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...tested treatments. In the blood-fats arm of the ACCORD study, for instance, about 40% of the volunteers had already had a previous heart event and the remainder had risk factors, other than diabetes, that put them at high risk for heart disease, notes Dr. Om Ganda, director of the lipid clinic at Joslin Diabetes Center in Boston. That means the trial was not truly a primary-prevention study designed to test whether aggressive drug treatment could prevent a first heart attack in newly diagnosed diabetes patients...
...blood sugar levels - a trend that may have been lost in the noise of the current studies, which included patients who were up to 79 years old. "I tend to be far more tuned in to getting normal targets in my younger patients," says Dr. Daniel Einhorn, medical director of the Scripps Whittier Diabetes Institute, who is a co-author on one of the NEJM studies. "Without question, now I am more conservative in my treatment of older, sicker patients, because they don't benefit, and these studies just confirm that...
...primary lesson that clinicians can take away from the new findings is that the blind push to lower all risk factors such as blood pressure or cholesterol isn't necessarily healthy, says Dr. Christopher Saudek, director of the diabetes center at Johns Hopkins University. That may even mean resisting the commonsense urge to reduce these measures to recommended or normal range in diabetics patients. "To me, it's a matter of having reasonable and patient-oriented individual targets," he says, "rather than trying to push and push and push just to get lower and lower glucose or blood pressure...
Make no mistake, however: Woods will be under mind-bending pressure at the Masters. "His chances of connecting with the fans, consumers, and making himself marketable again begins and ends where it always has - his ability to be a phenomenal golfer," says Paul Swangard, managing director of the James H. Warsaw Sports Marketing Center at the University of Oregon. Jonathan Bernstein, a Los Angeles-based crisis consultant, suggests that if Tiger bombs on the course, he should just admit that the personal distractions weighed on his game. "A little self-deprecation and honestly and humility will go a long...
...running into many trillions of dollars. The percentages are also daunting, with projections of total gross debt reaching 100% of U.S. GDP this year or next and surging every year thereafter. There is bipartisan agreement that the deficits and overall debt are unsustainable. Douglas Holtz-Eakin, a former director of the Congressional Budget Office, has urged policymakers not just to educate the public about the dangers ahead but also "to scare them to death" about the dire prospects if the debt is allowed to continue to grow. (See a report card on the stimulus programs...