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Management of cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: 2002-2012 literature review.

Author: MangioneCarol M, MorenoGerardo

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

Type 2 diabetes mellitus (DM) is a common chronic condition in older adults, often accompanied by comorbidities and geriatric syndromes. Managing cardiovascular disease risk factors in older adults with DM is crucial. This review examined the evidence for managing blood pressure, lipid control, glycemic control, and aspirin use in older adults with type 2 DM. The review found that intensive systolic blood pressure control (<130 mmHg) did not significantly reduce myocardial infarction or mortality compared to less-intensive control. Lipid-lowering statins are effective for reducing cardiovascular events, but data on niacin and fibrates are limited. RCTs on lipid-lowering drugs do not evaluate the cardiovascular effects of different low-density lipoprotein cholesterol targets. No RCTs included significant numbers of adults aged 80 and older with or without DM. Intensive glycemic control did not reduce primary cardiovascular endpoints, and one study reported higher mortality with glycosylated hemoglobin levels below 6%. Aspirin did not significantly reduce primary cardiovascular endpoints compared to control groups. The need for further research is highlighted, especially in older adults aged 80 and older or with significant comorbidities, to better tailor care for individuals with DM.
Paper Details　
Original Abstract of the Article :
Type 2 diabetes mellitus (DM) is one of the most common chronic conditions in older adults and is often accompanied by comorbidities and geriatric syndromes. The management of cardiovascular disease risk factors in older adults with DM is important to clinicians. The literature was reviewed from 200...See full text at original site
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引用元：
https://pubmed.ncbi.nlm.nih.gov/24219205

データ提供：米国国立医学図書館（NLM）

Managing Cardiovascular Disease Risk Factors in Older Adults with Type 2 Diabetes

This study examines the important issue of [cardiovascular disease management] in older adults with type 2 diabetes mellitus (DM). The authors conducted a comprehensive literature review to provide an evidence base for updating guidelines and improving the care of this vulnerable population. The review focused on the management of blood pressure, lipid control, glycemic control, and aspirin use. The findings highlighted the complexity of managing cardiovascular risk factors in older adults with DM, emphasizing the need for individualized care and a careful consideration of potential risks and benefits of different treatments.

A Complex Landscape of Cardiovascular Risk

This research underscores the challenges of managing cardiovascular disease risk factors in older adults with type 2 DM, highlighting the need for a personalized approach that considers individual health status, comorbidities, and overall frailty.

Protecting the Hearts of Older Adults

This study emphasizes the importance of comprehensive care and personalized treatment strategies for older adults with type 2 DM, focusing on minimizing cardiovascular risks and maximizing their overall health and well-being.

Dr.Camel's Conclusion

This research is like a seasoned camel guide navigating the intricate pathways of aging and diabetes, providing valuable insights for healthcare providers to effectively manage cardiovascular risk factors in older adults. The study emphasizes the importance of a personalized approach, considering each individual's unique needs and challenges.
Date :
  1. Date Completed 2014-01-06
  2. Date Revised 2022-03-31
Further Info :

Pubmed ID

24219205

DOI: Digital Object Identifier

NIHMS517984

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Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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