Medical Forum / Diseases and Disorders / Diabetes / March 2006
Article: 36% of heart attacks are in diabetics!
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David - 04 Mar 2006 05:33 GMT http://www.forbes.com/lifestyle/health/feeds/hscout/2006/03/03/hscout531268.html
Dave
gman99 - 04 Mar 2006 06:03 GMT > http://www.forbes.com/lifestyle/health/feeds/hscout/2006/03/03/hscout531268.html Buddy...you need to learn how to read. 36 % of diabetics suffered heart attacks, not 36% of heart attacks are diabetic...
Alan S - 04 Mar 2006 06:28 GMT >> http://www.forbes.com/lifestyle/health/feeds/hscout/2006/03/03/hscout531268.html > >Buddy...you need to learn how to read. 36 % of diabetics suffered heart >attacks, not 36% of heart attacks are diabetic... To put it in context:
"Fang's team analyzed New York City death records for people 35 and older from 1989 to 1991 and from 1999 to 2001. In the decade that elapsed between these two periods, death rates due to stroke, cancer and all other diseases declined. The exception was the diabetes death rate, which increased by 61 percent.
Over that decade, the percentage of heart attacks among people with diabetes increased from 21 percent to 36 percent. The total number of diabetics who had a heart attack more than doubled -- from 2,951 to 6,048. While there was an overall decline among the general population in days spent in a hospital due to heart attack, diabetics showed an increase of 51 percent."
Whichever way you look at it - it's wise for diabetics to lead a lifestyle likely to reduce their risk of heart problems.
Cheers, Alan, T2, Australia. d&e, metformin 2x500mg
 Signature Everything in Moderation - Except Laughter.
Jenny - 04 Mar 2006 15:46 GMT > Whichever way you look at it - it's wise for diabetics to > lead a lifestyle likely to reduce their risk of heart > problems. Step one of which is NOT running diabetic blood sugar levels.
This is another one of those areas where there is no research, but if heart attack risk varies directly with A1c, keeping the A1c in the normal range, and as low in the normal range as possible, seems like the very best thing any of us could do for ourselves.
Step two is to remember, that of all the ways you could go, a nice swift heart attack is high on the list of GOOD ways. The alternatives are cancer, COPD, Alzheimers, Parkinson's, MS, paralyzing stroke, and a host of other "ways out" that are a lot less attractive.
Sometimes the blessings we have to count are odd ones.
--Jenny
http://www.phlaunt.com/diabetes Diabetes Info
http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control
Alexander Arnakis - 04 Mar 2006 20:31 GMT >Step one of which is NOT running diabetic blood sugar levels. > >This is another one of those areas where there is no research, but if >heart attack risk varies directly with A1c, keeping the A1c in the >normal range, and as low in the normal range as possible, seems like the >very best thing any of us could do for ourselves. The article doesn't break the diabetes down between Type 1 and Type 2. I would think the risk of heart attack among Type 2's -- A1c's being equal -- would be much higher than among Type 1's, because the high serum insulin levels that result from insulin resistance are a factor directly linked to heart attacks.
Ironically, pumping *more* insulin into the blood of Type 2's might worsen the problem. Maybe, therefore, the preferred treatment should rely more on diet, exercise, oral agents -- and above all weight loss -- than on exogenous insulin.
I don't think A1c's tell the whole story here.
Greatime - 08 Mar 2006 07:50 GMT >> Whichever way you look at it - it's wise for diabetics to >> lead a lifestyle likely to reduce their risk of heart [quoted text clipped - 20 lines] >http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood >Sugar Under Control Pardon me but I don't understand why people don't seem to mention or pay attention to saturated fat. Everywhere I see and hear in the establishment (my endocrinologist, cardiologist, American Diebetic Association, American Heart Association etc.) say that it is important to keep saturated fat way down. That is why I seldom can find a recipe anywhere for cake, cookies, ice cream etc. that I can eat. That includes products sold in the stores as low carb. Can anyone explain the lack of attention to this matter that seems to be common on internet groups.
GT
Alan S - 08 Mar 2006 12:15 GMT >>> Whichever way you look at it - it's wise for diabetics to >>> lead a lifestyle likely to reduce their risk of heart [quoted text clipped - 32 lines] > >GT Hi GT
There is a reason for that. You've been misled.
I'm not an expert, but I'll try to put the point of view that I formed by reading these newsgroups and many other sources, and then acting on my distillation of that information. The nature of this newsgroup is that the experts will promptly chime in and correct all of my errors:-)
In my opinion ALL foods eaten to excess are bad for you. However, where I differ with your "endocrinologist, cardiologist, American Diebetic Association, American Heart Association etc." is that I see very, very few foods as bad for you in moderation. Where we would also differ is in the definitions of moderation. Further, not eating adequately from ALL the major food groups is just as bad for you. Like the range on your lab reports - many items have a minimum as well as a maximum; including fats, carbs and protein.
The difficulty is that all of those experts and organisations have made the assumption for fifty years that patients are too dumb to understand complex answers. Or they assumed that we are like children who will eat the bad things because we like them anyway, so by saying "no" they really intended to reduce it, not delete it completely. So they made it simple. All fat is bad, and saturated fat is worst. Grains are good, grains are carbohydrates - so eat more starches, they are good for you. Protein is something they got a bit vague about, so they tried to ignore it, apart from muttered dire warnings that too much was bad for the kidneys - without seeming to precisely define "too much". Or noting that wasn't necessarily true if you had healthy kidneys.
Unfortunately, like almost everything to do with the human body - it just isn't that simple.
