Summary
Introduction:
This text provides an analysis of trends in the association between diabetes and cardiovascular events from 1994 to 2019. It highlights the evolution of diabetes management and its impact on cardiovascular risk for individuals with diabetes. The study aims to determine if the concept of diabetes as a "cardiovascular risk equivalent" still holds true.
Key Points:
* Retrospective, population-based study using administrative health care data from Ontario, Canada.
* Data from 1994 to 2019 analyzed.
* Diabetes management practices have changed substantially during the study period.
* Examined the association between diabetes, prior cardiovascular disease (CVD), and cardiovascular events.
* Found that the risk equivalence between diabetes and prior CVD does not persist.
* People with diabetes and no prior CVD had lower cardiovascular risk in later years compared to those with prior CVD.
* The study suggests that diabetes management improvements have contributed to the reduced cardiovascular risk.
Main Message:
The main message of the text is that the concept of diabetes as a "cardiovascular risk equivalent" no longer holds in the current context of improved diabetes management. The study demonstrates a decreased cardiovascular risk for individuals with diabetes and no prior CVD in recent years when compared to those with prior CVD. This finding highlights the importance of effective diabetes management and its potential to mitigate cardiovascular risk, thereby potentially reshaping clinical guidelines and treatment strategies for patients with diabetes.
Citation
Dai hD, Leventhal aM, Khan aS. Trends in Urinary Biomarkers of Exposure to Nicotine and Carcinogens among adult e-Cigarette Vapers vs Cigarette Smokers in the US, 2013-2019. JaMa. 2022;328(18):1864-1866. doi:10.1001/jama.2022.14847
