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Discussion | In a decade with increasing emphasis and accountability for glycemic control and cardiovascular risk management among patients with diabetes, we found that patients with diabetes have experienced a disproportionate reduction in in-hospital mortality over time and a complete reversal in risk of mortality relative to patients without diabetes.This interesting trend warrants additional study to elucidate its origins.Potential explanations include coincident improvements in inpatient glycemic control, improvements in outpatient glycemic control, improved nonglycemic cardiovascular risk management among patients with diabetes, and/or advances in therapies for diseases that disproportionately affect patients with diabetes.
Greysen et al. (Fri,) studied this question.