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In Preventing Diabetes-Related Heart Disease, Blood Pressure and Cholesterol Targets are Higher Priorities than Blood Sugar
Date:1/28/2013

that patients with diabetes maintain a target blood pressure reading of less than 130/80 mm Hg, an LDL cholesterol level of less than 100 mg/dl, and an A1C blood glucose level of less than 7 percent.

For this study, researchers examined the medical records of 26,636 adult patients from the Kaiser Permanente diabetes registry in Oregon and Washington starting in 2002 and following the patients through 2010, or until they died, left the health plan, or were hospitalized for a cardiovascular event such as a heart attack. Patients who were included had to have measurements of blood pressure, cholesterol and A1C no more than six months apart, and researchers used the mean of those measurements, if they were taken, several times throughout the study period.

Most previous studies have examined one or two of these risk factors, but not all three at the same time. This is the first time researchers have published results of a study examining the risk factors simultaneously, and reported the individual contribution of each factor on diabetes-related heart disease.

About 13 percent of patients in the study met targets for all three risk factors. Their rate of hospitalization for heart attack and stroke was about 2.5 times lower than the patients who met none of the targets. Patients were followed for an average of six years, and during that time 7 percent of the patients were hospitalized for a cardiovascular event.

For the last few years, Kaiser Permanente has encouraged diabetes patients who are at least 55 years old to participate in an aggressive initiative to prevent heart attacks and strokes. The ALL initiative is a therapeutic program that includes the use of aspirin, lisinopril  and a lipid-lowering medication. The initiative, which also now includes the use of a beta blocker, is also actively pro
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SOURCE Kaiser Permanente
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