Diabetes mellitus and cardiovascular risk: Update of the recommendations of the Diabetes and Cardiovascular Disease working group of the Spanish Diabetes Society (SED, 2018)
Clin Investig Arterioscler. 2018 May-Jun;30(3):137-153.
doi: 10.1016/j.arteri.2018.03.002.
Epub 2018 May 10.
[Article in
English,
Spanish]
Authors
Francisco Arrieta
1
, Pedro Iglesias
2
, Juan Pedro-Botet
3
, Antonio Becerra
4
, Emilio Ortega
5
, Juan Carlos Obaya
6
, Andreu Nubiola
7
, Gonzalo Fernando Maldonado
8
, Maria Del Mar Campos
9
, Romina Petrecca
10
, José Luis Pardo
11
, Víctor Sánchez-Margalet
12
, José Juan Alemán
13
, Jorge Navarro
14
, Santiago Duran
15
, Francisco Javier Tébar
16
, Manuel Aguilar
17
, Fernando Escobar
9
; Grupo de Riesgo Cardiovascular de la Sociedad Española de Diabetes (SED)
Affiliations
- 1 Hospital Universitario Ramón y Cajal, CIBEROBN, IRYCIS, Madrid, España. Electronic address: [email protected].
- 2 Hospital Universitario Puerta de Hierro-Mjadahonda, Madrid, España.
- 3 Parc de Salut Mar, Barcelona, España.
- 4 Hospital Universitario Ramón y Cajal, Madrid, España.
- 5 Hospital Universitario Araba, Vitoria-Gasteiz, España.
- 6 Hospital Clínic i Universitari, CIBEROBN, IDIBAPS, Barcelona, España.
- 7 Centro de Salud Chopera, Alcobendas, Madrid, España.
- 8 Hospital de l'Esperit Sant, Santa Coloma de Gramenet, Barcelona, España.
- 9 Hospital Universitario San Cecilio, Granada, España.
- 10 Hospital Universitario Princesa, Madrid, España.
- 11 Centro de Salud Orihuela, Orihuela, Alicante, España.
- 12 Hospital Universitario Virgen Macarena, Sevilla, España.
- 13 Centro de Salud Tacoronte, Tacoronte, Santa Cruz de Tenerife, España.
- 14 Hospital Universitario Nuestra Señora de Valme, Sevilla, España.
- 15 Dirección de Atención Primaria, IIS INCLIVA, CIBERESP, Valencia, España.
- 16 Hospital Universitario Virgen de la Arrixaca, Murcia, España.
- 17 Hospital Puerta del Mar, Cádiz, España.
Abstract
This document is an update to the clinical practice recommendations for the management of cardiovascular risk factors in diabetes mellitus. The consensus is made by members of the Cardiovascular Risk Group of the Spanish Diabetes Society. We have proposed and updated interventions on lifestyle, pharmacological treatment indicated to achieve therapeutic objectives according to the levels of HbA1c, degree of obesity, hypertension, hyperlipidemia, heart failure, platelet antiagregation, renal insufficiency, and diabetes in the elderly, as well as new biomarkers of interest in the evaluation of cardiovascular risk in individuals with diabetes mellitus. The work is an update of the interventions and therapeutic objectives in addition, it is noted the need for the inclusion of specialists in Endocrinology, Metabolism and Nutrition in Cardiac Rehabilitation Units for the control and monitoring of this population.
Keywords:
Age; Cardiovascular Risk Factors; Chronic Complications; Complicaciones crónicas; Consenso; Consensus; Diabetes Mellitus; Diabetes mellitus; Dislipemia; Dyslipidemia; Edad; Factores de riesgo cardiovascular; Hipertensión; Hypertension.
Copyright © 2018 Sociedad Española de Arteriosclerosis. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
-
Aged
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Biomarkers / metabolism
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Cardiovascular Diseases / etiology
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Cardiovascular Diseases / prevention & control*
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Diabetes Mellitus / physiopathology
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Diabetes Mellitus / therapy
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Diabetic Angiopathies / prevention & control*
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Diabetic Cardiomyopathies / prevention & control*
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Humans
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Life Style
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Risk Factors
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Spain