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LOS ANGELES -- Women with type 2 diabetes may be treated for dyslipidemia less aggressively than men, and therefore may be at higher risk of developing cardiovascular disease, Dr. Quyen Ngo-Metzger reported at the annual meeting of the Society of General Internal Medicine.
Coronary heart disease (CHD) is a leading cause of death among women and among all patients with type 2 diabetes. Diabetes confers a four times greater risk of CHD in women, compared with a doubling of risk in men, said Dr. Ngo-Metzker, of the University of California, Irvine.
She and her associates examined quality of care in a sample of 4,879 men and 7,654 women with type 2 diabetes (mean age 56 years) who were treated at 16 Kaiser Permanente Georgia practices in 2002. About two-thirds of men and women received recommended bemoglobin [A.sub.1c] and cholesterol testing. About one-quarter of men (25%) and women (27%) achieved glycemic control (a hemoglobin [A.sub.1c] value of less than 7%).
Overall, 72% of men and 68% of women achieved LDL-cholesterol levels of less than 130 mg/dL; this difference was deemed statistically significant. After adjustment for age and comorbid ...