Association of Clinical Symptomatic Hypoglycemia With Cardiovascular Events and Total Mortality in Type 2 Diabetes

CONCLUSIONS: Symptomatic hypoglycemia, whether clinically mild or severe, is associated with an increased risk of cardiovascular events, all-cause hospitalization, and all-cause mortality. More attention may be needed for diabetic patients with hypoglycemic episodes.

via Association of Clinical Symptomatic Hypoglycemia With Cardiovascular Events and Total Mortality in Type 2 Diabetes.

Watch those hypoglycemic episodes in applicants with T2DM.

Association Between BMI Measured Within a Year After Diagnosis of Type 2 Diabetes and Mortality

CONCLUSIONS: Patients categorized as normal weight or obese with T2DM within a year of diagnosis of T2DM exhibit variably higher mortality outcomes compared with the overweight group, confirming a U-shaped association of BMI with mortality. Whether weight loss interventions reduce mortality in all T2DM patients requires study.

via Association Between BMI Measured Within a Year After Diagnosis of Type 2 Diabetes and Mortality.

Could we have another U shaped mortality curve?  Watch that BMI.

Teaching Prediabetes an Uphill Battle

The study shows that in 2010, one in three adults age 20 and older (an estimated 79 million people) had prediabetes. In that condition, a person’s blood sugar level is higher than normal but is not high enough for a diabetes diagnosis, the CDC said.

Of those adults with prediabetes, only 11% were aware that they had the condition. Although that figure marks a slight improvement from 2005-06, when 7% of people reported knowing they had prediabetes, awareness of the condition is too low, researchers said.

People with prediabetes are more likely to develop type 2 diabetes than those without the condition, according to the American Diabetes Assn. If action is taken early, however, risk of type 2 diabetes can be significantly reduced by losing weight and exercising moderately, the ADA said.

via Teaching adults about prediabetes an uphill battle – amednews.com.

Eat less. Move more. Good luck.

PTSD Ups Risk for Developing CVD, DM

Patients diagnosed with post-traumatic stress disorder are more likely to develop insulin resistance and metabolic syndrome compared with those that are not diagnosed with the disorder, increasing their risk for developing cardiovascular disease or diabetes.

Ebrahimi and colleagues utilized VA electronic medical data to identify the incidence of insulin resistance (defined as triglyceride over HDL cholesterol ratio ≥3.8) and metabolic syndrome in 207,954 patients (mean age 60 years; 14.93% men).

via Patients with PTSD at risk for developing CVD, diabetes | Endocrinology.

Kidney Disease and Increased Mortality Risk in Type 2 Diabetes

Among individuals with both diabetes and kidney disease, standardized mortality was 31.1% (95% CI, 24.7%–37.5%), representing an absolute risk difference with the reference group of 23.4% (95% CI, 17.0%–29.9%), adjusted for demographics, and 23.4% (95% CI, 17.2%–29.6%) when further adjusted. We observed similar patterns for cardiovascular and noncardiovascular mortality. In conclusion, those with kidney disease predominantly account for the increased mortality observed in type 2 diabetes.

via Kidney Disease and Increased Mortality Risk in Type 2 Diabetes.