Standards of Medical Care in Diabetes—2008
Response to Hirsch, Inzucchi, and Kirkman
- José Miguel Dora, MD,
- Caroline K. Kramer, MD and
- Luis Henrique Canani, MD
- From the Endocrine Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
- Corresponding author: José Miguel Dora, MD, Serviço de Endocrinologia, HCPA, Ramiro Barcelos 2350, 90035-003, Porto Alegre, RS, Brazil. E-mail: jmdora{at}gmail.com
The American Diabetes Association (ADA) has released a Standards of Medical Care in Diabetes Position Statement for 2008 (1). In this document, it is stated that aspirin therapy should be used as a primary prevention strategy in diabetic patients at increased cardiovascular (CV) risk, including those who are >40 years old or have additional risk factors. The recommendation is based on evidence graded “A,” which is defined by the ADA as “evidence from well-conducted, randomized controlled trials that are adequately powered or compelling nonexperimental evidence.” As this indication seemed very …
