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Gender gap seen in treating diabetics for dyslipidemia.(Clinical Rounds)

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| June 15, 2006 | Rollins, Jane Neff | COPYRIGHT 2006 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

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 ...

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