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The Best Medicine for Diabetes?

Arch Intern Med. 2003;163:1397-1398.

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

TYPE 2 DIABETES MELLITUS has become a pandemic.¹ It affects more than 16 million Americans and 135 million people worldwide. Prevalence of diabetes in adults in the world is estimated to reach 5.4% and the number of adults with diabetes worldwide, to reach 300 million in 2025. Diabetes mellitus is associated with dramatically increased risk of coronary heart disease (CHD) death and total mortality. The excess risk of fatal CHD for those with clinical diabetes for 10 to 15 years is similar to that conferred by a prior CHD.^2-3 The combination of a long duration of diabetes and preexisting CHD is associated with a particularly high risk of fatal CHD and total mortality.

Physical inactivity is a major cause of type 2 diabetes mellitus, and increasing physical activity level is associated with substantial reduction in the risk of type 2 diabetes. Unfortunately, the majority of Americans do not exercise regularly.⁴ . . . [Full Text of this Article]

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