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New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women
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Bill
medicine forum Guru


Joined: 06 May 2005
Posts: 849

PostPosted: Fri May 27, 2005 3:57 am    Post subject: New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women Reply with quote

New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women




NEW YORK (Reuters Health) May 16 - In postmenopausal women with heart disease,
impaired fasting glucose, as defined by the American Diabetes Association 2003
guidelines, is not associated with a greater cardiovascular risk compared with
the use of the narrower 1997 guidelines, researchers report in the May 16th of
the Annals of Internal Medicine.

Dr. Alka M. Kanaya of the Women's Health Clinical Research Center, San
Francisco and colleagues examined the association between lowering fasting
glucose level criterion for impairment and cardiovascular outcomes. The 1997
guidelines defined glucose impairment as fasting levels of 110-125 mg/dL.

"We found that among postmenopausal women with known heart disease, the new
definition for impaired fasting glucose -- 100-125 mg/dL -- was not associated
with any increased risk of cardiovascular disease," Dr. Kanaya told Reuters
Health.

The researchers followed 2763 postmenopausal women with established coronary
disease for 6.8 years. Diabetic women (n = 734) were about 75% more likely to
have a cardiovascular event than were normoglycemic women, but there was no
association with the new criterion.

"This expanded definition for impaired fasting glucose," Dr. Kanaya concluded,
"triples the number of people with impaired fasting glucose, but this does not
help us define a group of people at risk for any adverse cardiovascular
outcomes."

Ann Intern Med 2005;142:813-820.
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None Given
medicine forum beginner


Joined: 30 Apr 2005
Posts: 36

PostPosted: Fri May 27, 2005 12:17 pm    Post subject: Re: New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women Reply with quote

"Bill" <xxx@yy.zz> wrote in message
news:2Fyle.2118$uu.156@newssvr33.news.prodigy.com...
Quote:
New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women
"This expanded definition for impaired fasting glucose," Dr. Kanaya
concluded,
"triples the number of people with impaired fasting glucose, but this does
not
help us define a group of people at risk for any adverse cardiovascular
outcomes."


It does define a group of people who could probably avoid developing a
higher risk.

--
No Husband Has Ever Been Shot While Doing The Dishes
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Susan
medicine forum Guru


Joined: 05 May 2005
Posts: 932

PostPosted: Fri May 27, 2005 1:51 pm    Post subject: Re: New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women Reply with quote

x-no-archive: yes

None Given wrote:
Quote:
"Bill" <xxx@yy.zz> wrote in message
news:2Fyle.2118$uu.156@newssvr33.news.prodigy.com...

New Fasting Glucose Standard Does Not Predict Cardiac Risk in Older Women
"This expanded definition for impaired fasting glucose," Dr. Kanaya

concluded,

"triples the number of people with impaired fasting glucose, but this does

not

help us define a group of people at risk for any adverse cardiovascular
outcomes."



It does define a group of people who could probably avoid developing a
higher risk.


It kind of jibes with the Rancho Bernardo finding that fbg missed up to
70% of diabetic women, compared to isolated post challenge testing.

By the time most of us show up on tests of fbg, we've often been
diabetic for quite a while. That's how it happened for me; I had severe
PNs while still passing my fbg tests.

Susan
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