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Heart disease in diabetic patients is undertreated

BMJ 2004; 329 doi: (Published 11 November 2004) Cite this as: BMJ 2004;329:1124
  1. David Spurgeon
  1. Quebec

    Patients with type 2 diabetes and symptoms of atherosclerotic disease were systematically undertreated with drugs known to be effective in reducing the risk of cardiovascular disease and mortality, “perhaps because of a ‘glucocentric’ view of diabetes,” according to a study published in the journal of the Canadian Medical Association (CMAJ 2004;171:1189-92).

    Most deaths among diabetic patients are caused by cardiovascular disease, yet the study, of data on 12 106 patients in Canada with type 2 diabetes (mean age 64 years, 55% men, mean follow up period of five years), showed that less than 25% received an antiplatelet drug or a statin …

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