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 Presentation

"Populations at Risk for Diabetes"

Dr. Milan Gupta (biography)
English - 2006-10-24 - 29 minutes
(30 slides)

Summary :
Diabetes is known to be associated with increased cardiovascular risk, and abdominal obesity is strongly related to diabetes risk (1) and the risk of myocardial infarction (2).

Is the risk for abdominal obesity, diabetes, or CVD similar among ethnic groups? The Canadian SHARE study published in 2000 indicates that there are differences, with South Asians being particularly susceptible (3).

Epidemiological studies such as the Nurses' Health Study and DECODE show increased cardiovascular risk even before the onset of diabetes (4,5). Dr. Gupta discusses the prediabetic states, and how the risk of diabetes associated with impaired glucose tolerance varies by ethnic origin.

Copyright © 2006 E-MedHosting.com Inc.

Learning objectives :
After viewing this presentation the participant will be able to discuss:

- The link between diabetes and cardiovascular risk
- The link between diabetes and obesity
- The relation of ethnicity to glycaemic and cardiovascular risk
- Pre-diabetic conditions

Bibliographic references :
1. Carey VJ, Walters EE, Colditz GA, Solomon CG, Willett WC, Rosner BA, Speizer FE,
Manson JE.Body fat distribution and risk of non-insulin-dependent diabetes mellitus in women. The Nurses' Health Study. Am J Epidemiol. 1997 Apr 1;145(7):614-9.

2. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais
P, Varigos J, Lisheng L; INTERHEART Study Investigators.Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study Lancet. 2004 Sep 11-17;364(9438):937-52.

3. Anand SS, Yusuf S, Vuksan V, Devanesen S, Teo KK, Montague PA, Kelemen L, Yi C,
Lonn E, Gerstein H, Hegele RA, McQueen M.Differences in risk factors, atherosclerosis, and cardiovascular disease between ethnic groups in Canada: the Study of Health Assessment and Risk in Ethnic groups (SHARE) Lancet. 2000 Jul 22;356(9226):279-84.

4. Hu FB, Stampfer MJ, Haffner SM, Solomon CG, Willett WC, Manson JE.Elevated Risk of Cardiovascular Disease Prior to Clinical Diagnosis of Type 2 Diabetes Diabetes Care. 2002 Jul;25(7):1129-34.

5. The DECODE Study Group on behalf of the European Diabetes Epidemiology GroupIs the Current Definition for Diabetes Relevant to Mortality Risk From All Causes and Cardiovascular and Noncardiovascular Diseases? Diabetes Care 26:688-696, 2003.

   


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