© 2002 by Heart
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Ischaemic heart disease
Spotting risk factors in diabetics
Of 601 patients with type 2 diabetes mellitus, only 76% had cholesterol measured, compared to rates of 92% for HbA1c and 99% for blood pressure (p < 0.0001 for either comparison). When elevation was detected, Hba1c was more likely to be treated (92%) than raised blood pressure (BP) (78%) or raised low density lipoprotein (LDL) cholesterol (38%, p < 0.001 for comparison). Even in a tertiary centre, cardiovascular risk reduction in diabetics who are at very high cardiovascular risk is clearly not as aggressive as it should be.
Grant RW, Cagliero E, Murphy-Sheehy P, Singer DE, Nathan DM, Meigs JB. Comparison of hyperglycemia, hypertension, and hypercholesterolemia management in patients with type 2 diabetes. Am J Med 2002;112:6039.[Medline]
How cost effective are BP lowering, glucose control and cholesterol control in diabetics?
The UKPDS data suggest BP control is as important as glycaemic
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