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March 1, 2005Diabetes CareOpen Access

Blood Glucose and Heart Failure in Nondiabetic Patients

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Why the study?

Does higher baseline blood glucose increase the incidence of heart failure in nondiabetic patients?

Population

20,810 nondiabetic patients. Excluded: prior diagnosis of diabetes, diagnosis of heart failure <1 year after…

Comparison

Higher baseline morning blood glucose levels vs Baseline morning blood glucose <90 mg/dl

Design

Cohort

Follow-up

mean 4- to 5-year evaluation period

Authors

CNChristopher NielsonTLT.J. Lange

Discussion

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Overview

Supports graded HF risk with higher-normal glucose in nondiabetics; hypothesis-generating and requires prospective trials before practice implications.

Structured PICO

Does higher baseline blood glucose increase the incidence of heart failure in nondiabetic patients?

P
Population
20,810 nondiabetic patients. Excluded: prior diagnosis of diabetes, diagnosis of heart failure <1 year after initial blood glucose determinations, blood glucose determination >125 mg/dl, or use of corticosteroids, loop diuretics, insulin, or oral hypoglycemics.
I
Intervention
Higher baseline morning blood glucose levels (90-99 mg/dl, 100-109 mg/dl, and 110-125 mg/dl)
C
Comparator
Baseline morning blood glucose <90 mg/dl
O
Outcome
Incidence of heart failure >1 year after initial glucose determinationhard clinical

Higher baseline blood glucose levels, even within the nondiabetic range, are independently associated with a significantly increased risk of developing heart failure.

Cite This Study

Nielson et al. (2005) studied this question.

synapsesocial.com/papers/6a913c9dbd296d8bc511ff21https://doi.org/10.2337/diacare.28.3.607
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Also Consider

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  5. 5Heart Failure2003 · 407 citations