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A new study comes to support the idea that diabetics have
high chances of dying because of heart disease or a stroke even after receiving
aggressive treatment for lowering their blood-sugar kevels.
The study by the Department of Veterans Affairs was
presented Sunday in San Francisco
at the annual meeting of the American Diabetes Association. It follows two
other studies on the same issue, which were presented Friday at the same
meeting and were published online by the New England Journal of Medicine.
It is well known that patients with type 2 diabetes have
high levels of blood sugar. That’s why many scientists thought that getting their
blood sugar as close to normal, their cardiovascular disease rate would be
nearly normal as well. Unfortunately, the results of these three studies failed
to meet expectations.
The VA Diabetes Trial shows that hypoglycemia must be
avoided in diabetics’ case, as it can lead to heart attack, stroke and death. More
specific, the study found that patients who had become severely hypoglycemic in
the previous three months were two or three time more likely to suffer a heart
attack, stroke or death, the lead author of the study William Duckworth,
director of research at the VA Medical Center in Phoenix said.
The previous trials involving more than 20,000 Type 2
diabetes patients had the same result. In fact, one of them, called the ACCORD
study, was halted in February because it found that very tightly controlled
blood sugar levels were linked to a higher death rate.
The second study called ADVANCE didn’t find a similar danger
among patients who lowered their glucose levels. However, the scientists found
a 21 percent decrease in kidney problems in patients whose blood sugar was
aggressively lowered to normal values.
In conclusion, all three studies failed to confirm a
long-sustained hypothesis according to which Type 2 diabetes patients could be
protected from cardiovascular disease if they strictly controlled their blood
sugar. Cardiovascular disease accounts for 65 percent of deaths among people
suffering from this disease.
Diabetes is
caused by the body’s inability to use or produce the hormone insulin. The
disease can lead to heart disease, kidney failure, blindness and amputations,
being the sixth-leading cause of death in the U.S. According to the U.S. Centers
for Disease Control and Prevention, nearly 21 million Americans have diabetes,
most patients having Type 2 diabetes which occurs mainly in adults age 40 and
older who are overweight.
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