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Medical Grand Rounds

In diabetes, treat hidden heart disease

Willa A. Hsueh, MD
Cleveland Clinic Journal of Medicine November 2000, 67 (11) 807-813;
William S. Wilke
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Willa A. Hsueh
Professor of Medicine and Chief of the Division of Endocrinology, Diabetes, and Hypertension, University of California, Los Angeles
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ABSTRACT

Both diabetic and prediabetic patients have abnormal vascular reactivity and should be considered to have occult cardiovascular disease. Angiotensin-converting-enzyme (ACE) inhibitors are particularly beneficial in diabetes because they reduce the incidence of both cardiovascular events and diabetes-related complications. In prediabetic patients, ACE inhibitors also reduce the risk of a new diagnosis of type 2 diabetes. Managing hypertension is even more beneficial for diabetic patients than for nondiabetic patients. To further reduce the risk of heart disease in patients with diabetes or prediabetes, dyslipidemia should also be treated aggressively.

Footnotes

  • ↵* The author has indicated that she has received grant or research support from the Bristol-Myers Squibb and Parke-Davis corporations, and serves as a consultant and on the speakers’ bureau for Merck and Co. Her lecture was supported by a grant from Parke-Davis.

  • Copyright © 2000 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 67 (11)
Cleveland Clinic Journal of Medicine
Vol. 67, Issue 11
1 Nov 2000
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In diabetes, treat hidden heart disease
Willa A. Hsueh
Cleveland Clinic Journal of Medicine Nov 2000, 67 (11) 807-813;

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In diabetes, treat hidden heart disease
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Cleveland Clinic Journal of Medicine Nov 2000, 67 (11) 807-813;
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