Diabetes: Difference between revisions

Diabetes (view source)

1,249 bytes added , 21 January 2013

no edit summary

467

edits

@@ Line 153: / Line 153: @@
 ===Treatments to reduce cardiovascular risk===
+{| class="wikitable" border="0" cellpadding="0" cellspacing="0" width="600px"
+|-
+!colspan="3"|Treatment to reduce cardiovascular risk <cite>34</cite>
+|-
+|colspan="3"|'''Lifestyle and comprehensive management'''
+|-
+!Recommendation
+!Class<sup>a</sup>
+!Level<sup>b</sup>
+|-
+|Structured patient education improves metabolic and blood pressure control
+!I
+!A
+|-
+|Non-pharmacological life style therapy improves metabolic control
+!I
+!A
+|-
+|Self-monitoring improves glycaemic control
+!I
+!A
+|-
+|Near normoglycaemic control (HbA1c 6.5%<sup>c</sup>
+reduces microvascular complications
+reduces macrovascular complications
+!I
+!A
+|-
+|Intensiﬁed insulin therapy in type 1 diabetes reduces morbidity and mortality
+!I
+!A
+|-
+|Early escalation of therapy towards predeﬁned treatment targets improves a composite of morbidity and mortality in type 2 diabetes
+!IIa
+!B
+|-
+|Early initiation of insulin should be considered in patients with type 2 diabetes failing glucose target
+!IIb
+!C
+|-
+|Metformin is recommended as ﬁrst line drug in overweight type 2 diabetes
+!IIa
+!B
+|-
+|bgcolor="#CCCCFF" colspan="3"|'''<sup>a</sup>Class of recommendation.'''
+'''<sup>b</sup>Level of evidence.'''
+'''<sup>c</sup>Diabetes Control and Complication Trial-standardized.'''
+|}
 To reduce the risk of cardiovascular disease, the followings are needed to be considered: