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Exp Clin Endocrinol Diabetes 2004; 112(9): 493-503
DOI: 10.1055/s-2004-821306
Review

J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

Global Risk Management in Type 2 Diabetes: Blood Glucose, Blood Pressure, and Lipids - Update on the Background of the Current Guidelines

A. Clemens1 , E. Siegel2 , B. Gallwitz3
  • 1Hübschstrasse 16, Karlsruhe, Germany
  • 2St.-Vincenz-Krankenhaus, Limburg, Germany
  • 3Medizinische Universitätsklinik der Eberhard-Karls-Universität Tübingen, Abt. Innere Medizin IV, Tübingen, Germany
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Publikationsdatum:
25. Oktober 2004 (online)

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Abstract

Diabetes mellitus presents a significant public health burden based on its increased morbidity, mortality, and economic cost. The high comorbidity and prevalence of concomitant diseases like hypertension and dyslipidemia in diabetic patients cause the high risk in developing secondary, cost intensive, and for the patient often disastrous late complications (nephropathy, retinopathy, neuropathy, and cardiovascular disease). Therefore, patients with diabetes mellitus need a global risk management that takes the various individual clinical problems into account. The current global standards of therapy in patients with diabetes mellitus are focused on the control of glycemia, blood pressure, and lipid levels, as well as aspirin therapy and avoiding of smoking. There are a number of guidelines and recommendations to manage these global issues. Our review will summarize current recommendations and consolidate therapeutic goals and treatments that are of vital importance in the global risk management in diabetic patients.

Key words

Type 2 diabetes mellitus - hypertension - dyslipidemia - diabetes guidelines - cardiovascular risk management

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