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Cardiovascular Outcomes of Treatments available for Patients with Type 1 and 2 Diabetes, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book

Cardiovascular Outcomes of Treatments available for Patients with Type 1 and 2 Diabetes, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book

Guillermo E. Umpierrez

(2018)

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Book Details

Abstract

This issue of Endocrinology and Metabolism Clinics, edited by Dr. Guillermo E. Umpierrez, will focus on Cardiovascular Outcomes of Treatments available for Patients with Type 1 and 2 Diabetes. Topics include--but are not limited to--Diabetes and CAD and PVD; Prediabetes and CVD-  DM prevention; Pathogenesis of atherosclerosis/CVD in diabetes Intensive Diabetes Treatment and CV Outcomes in T1D; Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes, Diabetes and Stroke; Cardiovascular outcome trials of glucose-lowering drugs or strategies in type 2 diabetes; Heart Failure in Diabetes Mellitus; Individualizing Glucose Lowering Therapy in the Patient with Diabetes and Heart Disease; Managing Dyslipidemia in Type 2 Diabetes; Blood pressure control and cardiovascular and renal outcomes; Hyperglycemia in acute coronary syndromes; Hospital Glucose Control; Managing Diabetes and cardiovascular risk in chronic kidney disease; and more.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Cardiovascular Outcomes of Treatments Availablefor Patients with Type 1 and 2 Diabetes\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword: Diabetes and Atherosclerotic Cardiovascular Disease vii
Preface: Diabetes and Atherosclerotic Cardiovascular Disease: Novel Insights and Therapeutic Strategies vii
The Evolving Epidemiology of Atherosclerotic Cardiovascular Disease in People with Diabetes vii
Prediabetes and Cardiovascular Disease: Pathophysiology and Interventions for Prevention and Risk Reduction vii
Pathogenesis of Cardiovascular Disease in Diabetes vii
Intensive Diabetes Treatment and Cardiovascular Outcomes in Type 1 Diabetes Mellitus: Implications of the Diabetes Control ... viii
Intensive Blood Glucose Control and Vascular Outcomes in Patients with Type 2 Diabetes Mellitus viii
Cardiovascular Outcomes Trials of Glucose-Lowering Drugs or Strategies in Type 2 Diabetes viii
Heart Failure: Epidemiology, Pathophysiology, and Management of Heart Failure in Diabetes Mellitus ix
Personalizing Glucose-Lowering Therapy in Patients with Type 2 Diabetes and Cardiovascular Disease ix
Managing Dyslipidemia in Type 2 Diabetes ix
Blood Pressure Control and Cardiovascular/Renal Outcomes ix
Hyperglycemia in Acute Coronary Syndromes: From Mechanisms to Prognostic Implications x
Perioperative Management of Hyperglycemia and Diabetes in Cardiac Surgery Patients x
Antiplatelet Therapy in Diabetes x
Managing Diabetes and Cardiovascular Risk in Chronic Kidney Disease Patients x
ENDOCRINOLOGY AND\rMETABOLISM CLINICS OF\rNORTH AMERICA\r xi
FORTHCOMING ISSUES xi
June 2018 xi
September 2018 xi
December 2018 xi
RECENT ISSUES xi
December 2017 xi
September 2017 xi
June 2017 xi
Foreword: Diabetes and Atherosclerotic Cardiovascular Disease\r\r xiii
Preface:\rDiabetes and Atherosclerotic Cardiovascular Disease: Novel Insights and Therapeutic Strategies xv
