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Blood Sugar Can Gauge Risk
of Death from Heart Disease

NEW YORK -- Measuring levels of sugar in the blood can help doctors predict if a patient is at risk of developing heart disease, study findings show.

The report in the Jan. 6 issue of the British Medical Journal suggests that blood glucose (sugar) may join the ranks of cholesterol and blood pressure as indicators of heart disease risk. The study included more than 4,600 men from England aged 45 to 79.

"(Blood glucose) measurement may identify individuals at higher absolute risk of heart disease who might benefit most from established preventive interventions such as cholesterol lowering or antihypertensive medication," lead study author Dr. Kay-Tee Khaw, from the University of Cambridge in the United Kingdom, told Reuters Health.

Men with type 2 diabetes, a disorder in which blood glucose can soar to dangerously high levels if not controlled, were more than three times as likely as men without diabetes to die from heart disease, the report indicates.

Diabetic men were more than twice as likely to die of all causes compared with men without diabetes. And as blood glucose increased, the risk of dying climbed higher regardless of age, weight, blood pressure, cholesterol and smoking status.

Even men who had not been diagnosed with diabetes but who had high blood glucose had a greater risk of death, findings show. People with blood glucose below 5 percent were at lowest risk of death.

The authors point out that about 70 percent of the U.K. population have blood glucose levels between 5 percent and 6.9 percent. Therefore, lifestyle changes such as exercising or adopting a healthier diet might be enough to lower their risk of dying prematurely.

The investigators estimate that a reduction in blood glucose by just 0.1 percent could reduce mortality rates by about 5 percent in Western countries.

People with type 2 diabetes lose their sensitivity insulin, the hormone that controls how much sugar remains in the blood and how much sugar is deposited into cells throughout the body. Over the long term, high blood glucose can lead to heart disease, kidney failure and blindness.

SOURCE: British Medical Journal 2001;322:15-18.
Reference Source 89

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