TY - JOUR T1 - DIabetes and decline in heart disease mortality—reply AU - Harris MI 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 - In Reply: Undoubtedly, many factors influenced the lower decline in mortality from ischemic heart disease among patients with diabetes compared with nondiabetic patients during 1971 to 1993. The well-known mortality decline in the general population has been attributed to reduction in cardiovascular risk factors and better treatment of patients with heart disease.1 Given the lower declines in heart disease mortality for diabetic patients in our study, these changes appear to have been less favorable or less effective for people with diabetes. Obesity became much more prevalent during the period of our study and affected both diabetic and nondiabetic adults. 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 -