Word: attacke
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...screening diabetes patients to no benefit. Reporting from a group of institutions in the U.S. and Canada, researchers involved in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study found that screening diabetes patients for heart risk fails to predict which patients are most likely to have a heart attack. DIAD also found that the risk of heart disease among diabetes patients may be exaggerated overall, according to the data published April 14 in the Journal of the American Medical Association (JAMA). (See the top 10 medical breakthroughs...
...Wackers stresses, however, that these findings do nothing to diminish the very real risk of heart disease in diabetics. A 1998 Finnish study documented that diabetes patients who had not suffered a heart attack had the same poor health profile as those who had - findings that prompted the American Diabetes Association to recommend heart-disease screening for all diabetes patients with two or more additional risk factors for heart disease, such as high cholesterol or hypertension, even in the absence of symptoms. "That study really changed the field," says Wackers, "and told us we cannot miss the risk of heart...
...fact, the answers are sometimes conflicting. In March, scientists from Australia and New Zealand reported in the New England Journal of Medicine that aggressively lowering blood sugar in diabetes patients who have had a heart attack does not reduce their future risk of heart disease, but in fact puts these patients at higher risk of hypoglycemia (low blood sugar) and death. Meanwhile, in the current issue of JAMA, another study found that intensive blood-glucose therapy in diabetes patients was not linked with greater mortality...
...Such results make it difficult to know for sure whether the risks of abnormally high or abnormally low levels of glucose are more dangerous for diabetes patients who land in the hospital with a heart attack and high blood sugar levels. "It's a moving target," says Nathan. "But we are winning the battle. It's been an incredibly exciting several decades in diabetes research, but a lot more work needs to be done. We know what we need to do, we just need to apply what we learn better - to the right patients at the right time...
...allows it to seek out the most innovative content.A RICH HISTORY Founded in 1866 by Charles S. Gage and William G. Peckham, both class of 1867, the Advocate rose from the ashes of the Collegian, an earlier Harvard newspaper that had been shut down by university administrators following an attack on mandatory chapel attendance. Originally published in newspaper format, the Advocate was Harvard’s sole publication until The Crimson was founded in 1873. Three years later, some members of the Advocate left to form the Lampoon, and by the 1880s, the publication was exclusively devoted to essays, fiction...