Patients with METS and DM showed no difference for risk of total and HF death compared with patients with no METS and no DM ( HR : 1.03 , 95 % CI : 0.87 to 1.21 , p = 0.762 ; HR : 0.99 ; 95 % CI : 0.73 to 1.35 ; p = 0.963 ; respectively ) .