Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
Copyright 1999 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.1999
To the Editor: Dr Gu and colleagues1 found that patients with diabetes experienced
fewer declines in heart disease mortality in 1982-1984 vs 1971-1975, compared
with nondiabetic individuals during the same periods, and suggest that the
incidence of coronary heart disease may have decreased less in patients with
diabetes. However, since weight gain is a known complication of insulin and
oral hypoglycemic agents, it is possible that weight gain and associated hyperlipidemia
secondary to medical management is preventing individuals with type 2 diabetes
from fully participating in the declining mortality from coronary heart disease.
Poothullil JM. Diabetes and Decline in Heart Disease Mortality. JAMA. 1999;282(12):1132. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922