Edward W. Gregg, PhD; Qiuping Gu, MD, PhD; Yiling J. Cheng, MD, PhD; K. M. Venkat Narayan, MD, MSc, MBA; Catherine C. Cowie, PhD
Gregg EW, Gu Q, Cheng YJ, Venkat Narayan KM, Cowie CC. Mortality Trends in Men and Women with Diabetes, 1971 to 2000. Ann Intern Med. 2007;147:149-155. doi: 10.7326/0003-4819-147-3-200708070-00167
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Published: Ann Intern Med. 2007;147(3):149-155.
Whether the mortality reductions observed over recent decades in the United States have been similar among diabetic and nondiabetic persons is unknown.
The 1971–2000 National Health and Nutrition Examination Surveys and vital statistics data reveal higher mortality in the diabetic population than in the nondiabetic population. Over this period, diabetic men experienced mortality reductions that paralleled those of nondiabetic men. However, mortality rates in women have not changed, and the mortality difference between diabetic and nondiabetic women more than doubled.
Mortality among diabetic women does not reflect improvements in the care of diabetes and other cardiovascular risk factors. Understanding the sex differences in diabetes outcomes should be a research priority.
Mortality rates are calculated as annual deaths per 1000 persons. Error bars represent 95% CIs.
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