In the 2013 American diabetic association(ADA) annual meet a paper was presented which raised many eye brows ! . The results were flashed across mainstream media. Published in New England journal of medicine online.
It may be a well conducted trial but poorly interpreted one . It reports one of the dubious observations as a major conclusion and confuse the public.
Life style modification is the key to prevent major diabetic and cardiac events . This is well proved beyond doubt.
Epidemiological evidence from various global health statistics accumulated over a century will vouch for primary prevention of diabetic and cardio vascular disease .
Link to Editorial on Look Ahead : http://www.nejm.org
Why this study wants to make a mockery of this fact ? .Fortunately the accompanying editorial has realistically reported the implications of this study.
Final message
I argue the medical fraternity and patients to ignore this study . It can be convincingly concluded something is seriously wrong with the outcome analysis , however modern may be the statistics. Some groups are obviously worried about the natural and effective control of diabetic by good life style alone . It is a clear case of confusing the public .
There is huge collective evidence and common sense for the increased physical activity to reduce cardio vascular risk (INTERHEART)
Final Message
If life style modification is not going to help . . . what is the alternative to our patients ?
Drugs . . . yes . . . one has to depend on it . . . this study seems to suggest .
To me, this is a dangerous study . It plays a spoil sport on a great fact and belief . This paper should never have been published in a journal like NEJM . Atleast the conclusion should have been re-written !
I guess this study would promote the Homo-sapiens to be inactive and make them diabetic and consume drugs perennially !
Reference
Dr.S.Venkatesan MD 
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