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Diabetes mellitus and cardiovascular disease are two closely related diseases. In patients with both stable and unstable coronary artery disease (CAD), there is a high prevalence of diabetes and increased rates of both undiagnosed diabetes and impaired glucose metabolism such as impaired glucose tolerance (IGT) or impaired fasting glucose (IFG).1 2 Patients with known or newly diagnosed diabetes are at particularly elevated risk for both mortality and adverse cardiac events at 1 year of follow-up.2 Cardiovascular disease is currently the leading cause of death worldwide.3 At the same time, there is a worldwide epidemic of diabetes mellitus, with over 280 million (6.4%) of the world's population affected.4 There is therefore a need for a closer working relationship between diabetologists and cardiologists in order to improve the management of such patients.5 Thus, if one sees a patient with suspected CAD, it is extremely important to confirm whether or not he or she has diabetes and, in due course, to treat it effectively. This is especially true in the case of an acute coronary syndrome (ACS). One method that has been used is the assessment of admission hyperglycaemia, which has been shown to increase subsequent cardiovascular events.6 Patients presenting with ACS and documented hyperglycaemia on admission …
Linked article 300163.
Competing interests None.
Ethics approval This is an editorial; for details on the ethics approval of the study reviewed (heartjnl-2011-300163 by de Mulder et al), please refer to the authors' submission.
Provenance and peer review Commissioned; internally peer reviewed.