Abstract
Shah et al. (1) suggest that the consequences of new-onset diabetes may be less severe in South Asian and Chinese patients and accounts for equivalent (South Asians) or lower (Chinese) risks of cardiovascular disease compared with Europeans with diabetes. They claim that missing data on key cardiovascular disease risk factors, in particular smoking, could not account for such ethnic differences. These assertions may be overstated. In the British Southall And Brent REvisited (SABRE) population-based cohort, with detailed risk factor assessment, diabetes, whether newly diagnosed or established, was associated with a greater risk of both coronary heart disease and stroke mortality in migrant British South Asians than in comparable …
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