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Few Diabetics Taking Aspirin.

Fewer than one in five American adults with diabetes is taking daily aspirin as recommended by the American Diabetes Association for primary or secondary prevention of cardiovascular disease.

The ADA recommends daily enteric-coated aspirin for diabetic patients who already have evidence of cardiovascular disease and for those without CVD who have one or more risk factors for the disease, Ms. Deborah B. Rolka said at the ADA's annual meeting in San Diego.

Of 1,503 adults aged 20 years or older in the Third National Health and Nutrition Examination Survey (NHANES III) who reported having diabetes between 1988 and 1994, 98% met one of those criteria: 27% had CVD and 71% had at least one CVD risk factor.

Only 20% of these adult diabetics reported regular aspirin use (at least 15 times during the last month). Among those who already had a previous heart attack, stroke, angina, or claudication, 37% used aspirin regularly, as did 13% of those with risk factors such as obesity, family history of CVD, or dyslipidemia.

A previous metaanalysis of 29 studies showed an 18% reduction in major cardiovascular events in diabetic patients on aspirin therapy. Another study found a 28% reduction in myocardial infarction with no increased risk for retinal or vitreous hemorrhage, said Ms. Rolka, a statistician at the Centers for Disease Control and Prevention's Division of Diabetes Translation.
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Author:Bykowski, Mike
Publication:OB GYN News
Article Type:Brief Article
Geographic Code:1USA
Date:Oct 1, 1999
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