The Evolving Epidemiology of Atherosclerotic Cardiovascular Disease in People with Diabetes 1
Key points 1
INTRODUCTION 2
US AND GLOBAL TRENDS IN ATHEROSCLEROTIC CARDIOVASCULAR DISEASE AMONG PEOPLE WITH DIABETES 2
IDEAL CARDIOVASCULAR HEALTH (LIFE’S SIMPLE 7) 5
IDEAL BIOLOGICAL FACTORS (GLYCEMIC CONTROL, BLOOD PRESSURE, AND CHOLESTEROL) 5
Glycemic Control and Diabetes as Coronary Heart Disease Equivalent 5
Blood Pressure, Clear Benefits—Moving Targets 9
Dyslipidemia, Still Based on Low-Density Lipoprotein Cholesterol 10
IDEAL HEALTH BEHAVIORS (HEALTHY WEIGHT, PHYSICAL ACTIVITY, HEALTHY DIET, AND NO SMOKING) 11
Maintaining a Healthy Weight; Are More Aggressive Interventions Needed? 11
Lifestyle Changes, Look AHEAD, and Beyond 12
Mediterranean and Dietary Approach to Stop Hypertension Diets 13
Tobacco Use Is Still Prevalent 14
ADDITIONAL RISK FACTORS 15
Age, Gender, and Duration of Diabetes 15
Hypercoagulability and Antiplatelet Therapy 16
WHAT IS ON THE HORIZON? 16
SUMMARY AND POTENTIAL PUBLIC HEALTH IMPLICATIONS 17
REFERENCES 19
Prediabetes and Cardiovascular Disease 33
Key points 33
INTRODUCTION 33
DIAGNOSIS AND THE BURDEN OF PREDIABETES 34
PATHOPHYSIOLOGIC DEFECTS IN PREDIABETES 34
FINDINGS FROM LONGITUDINAL ASSESSMENT OF INSULIN ACTION AND SECRETION 34
LIPOLYSIS, INCRETIN, ALPHA CELL, AND INFLAMMATION IN PREDIABETES 35
PREDICTORS OF GLYCEMIC PROGRESSION TO PREDIABETES AND TYPE 2 DIABETES MELLITUS 35
Conversion from Prediabetes to Type 2 Diabetes Mellitus 35
Normoglycemia to Prediabetes Transition 36
MACROVASCULAR COMPLICATIONS OF PREDIABETES 37
Cardiovascular Disease 37
Stroke 38
Peripheral Vascular Disease 38
Interactions Among Prediabetes and Cardiovascular Disease Risk Factors 38
INTERVENTION STUDIES TO PREVENT PROGRESSION FROM PREDIABETES TO TYPE 2 DIABETES MELLITUS AND DEVELOPMENT OF CARDIOVASCULAR ... 39
Prevention of type 2 diabetes mellitus 39
Prevention of Cardiovascular Disease in Prediabetes 39
CLINICAL TRANSLATION AND SUMMARY 41
REFERENCES 42
Pathogenesis of Cardiovascular Disease in Diabetes 51
Key points 51
INTRODUCTION 51
THE “GLUCOSE HYPOTHESIS” IN THE HEART 52
ACCELERATED ATHEROSCLEROSIS IN DIABETES 55
MICROANGIOPATHY AND THE MYOCARDIUM 57
DIABETIC CARDIOMYOPATHY 58
CARDIAC AUTONOMIC NEUROPATHY 58
KNOWLEDGE GAPS 59
REFERENCES 60
Intensive Diabetes Treatment and Cardiovascular Outcomes in Type 1 Diabetes Mellitus 65
Key points 65
INTRODUCTION 65
EPIDEMIOLOGY OF CARDIOVASCULAR DISEASE IN TYPE 1 DIABETES MELLITUS 66
PATHOPHYSIOLOGY OF CARDIOVASCULAR DISEASE IN TYPE 1 DIABETES MELLITUS 67
EVIDENCE FROM THE DIABETES CONTROL AND COMPLICATIONS TRIAL/EPIDEMIOLOGY OF DIABETES INTERVENTIONS AND COMPLICATIONS 68
Mortality 68
Major Adverse Cardiac Events 69
Risk Factors for Cardiovascular Disease in Type 1 Diabetes Mellitus 69
Blood Pressure 70
Lipids 70
Weight or Body Mass Index 70
EVIDENCE FOR SURROGATE MARKERS OF CARDIOVASCULAR DISEASE FROM THE DIABETES CONTROL AND COMPLICATIONS TRIAL/EPIDEMIOLOGY OF ... 71
Carotid Intima–Media Thickness 71
Coronary Artery Calcium Scores 71
ECG Changes 72
CLINICAL IMPLICATIONS FROM THE DIABETES CONTROL AND COMPLICATIONS TRIAL/EPIDEMIOLOGY OF DIABETES INTERVENTIONS AND COMPLICA ... 72
Achieve Excellent Glycemic Control 73
Achieve Target Blood Pressure and Management of Kidney Disease 73
General Lifestyle Measures 74
Lipid Management 74
Management considerations 75
