Diabetes Care:应用ADA糖尿病新定义或可改善心血管风险分层

2011-09-15 MedSci原创 MedSci原创

  德国学者的一项研究表明,在接受冠脉造影的人群中,应用美国糖尿病学会(ADA)2010版糖尿病定义有可能改善心血管风险分层。论文于2011年9月12日在线发表于《糖尿病护理》(Diabetes Care)。   此项研究共纳入2002例既往无糖尿病病史的受试者。研究者对依据ADA 2010版糖尿病定义可诊断为新发2型糖尿病,但依据ADA 2009版定义则未伴糖尿病

  德国学者的一项研究表明,在接受冠脉造影的人群中,应用美国糖尿病学会(ADA)2010版糖尿病定义有可能改善心血管风险分层。论文于2011年9月12日在线发表于《糖尿病护理》(Diabetes Care)。

  此项研究共纳入2002例既往无糖尿病病史的受试者。研究者对依据ADA 2010版糖尿病定义可诊断为新发2型糖尿病,但依据ADA 2009版定义则未伴糖尿病的受试者进行了预后评估。平均随访时间为7.7年。

  结果显示,随访期间共有346例受试者死亡(202例心血管性死亡)。与依据ADA 2010版定义未被诊断为2型糖尿病的受试者相比,依据 2009版定义诊断为糖尿病的受试者全因死亡率和心血管死亡率显著升高(P均≤ 0.003)。对于依据ADA 2010版定义可诊断为2型糖尿病但依据 2009版定义无糖尿病的受试者而言,其心血管疾病死亡风险显著升高(P=0.029)。

  链接:

   Additional Use of Glycated Hemoglobin for Diagnosis of Type 2 Diabetes in People Undergoing Coronary Angiography Reveals a Subgroup at Increased Cardiovascular Risk

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    2011-09-17 般若傻瓜
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