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▎For more than 40 years, the content team editor of WuXi AppTec, with the aging of the population and changes in lifestyles, diabetes, especially type 2 diabetes, which accounts for more than 90%, has gradually become an epidemic in China from a rare disease.
In 2015, the number of adult diabetic patients in China was approximately 109.
6 million, ranking first in the world.
As a metabolic disease, the regulation and utilization of sugar in the body of diabetic patients has problems, which increases the concentration of glucose in the blood, which not only causes harm to health and life, but is also a risk factor for cardiovascular disease.
Compared with non-diabetic people, the risk of cardiovascular disease in diabetic patients is increased by 2-4 times.
Moreover, the fasting blood glucose and postprandial blood glucose increase, even if the diagnostic criteria for diabetes are not met, the risk of cardiovascular disease is also significantly increased.
At the same time, a study published in the Journal of the American College of Cardiology added new evidence that patients with type 2 diabetes are more likely to die from cardiovascular disease.
The study found that about two-thirds of type 2 diabetes patients died of cardiovascular disease.
Image source: 123RF researchers analyzed data from the SAVOR-TIMI 53 trial, involving 16,492 subjects with type 2 diabetes.
Through the questionnaire, the researchers counted the subjects' height, weight, age, education level, physical activity, alcohol consumption, smoking status, diabetes history, and treatment history.
In addition, statistics on the number of deaths and causes of death of subjects during the study period are also included.
During an average follow-up of 2.
1 years, a total of 798 deaths occurred.After adjusting for other factors, the researchers found that about two-thirds (66.
3%) of all deaths were caused by cardiovascular disease.
Among the cardiovascular diseases that cause death, the most common is sudden cardiac death, which accounts for 30.
1% of the total deaths, followed by heart failure (10.
5%), cerebrovascular disease (7.
1%) and acute myocardial infarction (5.
3%) .
33.
7% of deaths were caused by non-cardiovascular diseases, the most common was malignant tumors (13.
9%), followed by infection (9.
3%), lung failure (2.
6%), renal failure (1.
9%), gastrointestinal tract And liver disease (1.
5%), and bleeding disorders (1.
4%).
Image source: 123RF researchers pointed out that with age and poor blood sugar control, patients with type 2 diabetes are not only more susceptible to cardiovascular disease and peripheral arterial disease, but also more likely to die from these diseases.
Therefore, early management of cardiovascular disease risk factors and timely administration of hypoglycemic drugs are particularly important for patients with type 2 diabetes, and may obtain the greatest benefits.
So, how should patients with type 2 diabetes manage cardiovascular disease risk factors to prevent the occurrence and death of cardiovascular disease? Clinical studies have found that only strict blood sugar control has limited effect in reducing the risk of cardiovascular disease and death caused by type 2 diabetes, especially those with a longer course of disease, older age, and cardiovascular disease that have already occurred, or accompanied by Patients with multiple risk factors for cardiovascular disease.
However, comprehensive control of multiple risk factors can significantly improve the risk of cardiovascular disease and death in diabetic patients.
Specifically, it mainly includes the following aspects.
Image source: 123RF 1.
When and after the diagnosis of diabetes, the risk factors for cardiovascular disease should be assessed at least annually, including the history of cardiovascular disease, age, and whether there are risk factors for cardiovascular disease (such as smoking, hypertension, dyslipidemia, obesity) Especially for abdominal obesity, family history of early-onset cardiovascular disease), kidney damage (increased urinary albumin excretion rate, etc.
), atrial fibrillation, etc.
, targeted treatment based on the screening results. 2.
Controlling the risk factors of cardiovascular disease.
Antihypertensive treatment.
Reduce blood pressure to 130/ by taking antihypertensive drugs and a healthy lifestyle, including reasonable diet, regular exercise, smoking cessation and salt restriction, weight control, alcohol restriction, and mental balance, etc.
Below 80mmHg.
Lipid-lowering treatment Diabetic patients should check their blood lipids at least once a year, and patients receiving lipid-lowering drugs should also increase the number of blood lipid tests based on the needs of efficacy evaluation.
At the same time, reduce the intake of saturated fatty acids, trans fatty acids and cholesterol; increase the intake of n-3 fatty acids, viscous fibers, and plant sterols; reduce weight; increase exercise, quit smoking, and limit alcohol.
In addition, under appropriate circumstances, anti-platelet therapy can also be carried out according to medical staff's recommendations, such as taking aspirin.
All in all, patients with type 2 diabetes should not only pay attention to blood sugar control, but also prevent a series of complications such as cardiovascular disease.
Only in this way can they better promote their health and improve the quality of life. It is recommended to read two things well, which can reduce the risk of metabolic syndrome by more than 50%, including obesity, hyperglycemia, high blood pressure, dyslipidemia.
.
.
Do two things well, which can reduce the risk of metabolic syndrome by more than 50%, including Obesity, high blood sugar, high blood pressure, dyslipidemia.
.
.
more than 6 million research data: subvert cognition! Obese people will live longer after suffering from certain cancers? Are you happy on April Fool's Day? A number of studies have shown that optimistic people are not prone to these diseases.
7% of premature deaths worldwide and a variety of non-communicable diseases are related to this matter.
Source: 123RF Reference [1] IlariaCavallari, et al.
,(2021).
Causes and Risk Factors for Death in Diabetes: A Competing-Risk Analysis From the SAVOR-TIMI 53 Trial.
Journal of the American College of Cardiology, DOI: https://doi.
org/10.
1016/j .
jacc.
2021.
02.
030.
[2] CVD Remains Leading Cause of Death in Type 2 Diabetes.
Retrieved Apr 8, 2021, from [3] China Type 2 Diabetes Prevention Guide (2017 edition) Note: This article aims to introduce the progress of medical and health research, not a treatment plan recommendation.
