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Diabetes

More than 180 million people worldwide have diabetes. By 2030, it is estimated, this number will more than double.

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Mortality in pharmacologically treated older adults with diabetes: the cardiovascular health study, 1989-2001

In this study, diabetic patients treated with insulin therapy appear to be at greater risk for dying (particularly from CVD, CHD, and stroke) than those treated with oral hypoglycemic agents... Journal Review

Applicability of the Asian modified criteria of the metabolic syndrome in the Korean population

The results of a study in an Asian population at varying high risk for CVD demonstrate that the modified Asian criteria for metabolic syndrome resulted in relatively similar metabolic profiles and associations with CAD. In addition, the present results show that the conventional criteria for the metabolic syndrome may underestimate the Asian population at risk for the metabolic syndrome... Journal Review

Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish diabetes prevention study

Results of this study confirm findings from earlier studies showing that interventions can have long-term effects on lifestyle, and offer encouraging evidence for the efficacy of comprehensive lifestyle intervention even without large reduction in weight... Journal Review

The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1)

In a prospective community-based study, the authors tested whether progression to diabetes could be influenced by interventions in native Asian Indians with impaired glucose tolerance, showing that progression of IGT to diabetes is high in the native Asian Indian population... Journal Review

Global and regional mortality from ischaemic heart disease and stroke attributable to higher-than-optimum blood glucose concentration: comparative risk assessment

The results of this study suggest that a large proportion of deaths from CHD and stroke are attributed to less than optimal levels of blood glucose, and, therefore, are potentially preventable. In addition, nearly 1 million deaths occurring annually in the countries included in these studies were directly related to diabetes... Journal Review

Diabetes and associated disorders in Cambodia

The prevalence of impaired glucose tolerance was 10% in rural Siemreap and 15% in Kampong. Similarly, rates of diabetes were higher in Kampong (11%) than in Siemreap (5%).  About two thirds of the people with diabetes did not know they had the disease... Journal Review

Prevalence of cardiovascular risk factors in Indian patients undergoing coronary artery bypass surgery

The results of this study reveal a high burden of risk factors for CVD in this relatively young, predominantly male, patient sample. The findings, however, cannot be generalized to patients with CAD or to healthy middle-aged men and women from India. It remains important to monitor changing lifestyle, medication and interventional practice patterns... Journal Review

Diet and diabetes mellitus: guidelines for health care providers in the tropics

These are "rule of thumb" modifications to diet to help diabetics achieve optimum glucose and lipid concentrations, to provide appropriate energy and to prevent, delay and treat diabetes-related complications... Journal Review

The Lancet special issue: World Diabetes Day

The Lancet published a diabetes-focused issue to coincide with World Diabetes Day 2006... Journal Summary

Healer shopping in Africa: new evidence from rural-urban qualitative study of Ghanaian diabetes experiences

Healer shopping--"the use of a second healer without referral from the first," is common among Africans with chronic illness. Maximizing medical and lifestyle management for diabetic Ghanaians requires affordable pharmaceutical drugs, standardized ethnomedical drugs, recommended foods, and psychosocial support...  Journal Review

Management of acute myocardial infarction in developing countries

Looks at the classical coronary artery disease risk factors in developing countries and their association with myocardial infarction, as well as the management and outcome of acute myocardial infarction patients in these countries... Journal Review

Modern ways open India's doors to diabetes

There are many ways to understand diabetes in this choking city of automakers and software companies, where the disease seems as commonplace as saris. One way is through the story of P. Ganam, 50, a proper woman reduced to fake gold... Journal Summary

Trends in the incidence of type 2 diabetes mellitus from the 1970s to the 1990s: the Framingham Heart Study

Addresses the increasing incidence of diabetes in the United States during the last three decades of the 20th century, and compares three surveys observing trends in the incidence of diabetes mellitus and whether weight increase affects the incidence of diabetes... Journal Review

Larger hip circumference independently contributed to reduced metabolic risks in Tehranian adult women

Women in the highest fifth for hip circumference had lower average cholesterol values, higher HDL values, lower fasting blood glucose levels, and lower levels of systolic blood pressure compared to women in the lowest fifth for hip circumference... Journal Review

Mortality and cardiac and vascular outcomes in extremely obese women

A study sample of more than 90,000 women aged 50-79 years shows that, in general, extent of physical activity varied inversely with degree of obesity, whereas the frequency of hypertension, diabetes, and hyperlipidemia increased with increasing levels of obesity.  All cause death rates increased with advancing weight... Journal Review

Low-fat vegan diet improves glycemic control and cardiovascular risk Factors in a randomized clinical trial in individuals with type 2 diabetes

Study suggests that a vegan diet is less likely to result in substantial increases in saturated fat intake and that, because it is based on the elimination of certain foods, it may be easier to understand than regimens that limit quantities of certain foods...  Journal Review

Physical activity and clustered cardiovascular risk in children

Data from 1,732 randomly selected school aged children from Denmark, Estonia, and Portugal were used in a study that assessed CVD risk factors.  These risk factors included blood pressure, height and weight, serum lipids, and measures of insulin resistance. Objectively measured physical activity and aerobic fitness were also assessed... Journal Review

Prevalence of diabetes and other cardiovascular risk factors in an Iranian population with acute coronary syndrome

The objective of this Iranian study was to determine the presence of diabetes mellitus and other conventional coronary heart disease risk factors (cigarette smoking, hypertension and hyperlipidemia) in patients with acute coronary events... Journal Review

Metabolic syndrome as an independent risk factor of silent brain infarction in healthy people

In a sample of 1,588 healthy men and women between the ages of 20-86, the frequency of the metabolic syndrome was two times greater in individuals with a silent brain infarction (27%) than in subjects without this pathology... Journal Review

Physical activity/exercise and type 2 diabetes

One-hundred-fifty minutes per week of physical activity, such as walking, along with a weight loss of 5-7%, reduces the risk of progressing from impaired glucose tolerance to diabetes by 58%. For people with established type 2 diabetes, intensifying the level of exercise will further improve the level of control of diabetes... Journal Review

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