DIABETES MELLITUS–ASSOCIATED ALL-PURPOSE AND CARDIOVASCULAR DISEASE MORTALITY IN THE MAIN HEALTH CARE FACILITY OF MALES

Background: Diabetes and an augmented risk of CHD also known as coronary heart disease have long been associated, although the danger's exact magnitude is unknown.

Objective: The aim of this research is to assess and evaluate the effect of diabetes and previous CHD on mortality from all causes and CHD.

Methods: In a retrospective longitudinal research, 91285 male physicians whose ages ranged from 40 to 84 were grouped into the following 4 groups: (1) a control group of 82 247 males who were at baseline independent of CHD and diabetes, (2) 2317 men who had experienced diabetes without experiencing CHD, (3) 5906 men who had experienced CHD without experiencing diabetes, and (4) 815 men who had experienced both conditions. Both coronary heart disease (CHD) and overall mortality rates were evaluated in these groups.

Results: During 5-year period (497952 people) 3627 fatalities from all causes were noted, including 1242 CHD deaths. Men with diabetes but no CHD had a maturity level hazard ratio of 2.3 (2.0-2.6) with a 95% confidence interval, men with CHD but no diabetes had a maturity level hazard ratio of 2.2 (2.0-2.4), and men with both CHD and diabetes had a maturity level hazard ratio of 4.7 (4.0-5.4) with a 95% confidence interval for death from any cause. Men with diabetes who did not have CHD had a 3.3 (2.6-4.1) chance of mortality from CHD, men with CHD who did not have diabetes had a 5.6 (4.9-6.3) risk of mortality from CHD, and men who had both diabetes and CHD had a 12.0. (9.9-14.6) the risk of death from CHD. After multivariate adjustments for body mass index (BMI), alcohol usage, physical activity, and smoking status as well as stratified by these covariates, these correlations remained constant.

Conclusions: These prospective data show a strong correlation between diabetes and an elevated risk of death from CHD and all-cause. The increased risk diabetes poses for mortality from all causes is comparable to that posed by a record of CHD, although death from CHD is more strongly predicted by a history of CHD. But those who have both CHD and diabetes are known to be at a higher risk.

Keywords: diabetes, disease, heart, cardiovascular