Diabetes is not as fatal as coronary heart disease

Patients with type 2 diabetes are at lower risk of death from all causes, including cardiovascular disease, than patients with established coronary heart disease alone. This challenges the widely held view that patients with diabetes have as high a cardiovascular risk as patients with established coronary heart disease. On the basis of their cross sectional and cohort study, Evans and colleagues (p 939) advise that these results have important implications for clinical practice: "We should be cautious about basing treatment decisions on individual risk factors for cardiovascular disease in isolation."


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Relevant Article

Comparison of cardiovascular risk between patients with type 2 diabetes and those who had had a myocardial infarction: cross sectional and cohort studies
Josie M M Evans, Jixian Wang, and Andrew D Morris
BMJ 2002 324: 939. [Abstract] [Full Text] [PDF]

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