year
(about 5 percent per year)."
In essence there is no reason for well controlled type 2 DMs to forego joining or maintaining their membership in the 5% club.
Frank
.
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