97 mg/dl. Yippee!
I’ll get to the following article as time allows. Perhaps you’ll get to it before me. It’s written for healthcare professionals. It’s in a June, 2012, issue of Diabetes Care. (Didn’t they publish management principles just six months ago?) What does it say about diet, if anything?
Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered Approach: Position Statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
The U.S. Centers for Disease Control and Prevention reported this year that the prevalence of self-reported coronary heart disease in the U.S. declined from 6.7% of the population in 2006, to 6% in 2010. Figures were obtained by telephone survey. Coronary heart disease, the main cause of heart attacks, remains the No.1 cause of death in the U.S.
Self-reports of heart disease may not be terribly reliable. However, I remember an autopsy study from Olmstead County, Minnesota, from a few years ago that confirmed a lower prevalence of coronary heart disease. I wrote about that at my old NutritionData.com Heart Health Blog, but those posts are hard to find.
The CDC report mentioned also that mortality rates from coronary heart disease have been steadily declining for the last 50 years.
Improved heart disease morbidity and mortality figures probably reflect better control of risk factors (e.g., smoking, high blood pressure), as well as improved treatments. I’ve never seen an estimate of the effect of reduced trans fat consumption.
Obesity and diabetes always mentioned as risk factors for heart disease, yet obesity and diabetes rates have skyrocketed over the last 40 years. You’d guess heart disease prevalance to have risen, but you’d have guessed wrong. In view of high obesity rates, some pundits have even suggested that the current generation of Americans wil be the first to see a decrease in average life span.
The American Diabetes Association offers a free heart disease risk calculator, if you’re curious about your own odds. My recollection is that the calculator works whether or not you have diabetes.
Steve Parker, M.D.