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actually not very good data. It’s Finnish data, it’s not American data. So the strength of

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that statement is actually somewhat to be challenged, I would say. Do I believe

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everybody with diabetes has coronary disease? Well if I believe the whole population in

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the world does, yes, but I would argue that I do have some newly diagnosed patients who

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maybe don’t need it and I have some people with Type 1 who probably don’t need

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therapy either.

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but on this recent issue of the CHD risk equivalent, I would remind you that the

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American Diabetes Association took a more moderate approach and from what American

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Heart or NHLBI has said, and they said that this optional target of 70 is only if you have

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diabetes and some other risk factors or clinical evidence of CV disease. So if I have a

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newly diagnosed person who has no complications, normal EKG, you know, everything,

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I don’t necessarily have to shoot for 70 in that person.

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a reliable assessment, when you asked that question of, do we have an example of where

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a drug may be at risk in a high risk population but not low risk? One thing I was thinking

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about, I mean this is why we are here talking about this, because we haven’t been able to

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figure out how to predict cardiovascular disease in diabetes. If we go back to what

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In the original data suggesting diabetes as a CHD risk equivalent is

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In terms of the other issue and whether or not these low event rates give us

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look at the placebo group event rate and we can see that. Does that answer the

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Levitsky, and then we will go to you. I think Dr. Wyne, did you have a question first?

DR. WYNE: Yeah. I actually had a couple of comments on this subject

question? No?

DR. BURMAN: Good. I think Dr. Wyne had a question first, Dr.

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