Cardiometabolic risk management in type 2 diabetes and obesity |
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Authors: | Angela M Taylor |
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Institution: | (1) Division of Cardiovascular Medicine, University of Virginia, 1215 Lane Street, Hospital Expansion Building C, Box 800158, Charlottesville, VA 22908, USA |
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Abstract: | Type 2 diabetes has become an epidemic in the United States, mainly due to an increase in obesity and sedentary lifestyle.
Diabetes is considered a cardiovascular risk equivalent, and cardiovascular death remains the most common cause of death in
this population. The cardiovascular complications of diabetes, beginning as early as 10 years before the development of frank
hyperglycemia, are strongly linked to the development of insulin resistance and the ensuing metabolic disarray often referred
to as the metabolic syndrome. To provide proper therapy for cardiovascular prevention, the down-stream effects of insulin
resistance must be understood. The most important aspect of treating patients with the metabolic syndrome is the realization
that treatment must begin before the development of frank hyperglycemia, particularly if cardiovascular events are to be avoided.
Thus, in addition to managing the hyperglycemia that develops with the onset of diabetes, insulin resistance, dyslipidemia,
and hypertension must also be properly addressed. |
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