Coronary Artery Disease Prevention in Diabetes

Aka: Coronary Artery Disease Prevention in Diabetes, Cardiac Complication Risk Reduction in Diabetes Mellitus, Cardiovascular Event Prevention in Diabetes Mellitus, Prevention of Diabetes Mellitus Cardiovascular Complications, Diabetes Cardiac Complication Prevention

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II. Epidemiology

  1. Most patients with diabetes die of cardiovascular disease complications (causes 65% of NIDDM deaths)
    1. Glycemic control has greater benefit in reducing Cardiovascular Risk
    2. Hypertension control has greater benefit in reducing stroke risk
    3. Hyperlipidemia control has greater benefit in reducing coronary disease risk

III. Management: General (ABC: A1C, Blood Pressure, Cholesterol)

  1. Glycemic Control
    1. See Diabetes Mellitus Glucose Management
  2. Hypertension Management
    1. See Hypertension in Diabetes Mellitus
    2. See ACE Inhibitors and ARBs in Diabetic Nephropathy
  3. Hyperlipidemia Management
    1. See Hyperlipidemia in Diabetes Mellitus
    2. See Low Fat Diet
    3. See AntiHyperlipidemic
  4. Other important preventive measures
    1. See Antiplatelet Management in Diabetes Mellitus
    2. Tobacco Cessation
    3. Control Obesity (reduce Body Mass Index)
      1. See Nutrition in Diabetes Mellitus
      2. See Exercise in Diabetes Mellitus

IV. Resources

  1. Diabetes-Related Cardiovascular Risk Calculator
    1. http://www.dtu.ox.ac.uk/index.php?maindoc=/ukpds/

V. References

  1. Abbate (2003) Clin Diabetes 21:128-33 [PubMed]
  2. Folsom (1997) Diabetes Care 20:935-42 [PubMed]
  3. Gavin (2003) Am Fam Physician 68:1569-78 [PubMed]

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