UKPDS (4)—which developed an equation for estimating the risk of new CHD events in men and women with type 2 diabetes—also has some limitations caused by selection criteria. The data underpinning the prediction model was restricted to patients recruited by the UKPDS, which led to the exclusion of individuals over 65 years of age and those with recent major heart disease or stroke (12). Because of its selection bias, this model is not recommended to predict events below 4 years of follow-up or for people over 65 years of age, which means many patients with type 2 diabetes are excluded. Although the UKPDS risk engine has been a fabulous addition to cardiovascular epidemiology in type 2 diabetes, there is a need to develop CVD risk prediction models for type 2 diabetes that cover a greater age range and apply whether or not CVD is present.

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