J Korean Diabetes.  2019 Sep;20(3):157-169. 10.4093/jkd.2019.20.3.157.

Risk Factors Management in Diabetic Patients

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea. diabetes@chosun.ac.kr

Abstract

Diabetes mellitus is associated with a high frequency of complications related to cardiovascular disease as well as microvascular complications such as nephropathy, retinopathy, and neuropathy. Prevention of these vascular complications is the main issue for diabetic patients. Hyperglycemia, hypertension, and dyslipidemia are well-known risk factors for complications in diabetic patients. Moreover, these chronic conditions are often seen in many diabetic patients. So, multifactorial interventions are needed to manage these risk factors and prevent diabetic complications. However, there is still a debate about the optimal level required for glycemic control, the appropriate blood pressure target, and dyslipidemia management. Although many countries have written their own guidelines, there are some discrepancies between these different guidelines. Recently, the Korean Diabetic Association issued new guidelines for Korean diabetic patients. Here, I will introduce these new guidelines and discuss the optimal management of risk factors such as hyperglycemia, hypertension, and dyslipidemia in diabetic patients.

Keyword

Diabetes mellitus; Dyslipidemias; Hypertension; Risk factors; Risk management

MeSH Terms

Blood Pressure
Cardiovascular Diseases
Diabetes Complications
Diabetes Mellitus
Dyslipidemias
Humans
Hyperglycemia
Hypertension
Risk Factors*
Risk Management

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