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An Update on Preventing CVD in Diabetes

An Update on Preventing CVD in Diabetes

Diabetes is a major risk factor for cardiovascular disease (CVD), which is the most common cause of death among adults with diabetes. “This relationship underscores the need for aggressive CVD risk factor management among patients with diabetes,” says Richard W. Grant, MD, MPH. In 1999, the American Heart Association (AHA) and the American Diabetes Association (ADA) published a joint statement focusing on CVD prevention in diabetes. In 2007, the AHA and ADA issued a combined set of recommendations that described primary prevention of CVD in diabetes. Since the last update was issued, several new clinical trials have emerged that have changed the clinical practice of CVD risk management in diabetes, Dr. Grant says. Given the changes in the diabetes landscape over the past several years, the AHA and ADA have developed a new updated scientific statement that summarizes key studies pertaining to lifestyle and the “ABC’s” of diabetes—which include A1C, blood pressure (BP), and cholesterol management—for the primary prevention of CVD. The statement was published jointly in Diabetes Care and Circulation. The updated scientific statement summarizes information from studies published since 2008 and relevant changes in current CVD prevention guidelines as they pertain to type 2 diabetes. Efforts were made to unify recommendations from AHA and ADA, with the goal being to have the document serve as a “one-stop resource” for clinicians to get the most up-to-date information regarding CVD prevention.   Examining Key Changes In addition to the ABC components of primary prevention in diabetes and CVD, the AHA/ADA update includes information on diagnostic criteria for diabetes and guidance on lifestyle management, including physical activity and nutrition, weight...
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