Two Dilemmas of Diabetes

Norman M. Kaplan, MD
Arch Intern Med. 1991;151(7):1270-1272. doi:10.1001/archinte.1991.00400070048002.
Text Size: A A A
Published online

Two articles in this issue of the Archives1,2 report different aspects of the major problem facing the 7 million diabetic patients in the United States—premature death from either coronary disease or nephropathy, which are now the leading causes of mortality in diabetics. Both articles present pessimistic data, one1 suggesting lethal effects of the most widely used agent for the treatment of hypertension that is so common in diabetes, the other2 portraying the frequent development of nephropathy over a short term. Despite the dour data, both articles also provide a window of opportunity that could significantly reduce the current excess of early mortality in diabetics.

THE THREAT OF DIURETIC THERAPY  Warram et al1 present a retrospective analysis of the determinants of mortality in 759 diabetics, mostly insulin-dependent and middle-aged, followed up for a median of 4.5 years as part of a trial of laser therapy against blindness.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.