The Concept of CMR
Slides, videos and moreThe Concept of CMR
Epidemiology
Hyperglycemia, Type 2 Diabetes and CVD Risk
- 1Key Points (1 page)
- 2Type 2 Diabetes and CVD (1 page)
- 3Hyperinsulinemia and CVD (1 page)
- 4Hyperglycemia and CVD (1 page)
- 5Metabolic Syndrome and CVD (1 page)
- 6References (1 page)
Key Points
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- Many patients with type 2 diabetes are at high risk of CVD. This increased risk is often similar to that of non-diabetic patients who have experienced myocardial infarction.
- A wealth of evidence indicates that hyperglycemia is a significant contributor—but not the sole contributor—to the increased CVD risk that comes with diabetes.
- Intensive blood glucose control reduces microvascular complications but does not have a substantial effect on macrovascular disease in patients with type 2 diabetes.
- The metabolic syndrome is very common in diabetic patients, and those with diabetes and the metabolic syndrome have the highest CHD rates.
- Evidence is mounting that it is not the hyperglycemic state per se that has the biggest impact on CVD in type 2 diabetes but rather the clustering of abdominal obesity-related risk factors. These factors may be responsible for the high incidence of cardiovascular events in diabetes.
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