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- August 7, 2008 |
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CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"Women, CHD & Diabetes"Dr. Pat Phillips (biography)
English - 2006-10-27 - 27 minutes
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Summary :
In this presentation Dr. Phillips talks about the importance of coronary heart disease (CHD) in diabetes, particularly in women.
Is diabetes a CHD risk equivalent? A well-known case-control study reported by Haffner et al. in 1998 suggested that diabetic patients without previous myocardial infarction have as high a risk of myocardial infarction as non-diabetic patients with previous myocardial infarction (1).
In people presenting with acute coronary syndromes there is evidence, for example from the Euro Heart Study, that a large proportion of these patients have either undiagnosed diabetes or prediabetes. In people with diabetes, the risk of death is greatly increased after having a first or second infarct, compared to people without diabetes or history of an infarct (2).
What is the influence of diabetes on CHD mortality in men versus women? Diabetes increases CHD mortality in both men and women, however this effect is stronger in diabetic women, and they no longer are "protected" compared to their male counterparts as seen in the non-diabetic population (3).
Lastly Dr. Phillips discusses women's widespread concern of dying from breast cancer whereas the risk of dying from CHD is much greater, and even more so in diabetic women.
Copyright © 2007 E-MedHosting.com Inc.
Learning objectives :
After viewing this presentation, the participant will be able to discuss:
- Coronary heart disease is very common in those with type 2 diabetes and vice versa.
- In women the presence of diabetes increases coronary risk much more than in men and equalises coronary risk for men and women.
- Many women and their professionals do not appreciate the risk of coronary heart disease in women nor do they appreciate that diabetes increases a woman’s coronary risk as much as it does.
Bibliographic references :
1. Haffner SM, Lehto S, Ronnemaa T, Pyorala K, Laakso M.Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med. 1998 Jul 23;339(4):229-34.
2. S Lehto, T Ronnemaa, SM Haffner, K Pyorala, V Kallio and M LaaksoDyslipidemia and hyperglycemia predict coronary heart disease events in middle-aged patients with NIDDM Diabetes. 1997 Aug;46(8):1354-9.
3. Juutilainen A, Kortelainen S, Lehto S, Ronnemaa T, Pyorala K, Laakso M.Gender Difference in the Impact of Type 2 Diabetes on Coronary Heart Disease Risk Diabetes Care 27:2898-2904, 2004.
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