Re: 5 Tips for Avoiding Cardiovascular Disease

On Oct 9, 2:58 pm, Don Kirkman <dons...@xxxxxxxxxxx> wrote:
It seems to me I heard somewhere that Andrew B. Chung, MD/PhD wrote in
article
<404548c6-f472-436e-8945-9717cb67c...@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>:

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.  Risk is conditional
and scalar, avoidance is absolute and medically implausible in this
case.

It is also not the case that type-2 diabetes is caused *only*by VAT,
so that claim is inaccurate.

The inaccurate summary above avoids the five points actually made in
the article:

1>  Controlling LDL cholesterol can reduce heart risk.
2> Daily aspirin may be beneficial.
3> "Be physically active and maintain a healthy body weight.
There are many cardiovascular benefits of physical activity.  Try for
30 minutes of moderate exercise, like brisk walking, on most days."
4>Eat less fat, more fiber.
5>Don't smoke, stop if you are a smoker.http://www.joslin.org/managing_your_diabetes_4494.asp
--
Don Kirkman
dons...@xxxxxxxxxxx


There are quite a lot of publications indicating a correlation between
C2DM and T2D. One example is a Women’s Pooling Project indicating that
Diabetic subjects without cardiovascular disease have a fatal stroke
risk similar to that of nondiabetic subjects with a history of prior
stroke and similar risk factor profile. This suggests that diabetes
mellitus may be classified as a stroke risk equivalent and may warrant
more aggressive treatment strategies in the future prevention of
stroke. (source: http://stroke.ahajournals.org/cgi/content/abstract/34/12/2812)

However, going through some of these articles (which can be found by a
simple google search) shows that many studies have been performed
using older patients. I guess this corresponds to some systematically
error sources as the probability of C2DM and T2D is increasing with
age (also independently) and and a real correlation should be
difficult to prove.

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