Comment on Cheng et al. Trends and Disparities in Cardiovascular Mortality Among U.S. Adults With and Without Self-Reported Diabetes, 1988–2015. Diabetes Care 2018;41:2306–2315
- Valeria Manicardi1,
- Massimo Vicentini2⇑,
- Paola Ballotari3,
- Francesco Venturelli2,4,5 and
- Paolo Giorgi Rossi2
- 1Diabetes Registry, Azienda Unità Sanitaria Locale – IRCCS Reggio Emilia, Reggio Emilia, Italy
- 2Epidemiology Unit, Azienda Unità Sanitaria Locale – IRCCS Reggio Emilia, Reggio Emilia, Italy
- 3Osservatorio Epidemiologico, ATS Val Padana, Mantua, Italy
- 4Specialization School of Hygiene and Preventive Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
- 5Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
- Corresponding author: Massimo Vicentini, massimo.vicentini{at}ausl.re.it
We read with great interest the recently published article by Cheng et al. (1). The authors note that there was a dramatic increase in prevalence (age-standardized) between the 1980s and 2010 (3% and 9%, respectively) in the population with diabetes compared with the population without, along with a decrease in the excess risk of cardiovascular disease (CVD). The authors attribute this excess risk reduction to an improvement in primary and secondary diabetes care.
However, it must be remembered that the diabetes diagnostic criteria have changed over the years. In 1997, the fasting blood glucose threshold …