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Even Academic Centers Neglect Curbing Risk Factors

Mike Mitka

JAMA. 2005;293:1845-1846.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

As countless studies and treatment guidelines attest, preventing heart disease, stroke, and other complications of diabetes requires aggressive management of such risk factors as hyperglycemia, hypertension, and dyslipidemia. Despite this, even vaunted academic medical centers continue to do a poor job of addressing risk factors in patients with the disorder, according to a new study published in February.

Diabetes experts said this neglect of risk factors needs to be addressed. The necessity for aggressive management will only grow as diabetes prevalence is expected to increase dramatically in the upcoming decades. Today, an estimated 16 million to 18 million people (about 6% of the population) in the United States have diabetes. By 2025, an expected 22 million US residents will have the disease (King et al. Diabetes Care. 1998;21:1414-1431). Globally, the World Health Organization said at least 171 million people have diabetes, a figure expected to double by 2030.

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CLINICAL INERTIA