Abstract
Diabetes mellitus presents a significant public health burden based on its increased
morbidity, mortality, and economic cost. The high comorbidity and prevalence of concomitant
diseases like hypertension and dyslipidemia in diabetic patients cause the high risk
in developing secondary, cost intensive, and for the patient often disastrous late
complications (nephropathy, retinopathy, neuropathy, and cardiovascular disease).
Therefore, patients with diabetes mellitus need a global risk management that takes
the various individual clinical problems into account. The current global standards
of therapy in patients with diabetes mellitus are focused on the control of glycemia,
blood pressure, and lipid levels, as well as aspirin therapy and avoiding of smoking.
There are a number of guidelines and recommendations to manage these global issues.
Our review will summarize current recommendations and consolidate therapeutic goals
and treatments that are of vital importance in the global risk management in diabetic
patients.
Key words
Type 2 diabetes mellitus - hypertension - dyslipidemia - diabetes guidelines - cardiovascular
risk management
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M. D. Andreas Clemens
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