If you need guidance on treatment plans, please go to a regular hospital for treatment.
In 2015, the number of adult diabetic patients in China was approximately 109.
6 million, ranking first in the world.
As a metabolic disease, the regulation and utilization of sugar in the body of diabetic patients has problems, which increases the concentration of glucose in the blood, which not only causes harm to health and life, but is also a risk factor for cardiovascular disease.
Compared with non-diabetic people, the risk of cardiovascular disease in diabetic patients is increased by 2-4 times.
Moreover, the fasting blood glucose and postprandial blood glucose increase, even if the diagnostic criteria for diabetes are not met, the risk of cardiovascular disease is also significantly increased.
At the same time, a study published in the Journal of the American College of Cardiology added new evidence that patients with type 2 diabetes are more likely to die from cardiovascular disease.
The study found that about two-thirds of type 2 diabetes patients died of cardiovascular disease.
Image source: 123RF researchers analyzed data from the SAVOR-TIMI 53 trial, involving 16,492 subjects with type 2 diabetes.
Through the questionnaire, the researchers counted the subjects' height, weight, age, education level, physical activity, alcohol consumption, smoking status, diabetes history, and treatment history.
In addition, statistics on the number of deaths and causes of death of subjects during the study period are also included.
During an average follow-up of 2.
1 years, a total of 798 deaths occurred.After adjusting for other factors, the researchers found that about two-thirds (66.
3%) of all deaths were caused by cardiovascular disease.
Among the cardiovascular diseases that cause death, the most common is sudden cardiac death, which accounts for 30.
1% of the total deaths, followed by heart failure (10.
5%), cerebrovascular disease (7.
1%) and acute myocardial infarction (5.
3%) .
33.
7% of deaths were caused by non-cardiovascular diseases, the most common was malignant tumors (13.
9%), followed by infection (9.
3%), lung failure (2.
6%), renal failure (1.
9%), gastrointestinal tract And liver disease (1.
5%), and bleeding disorders (1.
4%).
Image source: 123RF researchers pointed out that with age and poor blood sugar control, patients with type 2 diabetes are not only more susceptible to cardiovascular disease and peripheral arterial disease, but also more likely to die from these diseases.
Therefore, early management of cardiovascular disease risk factors and timely administration of hypoglycemic drugs are particularly important for patients with type 2 diabetes, and may obtain the greatest benefits.
So, how should patients with type 2 diabetes manage cardiovascular disease risk factors to prevent the occurrence and death of cardiovascular disease? Clinical studies have found that only strict blood sugar control has limited effect in reducing the risk of cardiovascular disease and death caused by type 2 diabetes, especially those with a longer course of disease, older age, and cardiovascular disease that have already occurred, or accompanied by Patients with multiple risk factors for cardiovascular disease.
However, comprehensive control of multiple risk factors can significantly improve the risk of cardiovascular disease and death in diabetic patients.
Specifically, it mainly includes the following aspects.
Image source: 123RF 1.
When and after the diagnosis of diabetes, the risk factors for cardiovascular disease should be assessed at least annually, including the history of cardiovascular disease, age, and whether there are risk factors for cardiovascular disease (such as smoking, hypertension, dyslipidemia, obesity) Especially for abdominal obesity, family history of early-onset cardiovascular disease), kidney damage (increased urinary albumin excretion rate, etc.
), atrial fibrillation, etc.
, targeted treatment based on the screening results. 2.
Controlling the risk factors of cardiovascular disease.
Antihypertensive treatment.
Reduce blood pressure to 130/ by taking antihypertensive drugs and a healthy lifestyle, including reasonable diet, regular exercise, smoking cessation and salt restriction, weight control, alcohol restriction, and mental balance, etc.
Below 80mmHg.
Lipid-lowering treatment Diabetic patients should check their blood lipids at least once a year, and patients receiving lipid-lowering drugs should also increase the number of blood lipid tests based on the needs of efficacy evaluation.
At the same time, reduce the intake of saturated fatty acids, trans fatty acids and cholesterol; increase the intake of n-3 fatty acids, viscous fibers, and plant sterols; reduce weight; increase exercise, quit smoking, and limit alcohol.
In addition, under appropriate circumstances, anti-platelet therapy can also be carried out according to medical staff's recommendations, such as taking aspirin.
All in all, patients with type 2 diabetes should not only pay attention to blood sugar control, but also prevent a series of complications such as cardiovascular disease.
Only in this way can they better promote their health and improve the quality of life. It is recommended to read two things well, which can reduce the risk of metabolic syndrome by more than 50%, including obesity, hyperglycemia, high blood pressure, dyslipidemia.
.
.
Do two things well, which can reduce the risk of metabolic syndrome by more than 50%, including Obesity, high blood sugar, high blood pressure, dyslipidemia.
.
.
more than 6 million research data: subvert cognition! Obese people will live longer after suffering from certain cancers? Are you happy on April Fool's Day? A number of studies have shown that optimistic people are not prone to these diseases.
7% of premature deaths worldwide and a variety of non-communicable diseases are related to this matter.
Source: 123RF Reference [1] IlariaCavallari, et al.
,(2021).
Causes and Risk Factors for Death in Diabetes: A Competing-Risk Analysis From the SAVOR-TIMI 53 Trial.
Journal of the American College of Cardiology, DOI: https://doi.
org/10.
1016/j .
jacc.
2021.
02.
030.
[2] CVD Remains Leading Cause of Death in Type 2 Diabetes.
Retrieved Apr 8, 2021, from [3] China Type 2 Diabetes Prevention Guide (2017 edition) Note: This article aims to introduce the progress of medical and health research, not a treatment plan recommendation.
If you need guidance on treatment plans, please go to a regular hospital for treatment.
