Residual cardiovascular risk among people with diabetes

Diabetes Obes Metab. 2019 Apr:21 Suppl 1:28-38. doi: 10.1111/dom.13646.

Abstract

Type 2 diabetes (T2D) is a growing health concern across both developed and developing countries. Cardiovascular disease (CVD) remains the major cause of increased mortality in this patient population. In recent years, effective low density lipoprotein lowering treatments and other risk reduction strategies have substantially reduced the risk of atherosclerotic CVD, yet patients with T2D continue to remain at increased risk for atherosclerotic CVD. Here, we will briefly review various proposed underlying mechanisms for this residual risk with a more in-depth focus on the potential role of triglyceride-rich lipoproteins in residual risk and potential avenues to target this pharmacologically.

Keywords: cardiovascular disease; clinical trial; dyslipidaemia; lipid-lowering therapy.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Atherosclerosis / etiology
  • Atherosclerosis / prevention & control*
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / drug therapy
  • Female
  • Humans
  • Hypolipidemic Agents / therapeutic use*
  • Lipoproteins / blood*
  • Male
  • Middle Aged
  • Risk Factors
  • Triglycerides / blood*

Substances

  • Hypolipidemic Agents
  • Lipoproteins
  • Triglycerides
  • lipoprotein triglyceride