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Clinical Management of Cardiovascular Risk Factors in Diabetes
Clinical Management of Cardiovascular Risk Factors in Diabetes Author:Marvin Moser, James R. Sowers This handbook provides a rationale for why physicians should more aggressively treat hypertension and other cardiovascular risk factors in their diabetic patients. Cardiovascular disease risk assessment is presented, along with a review of the preclinical conditions (insulin resistance, hyperglycemia, dyslipidemia, etc) that often precede th... more »e development of type 2 diabetes. Common pathophysiologic/metabolic interactions between cardiovascular disease and diabetes are elucidated. Specific therapeutic regiments for reducing cardiovascular events in diabetic patients are discussed, including blood pressure lowering, management of lipid abnormalities, antiplatelet therapy, and glucose control. The data for clinical treatment trials of antihypertension, lipid-lowering, and glucose control drugs in patients with diabetes are reviewed in detail, with emphasis on lessons learned that should be implemented in clinical practice. A case presentation is included to illustrate a typical treatment approach. Guidelines for comprehensive cardiovascular risk reduction for diabetics are presented.« less