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Is Stenting a Good Option for Diabetics with Coronary Disease?

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Diabetics tend to develop not only severe coronary disease but the disorder is often premature in onset. Despite adequate control of blood sugars, a significant number of diabetics develop coronary disease. While preventive measures such as lifestyle changes, exercise, discontinuation of smoking and healthy diet have helped, this is by no means a guarantee that coronary artery disease will not occur.

For the past two decades, there was general consensus that diabetics with coronary disease were better served with open-heart surgery because the size of their coronary vessels did not make them amenable to percutaneous interventions. Clinical trials done in the past showed that stenting was not always a good option. However, in the last two decades, there has been a tremendous improvement in percutaneous techniques and stents to treat a variety of vascular disorders including coronary artery disease.

Now there is evidence showing that the long-term outcome of diabetic patients following percutaneous coronary intervention is significantly improved. This is great news because open-heart surgery is fraught with numerous complications with no guarantee of long-term success. The recent study by Roxana Mehran of the Cardiovascular Research Foundation in New York reveals that at a median follow up of three years, the mortality rate after a successful stenting procedure was significantly better for diabetics than if no stent has been used. More important, the patient who had stenting done also required significantly less need for open-heart surgery. The study was just published in the American Journal of Cardiology (1).

Until this study came along, there were fewer data on long-term results of stenting in diabetics. It had always been assumed that surgery was a better option for treatment of coronary disease.

The study revealed that the best results were obtained when drug-eluting stents were used instead of bare stents. More importantly, regardless of the status of diabetes, the rate of stent occlusion was not increased when drug-eluting stents were used.

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EmpowHER Guest

Diabetes has already been reversed for over 20,000 people, it is the drug makers who hid the story.
The Anti Obesity drug makers and diabetes drug makers take in 10 billion$$$$ every year with no cure but you do not need their drugs.

There is no need for any “drug” for Type 2 Diabetes. The drugs cause direct heart attacks. Diabetes is being reversed out medications with a specialized diet

SEE HERE http://www.phillyburbs.com/your_news/blogs/borderline-diabetes-diet-why-the-right-diet-may-save-your/article_8093bc3c-4a6c-11e0-87dd-0019bb30f31a.html

August 16, 2011 - 6:22am
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

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