Saturday, February 24, 2018

Study: Diabetic heart attacks and strokes declining

NEW YORK — In the midst of the diabetes epidemic, a glimmer of good news: Heart attacks, strokes and other complications from the disease are plummeting.

Over the past two decades, the rates of heart attacks and strokes among diabetics fell by more than 60 percent, a new federal study shows. The research also confirms earlier reports of drastic declines in diabetes-related kidney failure and amputations.

The drop is mainly attributed to better screening, medicines and care. The improvements came even as the number of U.S. adults with diabetes more than tripled in those 20 years.

"It is great news," said Dr. John Buse, a University of North Carolina diabetes specialist, of the drop in rates.

"The prognosis for folks with diabetes has improved dramatically over the last two decades, at least for those with good access to care," Buse said in an email. He was not involved in the study.

The research by the Centers for Disease Control and Prevention is reported in today's New England Journal of Medicine.

Diabetes is a disease in which sugar builds up in the blood. The most common form is tied to obesity, and the number of diabetics has ballooned with the rise in obesity. Today, roughly 1 in 10 U.S. adults has the disease, and it is the nation's seventh leading cause of death, according to the CDC.

The obese are already at higher risk for heart attacks and strokes. But diabetics seem to have more narrowing of their blood vessels — a condition that can further foster those problems.

In the 1990s, key studies showed that diabetics could keep their blood sugar, blood pressure and cholesterol under control. The research suggested that vision and heart problems, leg and foot amputations and other diabetes complications were not necessarily inevitable.

Meanwhile, insurance programs expanded coverage of blood sugar monitors and diabetes treatment. Gradually, larger numbers of diabetics were diagnosed earlier and with milder forms of the disease.

For the new study, the CDC tallied complication rates from 1990 to 2010 for diabetics age 20 and older.

During that time, the heart attack rate fell 68 percent, according to hospital records.

The decline was so great that, despite the growing ranks of diabetics, the actual number hospitalized with heart attacks dropped from more than 140,000 to about 136,000.

The stroke rate fell less dramatically — but still declined by more than half, finishing at 53 per 10,000. The heart attack and stroke rates for diabetics are essentially even now, lead author Edward Gregg noted.

The researchers saw declines in hearts attack and stroke rates for nondiabetics as well, but those improvements weren't nearly as big as they were for diabetics.

Amputation rates also fell by more than half. However, as with strokes, the actual number increased over the two decades.

The growth in the number of diabetics "wiped out most of the gains" from the declining rates, so the number who ended up in the hospital for strokes or amputations swelled, said Dr. Robert Gabbay of Boston's Joslin Diabetes Center.

Comments
Damascus suburb strikes kill scores, UN votes for cease-fire

Damascus suburb strikes kill scores, UN votes for cease-fire

Syrian opposition activists are reporting a new wave of airstrikes and shelling on eastern suburbs of the capital Damascus leaving 22 people dead as the U.N. Security Council unanimously approves a resolution demanding a 30-day cease-fire across Syria
Updated: 2 minutes ago

AP Top News at 11:29 p.m. EST

AP Top News at 11:29 p.m. EST
Updated: 3 minutes ago
Lightning sweeps trip, looks ahead to deadline

Lightning sweeps trip, looks ahead to deadline

MONTREAL – There's no guarantee GM Steve Yzerman will be able to pull off a big move by Monday's trade deadline, though indications are the the Lightning and Senators are working hard on a potential Erik Karlsson blockbuster.The Lightning's 4-3...
Updated: 21 minutes ago

Tulane avenges USF’s only conference win

TAMPA — Samir Sehic had 17 points and seven rebounds off the bench and Melvin Frazier added 16 points and five assists to lead Tulane over USF 79-68 on Saturday to snap a six-game losing streak.Caleb Daniels added 13 points and Jordan Cornish 1...
Updated: 22 minutes ago
Florida boosts NCAA resume by beating No. 12 Auburn 72-66

Florida boosts NCAA resume by beating No. 12 Auburn 72-66

GAINESVILLE — KeVaughn Allen bounced back from his first scoreless game in more than three years with 24 points, including two huge 3-pointers in the closing minutes as Florida beat No. 12 Auburn 72-66 on Saturday night.Jalen Hudson added 19 po...
Updated: 25 minutes ago
California Democrats fail to narrow crowded US House races

California Democrats fail to narrow crowded US House races

California Democrats are struggling to narrow the field in several U.S. House races critical to the party's hope of taking back Congress in the midterm elections.
Updated: 26 minutes ago

Winter Olympics: Norway sets Winter Games medal mark

PYEONGCHANG, South Korea — Surpassing its own lofty expectations, Norway has delivered the greatest performance in the history of the Winter Games, winning a total of 38 medals, 13 of them gold. A nation of only 5 million people has crushed all comer...
Updated: 1 hour ago

Frances Tiafoe, Peter Gojowczyk reach Delray Beach final

Peter Gojowczyk of Germany has beaten the last eight American opponents he's faced in ATP tour-level matches and will have a chance to defeat another Sunday when he faces Frances Tiafoe in the Delray Beach Open final
Updated: 1 hour ago
Billy Graham's body arrives at namesake library

Billy Graham's body arrives at namesake library

Admirers salute Billy Graham as motorcade carrying body crosses North Carolina
Updated: 1 hour ago

Sunday’s sports on TV/radio

TODAYAutosMonster Energy Cup: Folds of Honor QuickTrip 5001 p.m.Fox;102.5-FMNHRA: Arizona Nationals (taped)6 p.m.FS1Baseball, spring trainingRays at Twins1 p.m.Fox Sun; 620-AMYankees at Phillies1 p.m.MLBBowlingPBA: Players Championship1:30 p.m.ESPNCo...
Updated: 1 hour ago