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April 13, 2005

Trends in Cardiovascular Complications of Diabetes—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2005;293(14):1723-1724. doi:10.1001/jama.293.14.1723-b

In Reply: In response to Drs Leibson and Narayan, we agree that the use of self-reported diabetes status might lead to the detection of milder diabetes in later periods because of heightened awareness and increased screening. However, this same increased awareness of diabetes might also lead to overattribution of diabetes in CVD-related deaths on death certificates. We agree that the overall burden of CVD due to diabetes is increasing, likely because of increases in the overall prevalence of diabetes. This is a different issue from the one we address in our analysis.

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