"This is good news," says researcher Edward W. Gregg, PhD. He is the acting director of the division for heart disease and stroke prevention at the CDC in Atlanta. "We are seeing a reduction in death rates in people with diabetes, and this is largely due to prevention efforts."
Specifically, he cites reductions in blood pressure levels, low density lipoprotein (LDL) or "bad" cholesterol, decreases in smoking, and improved blood sugar control among people with diabetes. "We think it is a gradual improvement of multiple risk factors."
This should be a source of empowerment and motivation for people with diabetes. "We can make a big difference," he says. "People can cut their risk of developing cardiovascular disease in half if they are able to manage their risk factors."
The new study analyzed data on 250,000 adults from 1997 to 2004.
The findings appear in Diabetes Care.
People With Diabetes Living Longer
John Buse, MD, says the future is looking brighter for many people with diabetes. He is the chief of the division of endocrinology at the University of North Carolina, Chapel Hill.
Buse says the new study confirms and expands upon previous reports suggesting a decline in death rates among people with diabetes. "This study demonstrates the trend robustly," he says in an email. "It is clear that the prognosis for people with diabetes is improving."
Others in the field are also excited about the new findings. "This is tremendous, really great news," says Carol J. Levy, MD, CDE. She is an associate professor of endocrinology at the Mount Sinai School of Medicine in New York City. "I am thrilled to see that what we are doing is making a difference."