Key Treatment

Reducing lipids is critical in attenuating diabetic macroangiopathy (ADA, 2009; Heart Protection Study, 2003; Pyorala et al., 1997) (SOR: A).

Therapeutic lifestyle changes focusing on reducing saturated fat and cholesterol intake, losing weight, and increasing physical activity will improve lipid profiles (ADA 2004, 2005; NCEP [ATP-III], 2002) (SOR: A). Regardless of LDL level, statin therapy should be added to lifestyle therapy in diabetic patients with overt cerebrovascular disease (CVD), or without CVD who are over 40 and have one or more CVD risk factors (ADA, 2009; Grundy et al., 2004b) (SOR: A). Patients without overt CVD and diabetes should be treated to an LDL cholesterol of value < 100mg/dL. ADA Diabetes Care Supplements, January 2009 (NCEP [ATP-III], 2002) (SOR: A). For antiprocoagulant therapy, aspirin (81-162 mg/day) should be used in patients with known CVD (Colwill, 1997; Hayden et al., 2002) (SOR: A).

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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