Heart disease and stroke account for more than two thirds of all deaths among diabetic patients.2 A recent population-based study documented that diabetes confers a CV risk equivalent to aging 15 years.25 In 2001, the Adult Treatment Panel III of the National Cholesterol Education Program (NCEP ATP III) recommended that diabetes be considered a CAD risk equivalent, thus mandating aggressive CV risk pre-vention.26 The notion of diabetes as a CAD risk equivalent came initially from a Finnish population-based study with 7-year follow-up involving 1059 diabetic patients and 1373 nondiabetic patients, which showed that diabetic patients without known CAD had the same likelihood of experiencing an MI as nondiabetic counterparts with a previous history of MI.27 A similar observation was made in a registry enrolling more than 8000 patients with ACS, which showed that diabetic patients with no previous CVD had the same long-term morbidity and mortality as nondiabetic patients with established CVD before hospital admission.28 Finally, additional data were provided by the 18-year follow-up of the mentioned Finnish study.29 Adjusted multivariate Cox hazard models indicated that diabetic subjects without prior MI had mortality rates similar to those of nondia-betic subjects with prior MI (Fig. 2-3). In addition, diabetic subjects without prior evidence of CVD (i.e., MI, angina, or ischemic ECG changes) had a significantly higher risk of death than nondiabetic subjects with prior evidence of CVD (hazard ratio [HR] = 1.5 for men and 3.5 for women).29
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.