Chrome 2001
Aetna Intelihealth InteliHealth Aetna Intelihealth Aetna Intelihealth
. .
Chrome 2001
Chrome 2001
Health News Health News
Intensive Insulin Therapy Might Aid Diabetics After Heart Attack
May 13, 2014


TUESDAY, May 13, 2014 (HealthDay News) -- Intensive insulin therapy may boost survival in people with type 2 diabetes who've suffered a heart attack, a new study suggests.

Swedish researchers tracked outcomes for up to 20 years for 620 people with diabetes who were treated in hospital after a heart attack.

Some patients received intensive insulin treatment, which involved insulin-glucose infusion for at least 24 hours, followed by insulin injections four times a day for at least three months. Others received standard blood sugar-lowering therapy in which they were given occasional insulin shots for a year.

Those who got the intensive insulin treatment survived an average of two to three years longer than those who received standard care, and the survival advantage lasted for at least eight years after treatment and then leveled off, according to the research team, which was led by Dr. Viveca Ritsinger of the Karolinska Institute in Stockholm.

Those who benefited the most from intensive insulin treatment included patients younger than 70 who had no previous heart attack or history of congestive heart failure. Those who had not previously had insulin therapy also tended to fare better when placed on the regimen, according the researchers, who reporter their findings May 12 in The Lancet Diabetes & Endocrinology.

But Ritsinger's team stressed that the study began in 1990, and while the findings show that intensive insulin treatment boosts survival in type 2 diabetes patients who have suffered a heart attack, the benefits might not be so significant if the trial was conducted now.

That's because of the many recent advances in the treatment of type 2 diabetes patients with heart problems, including medications that help lower cholesterol and blood pressure, the researchers noted.

Two experts in the United States agreed with that caveat.

"More recent trials have been less impressive in this regard, possibly due to the patients receiving therapy for high cholesterol and hypertension; both of which are standard therapy today but were less recognized and use at the time the [Swedish] study was begun," said Dr. Derek LeRoith, a professor of medicine endocrinology, diabetes and bone disease at Icahn School of Medicine in New York City.

Dr. Alyson Myers, an endocrinologist at North Shore University Hospital in Manhasset, N.Y., agreed that today's means of controlling high blood pressure and high cholesterol may have dampened the findings' importance.

And, she added, there are risks with intensive insulin treatment. "Although intensive control may prolong survival, it also increases the risk for hypoglycemia," she said.

More information

The U.S. National Library of Medicine has more about heart attack.

Copyright © 2014 HealthDay. All rights reserved.

SOURCES: Derek LeRoith, M.D., professor of medicine, endocrinology, diabetes and bone disease, Icahn School of Medicine, New York City; Alyson Myers, M.D, endocrinologist, North Shore University Hospital, Manhasset, N.Y.; The Lancet Diabetes ...

More News
InteliHealth .
General Health News
Today's News
Today In Health History
This Week In Health
Addiction News
Allergy News
Alzheimer's News
Arthritis News
Asthma News
Babies News
Breast Cancer News
Bronchitis News
Cancer News
Cervical Cancer News
Children's Health News
Cholesterol News
Dental/Oral Health News
Depression News
Diabetes News
Ear, Nose And Throat News
Environmental Health News
Eye News
Fitness News
Genetics News
Headache News
Health Policy News
Heart Attack News
Heart Failure News
Heart Health News
Infectious Diseases News
Influenza News
Lung Cancer News
Medication News
Men's Health News
Mental Health News
Multiple Sclerosis News
Nutrition News
Parkinson's News
Pregnancy News
Prostate Cancer News
Senior Health News
Sexual/Reproductive Health News
Sexual dysfunction
Sleep News
STDs News
Stroke News
Tobacco Cessation News
Weight Management News
Women's Health News
    Print Printer-friendly format    
This website is certified by Health On the Net Foundation. Click to verify.