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Rates of Complications and Mortality in Older Patients With Diabetes Mellitus The Diabetes and Aging Study

ABSTRACT Importance  In the coming decades, the population of older adults with type 2 diabetes mellitus is expected to grow substantially. Understanding the clinical course of diabetes in this population is critical for establishing evidence-based clinical practice recommendations, identifying research priorities, allocating resources, and setting health care policies. Objective  To contrast the rates of diabetes complications and mortality across age and diabetes duration categories. Design, Setting, and Participants  This cohort study (2004-2010) included 72 310 older (≥60 years) patients with type 2 diabetes enrolled in a large, integrated health care delivery system. Incidence densities…

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Tea: Drink to your health?

I’ve never been much of a tea drinker. To me, the flavor is reminiscent of twigs soaked in warm dishwater. I don’t mean to disparage the tea enthusiasts who “ooh” over their oolong and cherish every drop of their chai. Quite the opposite, in fact. I’m as green as Japanese sencha every time another study emerges, steeped with praise about the health benefits of the beverage I’m not drinking. This month my envy was particularly strong, when The American Journal of Clinical Nutrition featured not one, but 11 new studies highlighting the…

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More Than a Billion People Taking Statins? Potential Implications of the New Cardiovascular Guidelines

The American College of Cardiology/American Heart Association (ACC/AHA) guidelines on assessment of cardiovascular risk1 and on treatment of blood cholesterol, which included recommendations for primary prevention with statins,2 came under intense criticism immediately with their release. Main concerns focused on flawed methods (problems with the risk calculation),3ethics (conflicts of interest),4 and inferences (too many people offered treatment). The ACC and the AHA are among the most experienced organizations in medicine that develop guidelines. Their processes are meticulous, including transparent reporting of conflicts. The work behind the guidelines’ development was monumental. References to randomized…

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