Document Detail


Gender risk of nonfatal stroke in type 2 diabetic patients differs depending on the type of treatment.
MedLine Citation:
PMID:  19105694     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The gender differences in stroke risk among diabetic patients with different treatments have not been studied previously. We aim to determine if there is a gender difference in nonfatal stroke risk in diabetic patients receiving different types of glucose-lowering treatments. METHODS: In December 2005, data of type 2 diabetic patients were extracted from a nationwide population-based diabetes registry covering 11 Ukrainian regions. Male/female odds ratios (OR) for nonfatal stroke were calculated in three treatment groups: diet only 7,273/15,901, oral glucose-lowering drugs 15,109/33,913, and insulin 5,529/12,462 male/female. Male/female ORs of stroke were estimated using a logistic regression model. RESULTS: The age-adjusted ORs of stroke were higher among diabetic men compared with diabetic women with oral glucose-lowering drug treatment (OR 1.37, 95% CI 1.22-1.54) and diet treatment only (OR 1.53, 95% CI 1.35-1.73). No differences were found among patients who used insulin (OR 0.97, 95% CI 0.84-1.11). Further adjustment for duration of type 2 diabetes, body mass index (BMI), systolic blood pressure, total cholesterol, and smoking affected the results only slightly. CONCLUSIONS: The gender risks of nonfatal stroke in patients with type 2 diabetes appear to differ considerably depending on treatment types.
Authors:
Mykola Khalangot; Gang Hu; Mykola Tronko; Victor Kravchenko; Vitaliy Guryanov
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  18     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-04-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  97-103     Citation Subset:  IM    
Affiliation:
Institute of Endocrinology and Metabolism, Kiev, Ukraine. nikhalangot@ukr.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Glucose / drug effects
Body Mass Index
Cross-Sectional Studies
Diabetes Mellitus, Type 2 / complications,  diet therapy*,  drug therapy*
Diabetic Diet / utilization*
Female
Humans
Hypoglycemic Agents / classification,  therapeutic use*
Insulin / therapeutic use
Logistic Models
Male
Men's Health
Middle Aged
Odds Ratio
Prevalence
Registries
Risk Factors
Sex Factors
Stroke / epidemiology*,  etiology
Time Factors
Ukraine / epidemiology
Women's Health
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hypoglycemic Agents; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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