Re: 5 Tips for Avoiding Cardiovascular Disease

It seems to me I heard somewhere that Andrew B. Chung, MD/PhD wrote in
article
<1f9d0d52-fa95-4ad1-9cef-d681bbcbd9f3@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>:

convicted neighbor Don Kirkman wrote:
Andrew, in the Holy Spirit, boldly wrote:
convicted neighbor Don Kirkman wrote:
Andrew, in the Holy Spirit, boldly wrote:
Kurt wrote:

http://www.joslin.org/managing_your_diabetes_4494.asp

Because type-2 diabetes (T2DM) is a "risk equivalent" for
cardiovascular disease (CVD), folks wanting to avoid CVD have a need
to avoid T2DM.

The latter is achieved by not overeating so as not to acquire VAT,
which is the root cause of T2DM.

Lowering risk is NOT equivalent to avoiding CVD.

However, having a "risk equivalent" for CVD is synonymous with having
CVD.

Only if the risk is 100%.

Incorrect.

T2DM is a "risk equivalent" for CVD because the risk of either heart
attack or stroke is the same as for someone who has already had either
a heart attack or stroke thereby establishing the diagnosis of CVD.

IOW, diagnosing someone with T2DM is essentially diagnosing them with
CVD.

Truth is simple.

[Quote]
The effect of diabetes on health is equivalent to ageing 15 years,
according to an article in this week's issue of The Lancet. Canadian
researchers found that people with diabetes fell into the high-risk
category for cardiovascular disease (CVD)* 15 years earlier than those
without diabetes.

People with diabetes are up to four times more likely to have CVD as
people without diabetes. In the past 5 years, increasing evidence has
emerged that lends support to the use of cardioprotective agents, such
as statins and aspirin, in patients with diabetes. However, the age at
which to start such treatment has been unclear.

To investigate, Gillian Booth (Institute for Clinical Evaluative
Sciences, Toronto, Ontario, Canada) and colleagues assessed the age at
which people with diabetes develop a high risk of CVD. They studied
the majority of the population of Ontario, Canada, which consisted of
379 000 people with diabetes and over 9 million without the disease.
The investigators recorded any cardiovascular events in this group
between April 1994 and March 2000. They found that diabetes led to
earlier CVD; diabetic men and women were about 15 years younger than
those without diabetes in the same risk category. For those who had a
heart attack, stroke, or died from any cause, the transition from
moderate to high risk of CVD took place at about age 48 years for men
with diabetes and 54 years for women with diabetes. When the
researchers included cardiovascular procedures (eg bypass surgery) in
the definition of CVD, this transition took place at age 41 years for
men with diabetes and 48 years for women with diabetes.

"Middle-aged and older people with diabetes seem on average to be at
high risk of CVD, thus aggressive risk-reduction strategies are
warranted for them. Appropriate thresholds for younger people with
diabetes are less clear. At least in the short term, many individuals
with diabetes who are younger than 40 years seem to have a low to
moderate absolute risk of CVD", comments Dr Booth. "Age should be
taken into account in targeting of risk reduction in people with
diabetes," she concludes.
[End]
http://news.bio-medicine.org/medicine-news-3/Diabetes-confers-health-risk-equivalent-to-ageing-15-years-4009-1/

This doesn't seem to be saying "IOW, diagnosing someone with T2DM is
essentially diagnosing them with CVD." What it seems to mean is that
a person with diabetes is at a level of risk for CVD 15 years earlier
than a person without diabetes would be at the same level. It clearly
distinguishes between the presence of diabetes and the presence of
CVD.

Bottom line
--
Don Kirkman
donsno2@xxxxxxxxxxx
.

Relevant Pages

  • Comparison of Usefulness of Body Mass Index Versus Metabolic Risk Factors in Predicting 10-Year
    ... Factors in Predicting 10-Year Risk of Cardiovascular Events in Women ... fDepartment of Epidemiology, UCLA School of Public Health, Los ... CVD, cancer, and diabetes at baseline in the Women's Health Study, all ...
    (sci.med.cardiology)
  • Re: Diabetes cuts 8 years off life
    ... Associations of Diabetes Mellitus With Total Life Expectancy and Life ... association of diabetes with life expectancy with and without CVD. ...
    (alt.support.diabetes)
  • Re: DiHydrogen Monoxide warning!
    ... your friend, it can be a nasty disease if we aren't careful, or even sometimes if we are. ... Retinopathy Occurs Sooner in Course of Diabetes Than ... Trials Show Tight Glucose Control Pays Dividends in CVD ... ADA's Chief Scientific and Medical Officer Richard Kahn, PhD, concurred. ...
    (alt.support.diabetes)
  • Re: Heart disease and type-2 diabetes are acquired by overeating.
    ... ""Among men and women who consulted primary care physicians, ... Bmi and wc in the ... cvd mentioned above. ... Low levels of physical activity is equally linked to diabetes. ...
    (sci.med.cardiology)
  • Re: Ontario-Studie
    ... Adults with diabetes are thought to have a high risk of cardiovascular ... disease, irrespective of their age. ... find out the age at which people with diabetes develop a high risk of CVD, ...
    (de.sci.medizin.diabetes)