Diabetic
Dyslipidemia
| The
impact of heart disease on people with diabetes is significant.
|
 |
Nearly 68%
of deaths among diabetics are directly attributable to CHD 65 years and older |
|
Type 1 and
type 2 diabetes are associated with a two- to fourfold increased
risk of CHD |
|
There is a
high 1-year mortality rate following a first MI: 44% in diabetic
men, 37% in diabetic women |
|
Cardiovascular
complications are the most significant cause of health care expenditures |
|
A major challenge
in the treatment of patients with diabetes is to reduce the risk
of cardiovascular disease. |
CHD Risk Factor
|
CHD is the
leading cause of death among patients with type 2 diabetes. |
|
Patients with
type 2 diabetes frequently have dyslipidemia, which may contribute
significantly to accelerated coronary atherosclerosis. |
|
Because risk
factors for heart disease are believed to be additive and perhaps
multiplicative, mild degrees of dyslipidemia may increase CHD risk. |
|
Controlling
dyslipidemia should be given equal emphasis as controlling hyperglycemia
when developing strategies for managing type 2 diabetes. |
Death From CHD:
Diabetics Without Prior MI Face Similar Risks as Nondiabetics With Prior
MI
Type 2 diabetes
is associated with a marked increase in the risk of CHD. It has been
debated whether patients with diabetes who have not had MIs should be
treated as aggressively for cardiovascular risk factors as patients
who have had MIs. In support of aggressive care are findings that diabetic
patients without previous MIs have as high a risk of death from CHD
as nondiabetic patients who have had a previous MI. ATP III now defines
diabetes as a CHD risk equivalent.
Control of Blood Lipids
|
People with
diabetes have a two to fourfold increased risk of CHD because of
various risk factors, including dyslipidemia. |
