✦ LIBER ✦

Reducing the cardiovascular consequences of diabetes mellitus

✍ Scribed by Philippe Passa

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 65 KB
Volume: 15
Category: Article
ISSN: 0742-3071
DOI: 10.1002/(sici)1096-9136(1998120)15:4+<s69::aid-dia738>3.0.co;2-n

No coin nor oath required. For personal study only.

✦ Synopsis

Type 2 diabetes is an important, independent risk factor for cardiovascular disease. As a result of the pandemic explosion of Type 2 diabetes, reducing the human and financial consequences of the disease is a major healthcare concern. In primary prevention, antihypertensive treatment, aspirin and lipid-lowering intervention are effective at reducing the incidence of coronary heart disease although the beneficial effect of optimal glycaemic control remains to be conclusively proven. Type 2 diabetic patients with acute myocardial infarction should receive a specific programme of intensive treatment, which includes optimal glycaemic control using intensive insulin treatment, thrombolysis, and early use of beta-blockers and angiotensin-converting enzyme inhibitors. Secondary prevention is also essential because beta-blockers and lipid interventions are more effective in Type 2 diabetic patients than in non-diabetic patients with coronary artery disease. Unfortunately, too many Type 2 diabetic patients do not receive adequate treatment or do not comply with their long-term medical recommendations.

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