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Tag Archives: preventive cardiology

Your LDL Is Normal—So Why Is Your Heart Risk Still High?

Illustration of cholesterol plaque building inside an artery alongside a blood lipid test, highlighting remnant cholesterol as a hidden cardiovascular risk factor in people with diabetes despite normal LDL cholesterol.

For years, lowering LDL cholesterol has been the cornerstone of preventing heart disease in people with diabetes. Statins and other cholesterol-lowering therapies have dramatically reduced cardiovascular events. Yet many patients continue to experience heart attacks, strokes, or other cardiovascular complications despite reaching recommended LDL cholesterol goals. Why does this happen? …

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Could This Heart Scan Detect Diabetes Damage Before Symptoms Appear?

Cardiologist reviewing speckle-tracking echocardiography showing global longitudinal strain analysis for early diabetic cardiomyopathy detection.

Heart disease remains the leading cause of illness and death among people with diabetes. However, one of the most concerning complications, diabetic cardiomyopathy, often develops quietly for years before symptoms emerge. During this silent phase, routine echocardiograms frequently show a normal ejection fraction, creating a false sense of reassurance. Fortunately, …

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A Cholesterol Breakthrough for Diabetes? The First Oral PCSK9 Drug Has Arrived

Prescription pill beside a cholesterol-clogged artery illustration representing the first oral PCSK9 inhibitor for lowering LDL cholesterol in people with diabetes.

For many people with diabetes, lowering LDL cholesterol is just as important as controlling blood sugar. However, not everyone reaches their cholesterol goals with statins alone, and injectable PCSK9 inhibitors can be inconvenient or intimidating. Now, a new option has arrived. The FDA has approved the first oral PCSK9 inhibitor, …

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Implementing CKM Staging in Primary Care: From Concept to Workflow

Primary care physician reviewing CKM staging chart for cardiometabolic and kidney risk management with patient in clinic

The concept of CKM staging in primary care has gained attention as clinicians look for better ways to manage the growing overlap between cardiovascular disease, kidney disease, diabetes, and metabolic disorders. However, many providers still wonder how to translate the CKM framework into daily clinical practice. Think of CKM staging …

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GLP-1s and Cardiometabolic Risk in Normal-Weight Patients: Is BMI the Wrong Gatekeeper?

GLP-1 injection pen with cardiometabolic risk report and healthy foods representing metabolic health in normal-weight patients

GLP-1 receptor agonists have reshaped the management of type 2 diabetes and obesity. However, growing interest now surrounds the potential role of GLP-1 therapy in normal-weight patients with cardiometabolic risk and whether treatment decisions should rely less on BMI alone. While body mass index remains a widely used screening tool, …

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