Age under 40 years 75
Age over 40 years 75
Advanced Cardiovascular Risk Assessment 75
SUMMARY 75
REFERENCES 76
Intensive Blood Glucose Control and Vascular Outcomes in Patients with Type 2 Diabetes Mellitus 81
Key points 81
INTRODUCTION 81
THE GLYCEMIC CONTROL HYPOTHESIS AND VASCULAR OUTCOMES 82
GLUCOSE-LOWERING MEDICATIONS AND THE GLYCEMIC CONTROL HYPOTHESIS 88
HYPOGLYCEMIA AND THE GLYCEMIC CONTROL HYPOTHESIS FOR CARDIOVASCULAR RISK REDUCTION 90
SUMMARY 91
REFERENCES 92
Cardiovascular Outcomes Trials of Glucose-Lowering Drugs or Strategies in Type 2 Diabetes 97
Key points 97
CARDIOVASCULAR DISEASES PROMOTED BY DIABETES 98
LINK BETWEEN DYSGLYCEMIA AND CARDIOVASCULAR DISEASE 98
THE CRUCIAL NEED FOR RANDOMIZED CONTROLLED CARDIOVASCULAR OUTCOMES TRIALS 100
GLUCOSE LOWERING AND CARDIOVASCULAR OUTCOMES 100
EFFECT OF GLUCOSE-LOWERING STRATEGIES ON CARDIOVASCULAR OUTCOMES 101
EFFECT OF GLUCOSE-LOWERING DRUGS ON CARDIOVASCULAR OUTCOMES 101
Insulin 102
Metformin and Sulfonylureas 104
Thiazolidinediones 108
Meglitinides 109
Glucagon-Like Peptide 1 Receptor Agonists 109
Dipeptidyl Peptidase Inhibitors 110
Sodium-Glucose Linked Cotransporter 2 Inhibitors 111
SUMMARY 113
REFERENCES 113
Heart Failure 117
Key points 117
HEART FAILURE SYNDROME 118
EPIDEMIOLOGY OF HEART FAILURE AND DIABETES 118
MANAGEMENT OF DIABETES MELLITUS IN HEART FAILURE 119
PHYSICAL TRAINING AND WEIGHT LOSS 119
ALPHA-GLUCOSIDASE INHIBITORS 120
BIGUANIDES (METFORMIN) 120
SULFONYLUREAS 121
INSULIN 122
THIAZOLIDINEDIONES (GLITAZONES) 123
INCRETIN THERAPIES 124
DIPEPTIDYL PEPTIDASE-4 INHIBITORS 124
GLUCAGON-LIKE PEPTIDE-1 RECEPTOR AGONISTS 125
SODIUM GLUCOSE COTRANSPORT 2 RECEPTOR INHIBITORS 127
OTHER GLUCOSE LOWERING DRUGS 128
Nateglinide 128
Bromocriptine 129
SUMMARY AND INTERPRETATION 129
REFERENCES 130
Personalizing Glucose-Lowering Therapy in Patients with Type 2 Diabetes and Cardiovascular Disease 137
Key points 137
BACKGROUND 137
CALIBRATING GLYCEMIC TARGETS IN THE PATIENT WITH CARDIOVASCULAR DISEASE: HOW LOW TO GO 138
GLUCOSE-LOWERING STRATEGIES IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND CARDIOVASCULAR DISEASE: WHICH DRUG FOR WHICH PATIENT? 139
Pathophysiology 142
Potency 144
Precautions 144
“Perks” 146
Practicalities 147
Price 148
Practical Application to the Patient with Cardiovascular Disease 148
SUMMARY 149
REFERENCES 150
Managing Dyslipidemia in Type 2 Diabetes 153
Key points 153
DIABETES AND CARDIOVASCULAR RISK 154
PREVALENCE AND RISK OF DYSLIPIDEMIA IN TYPE 2 DIABETES 154
Low-Density Lipoprotein Cholesterol 154
Triglycerides 154
High-Density Lipoprotein Cholesterol 154
PATHOPHYSIOLOGY OF DYSLIPIDEMIA 155
Triglyceride-Rich Lipoproteins Species 155
Small-Density Low-Density Lipoprotein Particles and High-Density Lipoprotein 156
MANAGEMENT OF DIABETIC DYSLIPIDEMIA 156
Nonpharmacologic Management 156
Diet 156
Lifestyle: diet, exercise, and weight loss 159
Physical exercise 160
Pharmacologic Management 160
Statins 160
Ezetimibe 160
Fibrates 161
Niacin 162
Bile acid sequestrants 162
Omega-3 fatty acids 163
PCSK-9 inhibitors 163
DISCUSSION 164
REFERENCES 169
Blood Pressure Control and Cardiovascular/Renal Outcomes 175
Key points 175
INTRODUCTION 175
TARGET BLOOD PRESSURE IN PATIENTS WITH DIABETES 176
RANDOMIZED CLINICAL TRIALS OF INTENSIVE BLOOD PRESSURE CONTROL 176
KIDNEY DISEASE OUTCOMES 179
APPROACH TO THERAPY 179
