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Medical Forum / Diseases and Disorders / Diabetes / March 2006Fasting Glucose & Cardiac Risk: Differs by Gender
Our ever-alert friends at http://www.diabetesincontrol.com discuss this study this week: http://aje.oxfordjournals.org/cgi/content/abstract/163/4/342 The short version: Analysis of the Framingham Heart Study data comes up with the information that for men, heart attack risk triples as FPG rises from 70 to 100 mg/dl, then it flattens out. For women, they found the risk is flat until FPG reaches 100 mg/dl, then it rises steeply. The authors conclude that 100 mg/dl is a good target for women, but not men, but add that it isn't possible to know from this data whether reducing FPG would reduce cardiac risk--a subject that would have to be studied further. From the abstract: "For men, adjusted mortality risk increased very rapidly through the normal range (from 4.12% at 3.89 mmol/liter (70 mg/dl) to 12.26% at 5.55 mmol/liter (100 mg/dl)) and was flat at 12.26% thereafter. For women, risk was flat at 3.65% through the normal range and then increased rapidly, reaching 8.34% at 6.99 mmol/liter (126 mg/d), but increased much more slowly thereafter." --Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control Jenny, I would have thought that a blood glucose level of 100 would be a fabulous number if maintained all the time, or is that only fbg. I cant comprehend too well. What about the cholesterol /hdl ratio and the homocystein levels. Do they factor into the risk . mine was 2.7 which is below the average and homocystein level was 6.91. My fbgs range from 110 in the morning to 75 before lunch and about 90 before dinner.Do they average these numbers or are they taken into account separately Quentin are you there :-) Loretta. -- In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism. > Jenny, I would have thought that a blood glucose level of 100 would be a > fabulous number if maintained all the time, or is that only fbg. While they didn't make it crystal clear in the summary of the article, I'm almost certain it is only fasting blood glucose. The Framingham study is one where a large group people were examined at set intervals for many years--once a year, I think, so it wouldn't be likely they would measure anything but the morning fasting glucose that is part of the usual physical. What about the cholesterol /hdl ratio and the > homocystein levels. Do they factor into the risk . mine was 2.7 which > is below the average and homocystein level was 6.91. In this case, they said, if I recall correctly that they had factored out the cholesterol, smoking, and other known risk factors when analyzing the data, so the fasting blood sugar alone would be the issue here. --Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control |
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