These subtle differences together may account for some of the increased cardiovascular risk in type 2 diabetes. The level of increased risk is the subject of much academic discussion. In large diabetic populations studied in the past, coronary risks were often found to be approximately doubled compared with non-diabetic groups, and the concept of diabetes as a coronary risk equivalent is almost embedded – type 2 patients who have not yet suffered a coronary event have a similar coronary risk as non- diabetic patients who have already had an event. The therapeutic corollary of this view is that all patients require equally intensive secondary prevention treatment.
Read More »Yearly Archives: 2015
Practical Diabetes Care, 3rd Ed., Excerpt #31: Lipids Part 1 of 6
Dyslipidemia in diabetes is usually the simplest cardiovascular risk factor to control. There are few patients whose lipid profile cannot be optimized, or at least markedly improved, with a combination of lifestyle interventions and single or combination drug therapy. The increasingly stringent targets recommended for high-risk patients, usually with pre-existing cardiovascular disease, proteinuria or both, are also attainable, but judicious combination therapy will be needed in some. There is persuasive evidence that low LDL levels maintained in the long term are associated with stabilization or even reversal of carotid and coronary atheroma, though we have yet to see the impressive intravascular ultrasound images correlate with event reduction in RCTs.
Read More »FDA Approves New Long-Acting Insulin: Tresiba and Ryzodeg
FDA approved new long-acting insulin degludec for treatments of diabetes mellitus.
Read More »Cardiac Abnormalities Associated with Sulfonylureas
Study adds further evidence to the proposed causal relationship between sulfonylureas and adverse cardiovascular events.
Read More »Correlation of Thyroid-Stimulating Hormone levels and Risk of Developing Type 2 Diabetes
Increasing TSH levels rather than baseline TSH levels may elevate the risk of developing type 2 diabetes.
Read More »New Combination Potential for Type 2 Diabetics
"Combination of dextromethorphan and sitagliptin showed strongest effect in OGTT".
Read More »The Use of Metformin in Obese Youth Type 1 Diabetics
Findings suggest that Metformin may help overcome pubertal insulin resistance and aid in better glycemic control.
Read More »Sleep Disturbances Worsen Glucose Metabolism in Older Adults
Sleep disturbances associated with insulin resistance and incidence of type 2 diabetes in older adults.
Read More »Napping May Be Linked with Type-2 Diabetes
Naps of 60 minutes per day or longer were associated with an increased risk of 50% for risk of type 2 diabetes.
Read More »Team-Based Physician Strategy May Further Improve Diabetes Care
Pay changes and team-based care changed diabetes care.
Read More »
Diabetes In Control. A free weekly diabetes newsletter for Medical Professionals. News and information for Medical Professionals.