Diabetes-Linked Cardio, All-Cause Mortality Decreasing
(HealthDay News) – From 1997–2006, there was a significant decrease in the cardiovascular disease (CVD) and all-cause mortality rates for US men and women with diabetes.
Edward W. Gregg, PhD, from the US Centers for Disease Control and Prevention in Atlanta, and colleagues used data from the National Health Interview Surveys linked to the National Death Index to compare the three-year death rates for four consecutive nationally representative samples (1997–1998, 1999–2000, 2001–2002, and 2003–2004) of US adults with and without diabetes.
The investigators found that, from the earliest to the latest sample, among adults with diabetes, the CVD death rate decreased by 40% and all-cause mortality decreased by 23%. Similar declines in mortality were seen for both men and women with diabetes. There was a 60% decrease in the excess CVD mortality rate linked with diabetes (from 5.8 to 2.3 deaths per 1,000 person-years) and a 44% decrease in the excess all-cause mortality rate (from 10.8 to 6.1 deaths per 1,000 person-years).
"Although our analyses indicate [an] encouraging reduction in mortality and, indirectly, continued success in diabetes care, these findings have ironic implications for the future US diabetes," the authors write. "Recently published models indicate that declining mortality among people with diabetes can lead to a substantial increase in prevalence."