• Atencion primaria · May 2016

    Practice Guideline

    [Diabetes mellitus and cardiovascular risk: Working group recommendations of Diabetes and Cardiovascular Disease of the Spanish Society of Diabetes (SED, 2015)].

    • Francisco Arrieta, Pedro Iglesias, Juan Pedro-Botet, Francisco Javier Tébar, Emilio Ortega, Andreu Nubiola, Jose Luis Pardo, Gonzálo Fernando Maldonado, Juan Carlos Obaya, Pablo Matute, Romina Petrecca, Nuria Alonso, Elena Sarabia, Victor Sánchez-Margalet, José Juan Alemán, Jorge Navarro, Antonio Becerra, Santiago Duran, Manuel Aguilar, Fernando Escobar-Jiménez, and Grupo de Trabajo Diabetes y Enfermedad Cardiovascular de la Sociedad Española de Diabetes (SED).
    • Unidad Enfermedades Metabólicas del Adulto (CSUR), Servicio de Endocrinología y Nutrición Hospital Universitario Ramón y Cajal, IRYCIS, CIBEROBN, Madrid, España. Electronic address: arri68@hotmail.com.
    • Aten Primaria. 2016 May 1; 48 (5): 325336325-36.

    AbstractThe present paper updates the Clinical Practice Recommendations for the management of cardiovascular risk factors (CVRF) in diabetes mellitus. This is a medical consensus agreed by an independent panel of experts from the Spanish Society of Diabetes (SED). Several consensuses have been proposed by scientific and medical Societies to achieve clinical goals. However, the risk score for general population may lack sensitivity for individual assessment or for particular groups at risk, such as diabetics. Traditional risk factors together with non-traditional factors are reviewed throughout this paper. Intervention strategies for managing CVRF in the diabetic patient are reviewed in detail: balanced food intake, weight reduction, physical exercise, smoking cessation, reduction in HbA1c, therapy for high blood pressure, obesity, lipid disorders, and platelet anti-aggregation. It is hoped that these guidelines can help clinicians in the decisions of their clinical activity. This regular update by the SED Cardiovascular Disease Group of the most relevant concepts, and of greater practical and realistic clinical interest, is presented in order to reduce CVR of diabetics.Copyright © 2015. Publicado por Elsevier España, S.L.U.

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