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/everyone/aspirin issues.....

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Dear and everyone.

Like I said in earlier postings, US is more " on the ball " than here.

Yes basically what said is correct. To summarise, the last points on

the last email I sent out were more understandable....see the Recommendations

list below. Note on number 3, the dosage...just an international thing...in

US they use 81mg tablets, here 75mg. No real difference in that. If anyone

has any real concerns, who isn't on aspirin then talk to your doctor. I will

happilly supply you with my Endo's name but from Endocrine Department, Royal

Free and University College London Hospitals School of Medicine, UK, off

this list for reference and validation purposes.

Recommendations

>

> 1. Use Aspirin therapy as a secondary prevention strategy in diabetic men

> and women who have evidence of large vessel disease. This includes

diabetic

> men and women with a history of myocardial infarction, vascular bypass

> procedure, stroke or transient ischemic attack, peripheral vascular

disease,

> claudication, and/or angina.

>

> 2. In addition to treating the primary cardiovascular risk factor(s)

> identified, consider Aspirin therapy as a primary prevention strategy in

> high-risk men and women with type 1 or type 2 diabetes. This includes

> diabetic subjects with the following:

>

> o Family history of coronary heart disease

> o Cigarette smoking

> o Hypertension

> o Obesity (>120% desirable weight); BMI >27.3 in women, >27.8 in men

> o Albuminuria (micro or macro)

> o Dyslipidaemia (Total Cholesterol >5.0mmol/L; LDL cholesterol

>3.0mmol/L;

> HDL cholesterol <0.9mmol/L)

>

> 3. Use Aspirin in doses of 75mg/day.

>

> 4. People with Aspirin allergy, bleeding tendency, anticoagulant therapy,

> recent gastrointestinal bleeding, and clinically active hepatic disease

are

> not candidates for Aspirin therapy.

>

> 5. Aspirin therapy should not be recommended for patients under the age

of

> 21 years because of the increased risk of Reye's syndrome associated with

> Aspirin use in this population.

>

Fenella

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