“Coronary artery disease is one of the leading causes of death in this country and diabetes is a major risk factor for coronary artery disease,” Dr. Alessandro Doria of Harvard Medical School in Boston, whose study appeared in the Journal of the American Medical Association, said in a statement. “But not everybody with diabetes is at the same risk.”

In the general population, people who have a common genetic flaw in a gene on chromosome 9p21 are at higher risk of developing coronary artery disease, which can lead to heart attacks and strokes.

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