24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
Fax: (361)578-5500
Regular Hours: M-Fri 8am - 5pm
Every 3rd Thurs of the Month - Extended Hours Until 7 pm

Basic InformationLatest News
Statins: Good for the Heart, Maybe Not So Good for DiabetesMedtronic Expands Recall Of Thousands of Insulin PumpsScientists Untangle Why Diabetes Might Raise Alzheimer's RiskWhat Blood Sugar Levels Best Protect Against Heart Trouble in Those With Diabetes?Osteoporosis Drug May Keep Type 2 Diabetes at BayIs Insulin Resistance a Recipe for Depression?Doctors Often Miss Signs of Type 1 Diabetes in KidsBlack Americans, Mexican Americans Develop Diabetes Earlier in LifeAHA News: How a Simple Tape Measure May Help Predict Diabetes in Black AdultsExpert Panel Lowers Routine Screening Age for Diabetes to 35Dangerous Diabetes Tied to Pregnancy Is on the RiseDiabetes in Pregnancy Tied to Eye Issues in KidsDiabetes-Linked Amputations: Your Race, State MattersDiet Key to Better Health in People With DiabetesWhen Deductibles Rise, More Diabetes Patients Skip Their MedsType 2 Diabetes in Teens Can Bring Dangerous Complications in 20sFDA OKs Automatic Use of a Cheaper GenericĀ  InsulinAHA News: Diabetes and Dementia Risk: Another Good Reason to Keep Blood Sugar in CheckAmericans With Diabetes Were Hit Hard by COVID PandemicAHA News: The Challenge of Diabetes in the Black Community Needs Comprehensive SolutionsWhich Blood Sugar Meds Work Best Against Type 2 Diabetes?Walmart to Offer Low-Priced InsulinPoorly Managed Diabetes Raises Odds for More Severe COVIDWeekly Injected Drug Could Boost Outcomes for Patients With Type 2 DiabetesLockdown Weight Gain May Have Caused Surge in New Diabetes Cases in KidsAmerica Is Losing the War Against DiabetesA Fruitful Approach to Preventing DiabetesIn People With Type 1 Diabetes, Poor Blood Sugar Control Could Raise Dementia RiskBlood Sugar Tests Using Sweat, Not Blood? They Could Be on the WayWhen Diabetes Strikes in Pregnancy, Do Women Eat Healthier?Being a 'Night Owl' Raises Odds for Diabetes If You're Obese'Prediabetes' Raises Odds for Heart Attack, StrokeDementia Risk Rises as Years Lived With Type 2 Diabetes IncreasesCOVID-19 and Advanced Diabetes Can Be a Deadly Mix: StudyPandemic May Be Upping Cases of Severe Complication in Kids With DiabetesDiabetes Can Lead to Amputations, But Stem Cell Treatment Offers HopeCan a Drug Help Prevent Diabetic Vision Loss?Diabetes Is Deadlier for Black Americans: StudyLockdowns Gave Boost to Type 1 Diabetes Control in KidsComing Soon: Once-a-Week Insulin Injections?Common Type 2 Diabetes Meds Won't Raise Breast Cancer Risk: StudySome Kids With Type 1 Diabetes Face High Risk of Severe COVID-19Breakfast Timing Could Affect Your Odds for DiabetesBegin Routine Diabetes Screening at 35 for Overweight, Obese Americans: Task ForceCould a Drug Prevent Type 1 Diabetes in Those at Risk?Women With Type 1 Diabetes May Have Fewer Childbearing Years: StudyMeeting the Challenges of Type 1 Diabetes in the Teen YearsA Fifth of COVID Patients With Diabetes Die Within 1 Month of Hospitalization'Prediabetes' May Be Harming Your Brain, Study FindsDoes 'Prediabetes' Lead to Full-Blown Diabetes? Age May Be Key
Related Topics

Medical Disorders

AHA News: Reversing Prediabetes Linked to Fewer Heart Attacks, Strokes

HealthDay News
by American Heart Association News
Updated: Jan 26th 2021

new article illustration

TUESDAY, Jan. 26, 2021 (American Heart Association News) -- People who reverse their prediabetes may lower the risk of heart attack, stroke and death, a new study suggests.

With prediabetes, a person has blood sugar levels that are higher than normal but lower than the threshold for a diabetes diagnosis. Even so, people with prediabetes are more likely to have a heart attack or stroke, studies have found.

Prediabetes can be reversed, and smaller studies suggest doing so lowers the risk of developing heart disease. But the authors of the new work, published Tuesday in the Journal of the American Heart Association, said little research has explored whether reversing prediabetes offers protection.

It's an important issue: According to the latest federal data from 2016, a third of U.S. adults had prediabetes. The prevalence rate is slightly higher in parts of China, where researchers from Tangshan People's Hospital in the northern province of Hebei conducted this latest research.

They looked at a group of 14,231 coal company employees, most of them men, taking part in a long-term study. Their blood sugar was checked in 2006, and again in 2008, and they were tracked through 2017.

Between 2006 and 2008, about 45% of the participants reverted from prediabetes to normal blood sugar. About 42% stayed the same, and 13% progressed to diabetes.

After an average follow-up of nearly nine years and adjusting for variables such as body mass index (a measure of body fat) and blood pressure, the researchers found that people who reverted to normal blood sugar from prediabetes had a 38% lower risk of heart attack and a 28% lower risk of ischemic stroke than those who progressed to diabetes. (An ischemic stroke, caused by a clot, is the most common type of stroke.)

Their risk of dying from any cause during the follow-up period was 18% lower than those who progressed to diabetes.

This is the first time that reversing prediabetes has been associated with a substantially lower risk for heart attack and stroke, the authors wrote.

Dr. Robert Eckel, immediate past president of medicine and science for the American Diabetes Association and a past president of the American Heart Association, said it was good to see the cardiovascular benefits of reverting from prediabetes reflected in a study that looked at a large group of people.

Eckel, who is a professor of medicine emeritus at the University of Colorado School of Medicine, also said the study had some inherent limitations. Studies such as this one, he noted, cannot show causation the way a randomized clinical trial can.

Also, he said, the work would need to be replicated elsewhere to determine whether the findings applied to non-Chinese people. Other studies of people with Type 2 diabetes have found those of Asian ancestry tend to report higher levels of stroke, while Western nations have higher levels of heart attack.

Blood sugar levels were checked only twice, and using a fasting plasma glucose test, which Eckel said was not the best measure of prediabetes for such a study.

Still, he said, the study's take-home message is that "reverting from prediabetes not only keeps you from having diabetes, but also affects cardiovascular disease risk as part of that benefit."

For someone diagnosed with prediabetes, weight loss is key, Eckel said. The Centers for Disease Control and Prevention recommends weight loss of 5% to 7% and getting regular physical activity to lower the risk for Type 2 diabetes.

"Ultimately," he said, "preventing Type 2 diabetes and reverting to normal glucose tolerance is what we'd like to see if you, in fact, have prediabetes."

American Heart Association News covers heart and brain health. Not all views expressed in this story reflect the official position of the American Heart Association. Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved. If you have questions or comments about this story, please email editor@heart.org.

By Michael Merschel