Additional Attention to Modifiable Risks Could Reduce CV Events in Diabetes

Share this content:
Additional Attention to Modifiable Risks Could Reduce CV Events in Diabetes
Additional Attention to Modifiable Risks Could Reduce CV Events in Diabetes

(HealthDay News) — For adults with diabetes, inadequately controlled risk factors account for a considerable proportion of cardiovascular (CV) events and death, according to a study published online in Diabetes Care.

Gabriela Vazquez-Benitez, PhD, from the HealthPartners Institute for Education and Research in Minneapolis, Minnesota, and colleagues examined the incidence of major CV hospitalization events and all-cause death among 859,617 adults with diabetes and with or without cardiovascular disease (CVD; 31% had CVD). 

The authors assessed the correlation between inadequately controlled risk factors (glycated hemoglobin, high LDL cholesterol, high blood pressure [BP], current smoking) and the incidence of major CV events.

The researchers found that per 100 person-years, event rates for adults with diabetes with CVD vs. without CVD were 6.0 vs. 1.7 for myocardial infarction (MI)/acute coronary syndrome, 5.3 vs.1.5 for stroke, 8.4 vs. 1.2 for heart failure, 18.1 vs. 4.0 for all CV events, and 23.5 vs. 5.0 for all-cause mortality. 

Inadequate risk factor control was associated with 11% and 3% of CV events and deaths, respectively, among those with CVD, and with 34% and 7%, respectively, among those without CVD.

"Additional attention to traditional cardiovascular risk factors could yield further substantive reductions in cardiovascular events and mortality in adults with diabetes," the researchers wrote.

Reference

  1. Vazquez-Benitez G et al. Diabetes Care. 2015;doi:10.2337/dc14-1877.
You must be a registered member of Endocrinology Advisor to post a comment.

Sign Up for Free e-Newsletters

CME Focus