Because of the uproar in the diabetes community fueled by a
New England Journal of Medicine (NEJM) last week, the publication decided to
release some preliminary findings in an article about an additional study on
rosiglitazone (brand name Avandia). But even these preliminary findings are
open to a lot of interpretation, and audiences are drawing different
conclusions . One of todays' headlines read Diabetes drugmaker cites
"reassuring" study, while another national media outlet captioned
with Newest Avandia Study Not Reassuring. Even in the New England Journal of
Medicine there were three different editorial pieces, all putting forth
different interpretations of this data. Keep in mind that this is only
preliminary.
We are amazed at what science has accomplished, and its
ability to prolong life and heal. We are beneficiaries of that marvel. However,
it is still appropriate to recognize that science has its limitations. For the
last few weeks we've been confronting one of them. It is challenging enough to
measure one issue, like a drug's ability to lower blood sugar levels. (Avandia
does it very well.) It is even harder to measure the next generation of
questions such as heart attacks. Taking such measures requires years of outcome
data from very large numbers of patients.
My Diabetes Information wants science to measure these
issues. We are not going to make excuses for adverse events. However, we do
want to state that each and every one of us that uses any type of medication
needs to realize that science has not been able to uncover or measure many of
the risks that exist when we take advantage of the focused benefit that comes
in a pill.
After a heart attack, you should begin a lifestyle modification process that involves eating a heart-healthy diet.
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