REFERENCES 180
Hyperglycemia in Acute Coronary Syndromes 185
Key points 185
INTRODUCTION 185
DEFINITION OF HYPERGLYCEMIA DURING ACUTE CORONARY SYNDROME 186
PREVALENCE OF ELEVATED GLUCOSE LEVELS IN ACUTE CORONARY SYNDROME 186
GLUCOSE LEVELS AND MORTALITY IN ACUTE CORONARY SYNDROME 187
DYNAMIC CHANGES IN GLUCOSE LEVELS DURING ACUTE CORONARY SYNDROME AND MORTALITY 188
CLINICAL TRIALS OF GLUCOSE CONTROL IN PATIENTS WITH ACUTE CORONARY SYNDROME 188
THE PROGNOSTIC IMPORTANCE OF HYPOGLYCEMIA IN PATIENTS WITH ACUTE CORONARY SYNDROME 196
CURRENT PATTERNS OF GLUCOSE CONTROL IN ACUTE CORONARY SYNDROME 197
SUMMARY AND RECOMMENDATIONS 197
REFERENCES 198
Perioperative Management of Hyperglycemia and Diabetes in Cardiac Surgery Patients 203
Key points 203
INTRODUCTION 203
EPIDEMIOLOGY OF STRESS HYPERGLYCEMIA 204
REGULATION OF BLOOD GLUCOSE IN HEALTHY INDIVIDUALS AND DURING STRESS 204
CONSEQUENCES OF HYPERGLYCEMIA IN HOSPITALIZED PATIENTS 206
EVIDENCE FOR CONTROLLING PERIOPERATIVE HYPERGLYCEMIA IN CARDIAC SURGERY PATIENTS 207
Intraoperative Period 207
Postoperative Period 207
MANAGEMENT OF PERIOPERATIVE HYPERGLYCEMIA DURING CARDIAC SURGERY 208
Management of Hyperglycemia in Intensive Care Unit Settings 208
Management of Hyperglycemia in Non-intensive Care Unit Settings 209
GLUCOSE MONITORING DURING THE PERIOPERATIVE PERIOD 213
HYPOGLYCEMIA AND OUTCOMES IN PATIENTS HOSPITALIZED WITH CARDIAC CONDITIONS 214
MANAGEMENT OF DIABETES AFTER HOSPITAL DISCHARGE 214
REFERENCES 215
Antiplatelet Therapy in Diabetes 223
Key points 223
INTRODUCTION 223
PLATELET ACTIVATION AND AGGREGATION 224
ASPIRIN 224
GLYCOPROTEIN IIB/IIIA INHIBITORS 226
ADENOSINE DIPHOSPHATE RECEPTOR ANTAGONISTS 226
CLOPIDOGREL 226
PRASUGREL 230
TICAGRELOR 231
CANGRELOR 231
THROMBIN RECEPTOR ANTAGONIST 232
SUMMARY 232
REFERENCES 233
Managing Diabetes and Cardiovascular Risk in Chronic Kidney Disease Patients 237
Key points 237
INTRODUCTION 238
MECHANISMS OF INCREASED CARDIOVASCULAR DISEASE IN CHRONIC KIDNEY DISEASE 238
Left Ventricular Dysfunction 238
Diabetes Mellitus and Glucose Control 239
Hypertension 239
Dyslipidemia of Chronic Kidney Disease 239
Cardiovascular Calcifications 240
IS LIPID-LOWERING THERAPY BENEFICIAL IN CHRONIC KIDNEY DISEASE? 240
Dyslipidemia of Chronic Kidney Disease 241
CLINICAL TRIALS OF THE STATINS IN PATIENTS WITH MILD TO SEVERE CHRONIC KIDNEY DISEASE 241
Statins in Patients with Mild Chronic Kidney Disease 241
Statins in Patients with Advanced Chronic Kidney Disease and Dialysis Patients 243
CORRECTION OF HYPERTRIGLYCERIDEMIA AND LOW HIGH-DENSITY LIPOPROTEIN 244
WILL LOWERING LOW-DENSITY LIPOPROTEIN TARGET BE BENEFICIAL IN PATIENTS WITH HIGH-RISK AND EXTREMELY HIGH-RISK CHRONIC KIDNE ... 244
DIABETES, GLYCEMIA, AND CHRONIC KIDNEY DISEASE 245
Benefits of Glycemic Control in Patients with Diabetes and CKD 245
A1C as an Indicator of Glycemic Control in Chronic Kidney Disease 246
Glycated Albumin as an Indicator of Glycemic Control in Chronic Kidney Disease 247
Comparison of A1C with Glycated Albumin 247
Fructosamine as an Indicator of Glycemic Control in Chronic Kidney Disease 247
Self-Blood Glucose Monitoring and Continuous Glucose Monitoring in Chronic Kidney Disease 248
Glycemic Markers in Summary 248
Treatment of Diabetes in Chronic Kidney Disease 248
STRATEGIES TO IMPROVE OVERALL METABOLIC CONTROL 248
SUMMARY 251
REFERENCES 251