Coronary Heart Disease

Early identification and treatment of CAD in patients with diabetes is important for optimal prevention of cardiovascular events. Asymptomatic patients should be screened at least annually to determine the presence of any CAD symptoms. CHD risk factors include dyslipidemia, hypertension, smoking, family history of premature coronary disease, and presence of micro- or macroalbuminuria [8,21].

Recommendations issued by the American Diabetes Association include the following [22]:

1. Evaluate patients based on the risk criteria outlined above

2. Refer patients with symptoms to cardiologist for further evaluation

3. Metformin is contraindicated in patients with treated congestive heart failure.

4. ACE inhibitors should be considered to reduce the risk of cardiovascular events in patients matching the following criteria:

(a) Age older than 55 years

(b) With or without hypertension

(c) Presence of any of the following cardiovascular risk factors:

- History of cardiovascular disease

- Dyslipidemia

- Microalbuminuria

- Smoking

5. ^-blockers should be considered in patients with prior myocardial infarction or in patients undergoing major surgery

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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