A major population-based retrospective cohort study (22) of 379,003 diabetic patients and 9,018,082 non-diabetic individuals showed that for both men and women, diabetes conferred a degree of risk equal to ageing roughly 15 years. Age also appeared to be an important predictor of CVD in people with diabetes, with CVD risk rising in the late 40s for both men and women. Moreover, diabetes greatly attenuated the usual protective effect enjoyed by women, narrowing the relative gender gap in cardiovascular risk (23). Age should therefore be taken into account when aiming to reduce CVD risk in people with diabetes.

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