If you’re a diabetic who takes pride in the way you take care of yourself without letting the diagnosis essentially run your life, you’re probably the type of person who could serve a stint as the poster person for the entire wellness and preventive medicine movement. Further, if your physician is the type of provider who prides him/herself as the type of medical professional who loves medicine enough to care about its art and the role of solid evidenced-based medical techniques in preventing more expensive treatments like surgery; then today is a massively lucky one for you (although third party reimbursers may have a difficult time compensating cardiac specialty centers for their time).

Prompt bypass surgery holds no advantage over intensive drug therapy in many patients with type 2 diabetes when it comes to dying from strokes or heart attacks, new research suggests.

The study, a multicenter trial led by the University of Pittsburgh Graduate School of Public Health, took place at 49 medical centers in six countries over five years.

“It’s the first time any randomized clinical trial has shown a reduction in non-fatal heart attack rates in stable patients with diabetes and heart disease,” says cardiologist Robert Frye, a professor of medicine at the Mayo Clinic and a study chairman.

The randomized trial is the gold standard of medical research protocol, and this trial essentially says for people with diabetes and mild heart disease medical therapy works, and extremely well at that. | NEJM LINK | LINK

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