The folk you mention neglected to say that some fat is not only necessary - but good for you. I won't get into all the details on sat fats, mono-unsaturated fats, poly-unsaturated fats, trans-fats (even some of those are OK - see the current discussion). Others here can do that much better than I.
Nor did they seem to notice that excessive carbs are bad for you - and the level at which they become excessive is less for a diabetic. Your meter will show you that for yourself. Try a test tomorrow an hour after breakfast.
This has got too long. I'll let the others continue.
Let me put it this way. After I changed my breakfast from cereal, bread, juice and toast to bacon and eggs (and started testing and a few other things), I lost over fifty pounds, reduced my HbA1c to under 6% from over 8%, dropped triglycerides from 2.7(240) to under 1(90) and increased my HDL from under 1(39) to 1.5(58). It's an old saying, but a wise one and apt here: the proof of a pudding is in the eating.
YMMV. Feel free to stick to your cereal; I'll continue to eat the occasional pork chop, steak and chicken skin.
In moderation. Now it's time to have a scotch:-)
Cheers Alan, T2, Australia. d&e, metformin 2x500mg
 Signature I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher.
Everything in Moderation - Except Laughter.
Quentin Grady - 08 Mar 2006 17:19 GMT This post not CC'd by email On Tue, 07 Mar 2006 23:50:09 -0800, Greatime <realcotton222@yahoo.com> wrote:
>Pardon me but I don't understand why people don't seem to mention or >pay attention to saturated fat. Everywhere I see and hear in the [quoted text clipped - 3 lines] >anywhere for cake, cookies, ice cream etc. that I can eat. That >includes products sold in the stores as low carb. G'day G'day Greatime,
> Can anyone explain the lack of attention to this matter that seems to be common on >internet groups. > >GT Interesting. We observe the internet almost inadvertently because we are part of it. You obviously have. I could offer you my explanation yet I'm a the sort of bloke who is curious about the intent of posters and about whose responsibility is to meet various needs.
You have observed the internet. I know that because you have formed a generalisation that it is COMMON for there to be a lack of attention given to saturated fats which is less than the amount of attention you commonly give to saturated fats. OK, so I accept as a fact that you think a lot about saturated fats. You have the word of many eminent people in your life emphasizing that need to keep saturated fats "way down." Yet somehow you are wondering why so many other people don't appear to be pushing that message with a fervour you think appropriate.
How about a smorgasbord of possible reasons. You pick the one that makes you feel better.
Personally I don't believe there is a single reason.
1. People see statins as a the answer. Take the statin ... reduce the risk of heart attacks. It's easier and less stressful for most people to pop a pill than to change diet and obsess the way you appear to be doing over food.
2. Many people think the saturated fat-cholesterol-heart attack hypothesis chain is faulty. The steps might well be provable. The chain rattles.
3. Only one diet, the Portfolio diet has successfully produced a lowering of cholesterol comparable with first generation statins. It's key feature wasn't low saturated fat though it met that requirement as did other diets which didn't do enough. It's key feature was high soluble fibre foods.
4. Some intervention trials have produced 50% reductions in heart attacks WITHOUT reductions in cholesterol levels.
5. The WHI study showed low fat was a failed fad, at least for women who started it in middle age. It was done in earnest. There were over forty follow ups to ensure compliance. It was large, involving about 50 thousand women. At eight years it was long. Put simply when it comes to proof, the sort of things all those eminent people should be basing their recommendations it was Rolls Royce, gold standard stuff and the best it could come up with was that it didn't do worse than the feral Americans who have read the internet, read the diet books, heard the words of wisdom of many diet gurus and escaped back into the wild to carry on doing what they do.
Have I answered you question? Maybe.
The other maybe is that none of us can. You believe in low saturated fat as the answer and although you haven't stated it as an aim you might well like others to do so as well. Unmet expectations, especially if hidden, are the cause of many a relationship failure.
Well welcome to the world of inertia.
Those who believe will continue to believe and those who continue to believe otherwise will continue to do that.
Best wishes in the wilds of the internet.
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Bill - 04 Mar 2006 06:51 GMT >> http://www.forbes.com/lifestyle/health/feeds/hscout/2006/03/03/hscout531268.html > > Buddy...you need to learn how to read. 36 % of diabetics suffered heart > attacks, not 36% of heart attacks are diabetic... Actually, I think the statement is ambiguous. I does not make sense that over 1/3 of the diabetics in NYC had heart attacks between 1999 and 2001. And they also claimed the percentage rose from 21% to 36%. It does not make sense that diabetics have become almost twice as likely to have a heart attack during the 10 year period mentioned with all the new drugs, etc.
I think the article is just poorly written and what it is trying to say is simply that there are significantly more diabetics in NYC than there used to be. Also, this is causing significantly more problems.
It would have been good to have a few follow-up paragraphs on what to do about it.
Bill
gman99 - 04 Mar 2006 12:48 GMT > >> http://www.forbes.com/lifestyle/health/feeds/hscout/2006/03/03/hscout531268.html > > [quoted text clipped - 13 lines] > It would have been good to have a few follow-up paragraphs on what to do about > it. There are significantly more diabetics everywherer...that is fact. That is because the underlying risk, mainly obesity, has ballooned out of control. It is a bit of a statistical catch 22....fewer non-diabetics are having heart attacks because more non-diabetics are taking better care of themselves. Those who do not take care of themselves are more likley to become diabetic and after being diabetic their chances of having a heart attack increases...a bit of a chicken and the egg...the real problem, IMO, is obesity, not diabetes.
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