Diabetics Fare Worse After Heart Surgery, Study Finds

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(HealthDay News) — People with diabetes have an increased risk of problems after heart bypass surgery, a new study finds.

Researchers looked at more than 9,200 patients in China who underwent coronary artery bypass graft surgery (CABG) between 1999 and 2008, and found that those with diabetes had worse outcomes after two years than those without the condition.
Costs were also higher among patients with diabetes, according to the study in the June issue of the Annals of Thoracic Surgery. These expenses were mainly due to additional hospitalizations and medical procedures, and the use of insulin and other medications.

“Based on the results of our study, we highly recommend an individualized treatment plan and a heart team approach for patients with diabetes who require CABG surgery,” lead author Dr. Heng Zhang, of Fuwai Hospital in China, said in a journal news release.

“We also would like to compare the results of our study with results of future studies internationally so that we better understand how to care for this higher-risk patient population,” Zhang added.

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The findings add to concerns doctors have about rising rates of diabetes globally. By 2030, 439 million people worldwide are expected to have diabetes.

“In China, nearly 114 million adults (11.6 percent) have diabetes,” Zhang said in the news release. “In the United States, the rate is nearly the same at 11.3 percent or about 25.6 million adults.”

The study findings are significant and raise “the question of whether we as surgeons focus on the right factors in this often challenging group of patients,” Dr. Michael Jessen, from the University of Texas Southwestern Medical Center at Dallas, wrote in an accompanying commentary.

“While the findings are perhaps not surprising, we are left with the problem of how to change our management strategies so that diabetic patients have improved clinical and economic outcomes,” he added.

More information

The U.S. National Library of Medicine has more about diabetes.

— Robert Preidt

SOURCE: Annals of Thoracic Surgery, news release, May 29, 2014

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1 Comment

  1. Such articles from health professionals are very valuable. It is more beneficial to our emerging constituency which, from what I observed in many pictures at public gatherings, is bulging at the belt lines. Bursting the belt at the waist line can be a precursor to some dire health issues to follow. I think the culprits at the center are too much red meat, butter and carb-loaded ho,e baked bread(injera). The first thing to be issued persona non grata status should be butter along with sweets. Bye, bye to red meat or at least moderation of its intake is something we hear a lot from such experts. Walking at least for 35-45 minutes every day goes a long way in helping burn the extra calories sitting idle in the body. Moderation should always be the guide. Once the waist line is sucked back to where it looks like a bow bent inwards, then eating every pleasant food with moderation is always possible. Those awkwardly beer guts and 2 or 3 rolls of polish sausages on the back of the neck should be gone and must be issued a permanent no entry visas. If walking in the neighborhood is not convenient, then that can be done at malls and parks or even in school parking lots. I am trying to add my two cents worth of advice and testimony from my own keeping up experience.

    I profusely commend the editors of this website for posting such valuable article dealing with health issues. I also call upon our own health professionals to write and post similar material to help educate our bulging community.

    Kudos Zehabesha!!!!

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