Can Postchallenge Glucose, Fasting Glucose and A1c Predict T2DM?

Postchallenge Glucose, A1C, and Fasting Glucose as Predictors of Type 2 Diabetes and Cardiovascular Disease — Diabetes Care

RESULTS Incidence of diabetes during the follow-up was 17.1%. Two of three of the cases of newly diagnosed diabetes were predicted by a raise in ≥1 of the markers. Elevated A1C, IGT, or IFG preceded diabetes in 32.8, 40.6, and 21.9%, respectively. CVD was predicted by an intermediate and diabetic range of 2-h glucose but only by diabetic A1C levels in women.

CONCLUSIONS A1C predicted 10-year risk of type 2 diabetes at a range of A1C 5.7–6.4% but CVD only in women at A1C ≥6.5%.

Binge Drinking and HTN

Binge Drinking, Hypertension a Deadly Combo

The report is published in the Aug. 19 online edition of Stroke.

For the study, Ohrr’s team collected data on 6,100 men and women living in a farming community. The researchers followed these people for almost 21 years.

The participants were divided into four groups: nondrinkers, non-binge drinkers, moderate binge drinkers (defined as having six or more drinks on one occasion), and heavy binge drinkers (defined as having 12 or more drinks on one occasion).

Among the men with high blood pressure, 17.8 percent were moderate binge drinkers, and 3.9 percent were heavy binge drinkers (a percentage similar to the men with normal blood pressure). As for the women, there were too few who said they were binge drinkers to be able to draw conclusions, the researchers said.

Ohrr’s group found that compared with nondrinkers, the risk of stroke among men with high blood pressure was increased threefold. If these men drank six or more drinks at one time, their risk for stroke increased fourfold, and with 12 drinks or more, the risk rose 12-fold.

Lower T2DM Risk With Veggies

Medical News: Green Veggies Cut Diabetes Risk – in Endocrinology, Diabetes from MedPage Today

Increasing the daily intake of green leafy vegetables could significantly reduce the risk of type 2 diabetes, a British meta-analysis found.

Consuming 1.35 servings of these vegetables per day was associated with a 14% reduction in risk compared with consuming only 0.2 servings (HR 0.86, 95% CI 0.77 to 0.96, P=0.01), according to Patrice Carter, a PhD student at the University of Leicester, and colleagues.

Scary Chart of the Day – 08.19.10

Pretty ugly looking trend

QuickStats: Number of Poisoning Deaths* Involving Opioid Analgesics and Other Drugs or Substances — United States, 1999–2007

From 1999 to 2007, the number of U.S. poisoning deaths involving any opioid analgesic (e.g., oxycodone, methadone, or hydrocodone) more than tripled, from 4,041 to 14,459, or 36% of the 40,059 total poisoning deaths in 2007. In 1999, opioid analgesics were involved in 20% of the 19,741 poisoning deaths. During 1999–2007, the number of poisoning deaths involving specified drugs other than opioid analgesics increased from 9,262 to 12,790, and the number involving nonspecified drugs increased from 3,608 to 8,947.

Do You Know Dr. Dean Ornish? (you should)

Medical News: Ornish, Pritikin Cleared for Medicare Payment – in Cardiovascular, Prevention from MedPage Today

I’ve been a fan of Dr. Ornish for a long time.  His lifestyle focus to prevent and/or reverse atherosclerosis with diet, exercise, and stress reduction was clearly ahead of its time.  Medicare will now pay for the Ornish and Pritikin programs.  But am I the only one to realize that Medicare usually doesn’t start until age 65?  Time for private health insurance companies to step up to the plate on this issue.