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Abstract: . . . be decreasing. In particular, the rate of hospitalization for congestive heart failure among adults with diagnosed diabetes appears to be the primary contributor to this overall increase. In addition, the data indicate that hospitalization for these selected CVD events is occurring about four times more frequently among those with diagnosed diabetes compared to those without diagnosed diabetes. This is consistent with national data that . . . . . . Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2005. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005. 4 Adler A, Stratton I, Neil H, et al. 2000. Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. BMJ 321: . . . . . . Haffner SM. 1998. Management of dyslipidemia in adults with diabetes (technical review). Diabetes Care 21: 160178. 6 Haffner S, Lehto S, Ronnemaa T, et al. 1998. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subject with and without prior myocardial infarction. New England Journal of Medicine 339: 229234. . . . . . . and stroke did not increase when error margins were taken into consideration. However, the rate for congestive heart failure did increase, when comparing 2001 to 2003. Table 2. Heart Attack , Stroke, and Congestive Heart Failure Hospitalization Rates Among Adults with Diagnosed Diabetes 1 (20012003) 2001 Error Margin 2 2002 . . . . . . 3 Although these results are not unexpected, they do underline the need for better management of CVD risk factors and aggressive outpatient management of congestive heart failure among people with diabetes. The American Diabetes Association (ADA) publishes clinical practice recommendations for diabetes each year. The recommendations are based on the evaluation of evidence in . . . --3000,5,300,4027,30801
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