Diabetes: Difference between revisions

The most common cause of death in European diabetic adults is coronary artery disease (''CAD''). Studies have demonstrated that the risk is two to three times higher than that among people without diabetes.<cite>30</cite> The prevalence of coronary artery disease in patients with type 1 or 2 diabetes are widely different.<cite>31</cite><cite>32</cite> In the ''EURODIAB IDDM'' Complication Study which involved 3250 type 1 diabetic patients from 16 countries, the prevalence of cardiovascular disease was 9% in men and 10% in women; and it is increasing with age that it is 6% in the age group of 15–29 years and 25% in the age group of 45–59 years.  In men, duration of diabetes was longer, waist-to-hip ratio greater, and hypertension more common in patients with cardiovascular disease, while in women, a greater body mass index was associated with increased prevalence of cardiovascular disease. The risk of coronary artery disease in type 1 diabetic patients increases dramatically when they have the onset of diabetic nephropathy.  

Diabetic men and women had comparable mortality rates, whereas coronary mortality among men was significantly higher.<cite>33</cite> Further evidences of the important relations between diabetes and myocardial infarction were obtained from the INTERHEART study in Canada. Diabetes increased the risk of myocardial infarction by more than two times in men and women, and independent of ethnicity. And thus a history of diabetes and myocardial infarction increased cardiovascular disease and mortality markedly. Diabetes or hyperglycemia itself and its complications are very important for the increased risk for coronary artery disease and related mortality.