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Preventing Heart Disease in People With Diabetes

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Gregory Santulli

It’s well known that having diabetes unfortunately puts a person at a greater risk of heart trouble. The problem has been that physicians with diabetespatients tend to concentrate primarily, if not solely, on blood sugar control. This can leave those patients at risk of heart attack or stroke. But that might change, based on a new study published in the Journal of General Internal Medicine.

The authors of the study reviewed the results of four clinical trials published in The New England Journal of Medicine over the past two years. The trials specifically studied people who had diabetes or who were at risk of diabetes and who had suffered a heart attack or a stroke.
 
 
This finding led the authors of the study to speculate that it was the “newer agents” found in the drugs that made the difference. According to Faramarz Ismail-Beigi, MD, one of the authors of the new review paper, this finding might necessitate a “paradigm shift” in the treatment of Type 2 diabetes.
 
As he put it, “We propose that we must shift from our previous paradigm with its monocular focus on control of blood glucose and hemoglobin A1C, to one of control of blood glucose plus preventing cardiovascular disease and death from cardiovascular causes.”
 
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Gregory Santulli
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