TY - JOUR T1 - DIabetes and decline in heart disease mortality AU - Poothullil JM Y1 - 1999/09/22 N1 - 10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922 JO - JAMA SP - 1132 EP - 1132 VL - 282 IS - 12 N2 - To the Editor: Dr Gu and colleagues1 found that patients with diabetes experienced fewer declines in heart disease mortality in 1982-1984 vs 1971-1975, compared with nondiabetic individuals during the same periods, and suggest that the incidence of coronary heart disease may have decreased less in patients with diabetes. However, since weight gain is a known complication of insulin and oral hypoglycemic agents, it is possible that weight gain and associated hyperlipidemia secondary to medical management is preventing individuals with type 2 diabetes from fully participating in the declining mortality from coronary heart disease. SN - 0098-7484 M3 - doi: 10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922 UR - http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922 ER -