Prediabetes confers elevated threat for main adversarial CV occasions

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Michel A. et al. Prevention and Health Promotion: Diabetes and Cardiometabolic Disorders 2. Presented at: American College of Cardiology Scientific Session; 15.-17. May 2021 (virtual meeting).

Disclosure:
Michel does not report any relevant financial information.

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Adults with prediabetes were more likely to have MI and other CV events than adults with normal blood sugar levels, according to a presentation at the American College of Cardiology scientific session.

Adrian Michel

“In general, we tend to treat prediabetes as no big deal. However, we have found that prediabetes itself can greatly increase the likelihood of a major cardiovascular event, even if it never develops diabetes. Instead of preventing diabetes, we need to shift focus and prevent prediabetes. ” Adrian Michel, MD, An internist at Beaumont Hospital in Royal Oak, Michigan, said in a press release.

Diabetes and Sugar 2019 AdobeSource: Adobe Stock

The researchers retrospectively analyzed 25,829 patients aged 18 to 104 years from the Beaumont Health System from 2006 to 2020 who had prediabetes or normal HbA1c levels.

The researchers found that the incidence of major CV adverse events, defined as cerebrovascular accident, MI, unstable angina, or ACS, was significant in the prediabetes group (17.97%; 95% CI, 17.3-18.63) was higher than the incidence in the control group (11.01%; 95% CI, 10.48-11.55; P <0.0001)

According to the researchers, the study results show the importance of knowing blood sugar levels, especially since patients with prediabetes are usually asymptomatic.

“Based on our data, prediabetes has nearly doubled the likelihood of a serious adverse cardiovascular event that causes one in four deaths in the United States,” Michel said in the press release. “As clinicians, we need to spend more time educating our patients about the risk of high blood sugar and its implications for their heart health, and consider starting medication much earlier or more aggressively and counseling about changing the risk factor, including advice on how to get more physical Exercise and a healthy diet. “

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American College of Cardiology

American College of Cardiology