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Type-2 Diabetes Mellitus and Cardiovascular Disease
Abstract
The global prevalence of diabetes has risen in adults from 4.7% in 1980 to 8.5% in 2014. 90-95% of adults with diabetes have Type 2 diabetes (T2D). This paper focuses on the diagnosis and treatment of T2D patients who have or are at risk for cardiovascular disease. Hyperglycemia, insulin resistance and excess fatty acids increase oxidative stress, disrupt protein kinase C signaling and increase advanced glycation end-products that result in vascular inflammation, vasoconstriction, thrombosis and atherogenesis. Intensive T2D treatment produces a ≥10% risk reduction in major macrovascular and microvascular events. Glucose-lowering therapies must be individualized. Metformin is an optimal drug for monotherapy. If hemoglobin A1c is not at goal, a sodium-glucose cotransporter-2 inhibitor or a dipeptidyl peptidase-4 inhibitor should be considered for therapy with metformin. Coronary angioplasty/stenting is recommended for diabetic patients with acute myocardial infarctions. Coronary artery bypass grafting is recommended for symptomatic diabetic patients with multivessel disease.
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“Cardiovascular diseases, involving coronary heart disease, peripheral vascular disease and cerebrovascular disease, are the primary contributors of death and disability in diabetic people (112).”
From Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments (2020) · cites this paper as [112]
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Greene, S. J., Vaduganathan, M., Khan, M. S., Bakris, G. L., Weir, M. R., Seltzer, J. H., Sattar, N., McGuire, D. K., Januzzi, J. L., Stockbridge, N., et al. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.01.047 · Cited by 56
Maggioni, A. P., Greene, S. J., Fonarow, G. C., Böhm, M., Zannad, F. M., Solomon, S. D., Lewis, E. F., Baschiera, F., Hua, T., Gimpelewicz, C. R., et al. (2013) · European Heart Journal · doi:10.1093/eurheartj/eht342 · Cited by 55
Pharmacologic Management of Type 2 Diabetes: 2016 Interim Update
(2016) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2016.02.006 · Cited by 49
McGinn, J. T., Shariff, M. A., Bhat, T. M., Azab, B. N., Molloy, W. J., Quattrocchi, E. J., Farid, M., Eichorn, A. M., Dlugacz, Y. D., & Silverman, R. A. (2011) · Journal of Cardiothoracic Surgery · doi:10.1186/1749-8090-6-104 · Cited by 46
The Combined Effect of Leisure-Time Physical Activity and Diabetes on Cardiovascular Mortality
Moe, B., Eilertsen, E., & Nilsen, T. I. L. (2012) · Diabetes Care · doi:10.2337/dc11-2472 · Cited by 45
Should Bilateral Internal Thoracic Artery Grafting Be Used in Patients With Diabetes Mellitus?
Pevni, D., Medalion, B., Mohr, R., Ben‐Gal, Y., Laub, A., Nevo, A., Kramer, A., Paz, Y., & Nesher, N. (2016) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2016.06.044 · Cited by 39
SYNTAX Score and Outcomes of Coronary Revascularization in Diabetic Patients
Kundu, A., Sardar, P., O’Day, K., Chatterjee, S., Owan, T., & Abbott, J. D. (2018) · Current Cardiology Reports · doi:10.1007/s11886-018-0971-1 · Cited by 32
Raza, S., Blackstone, E. H., Houghtaling, P. L., Koprivanac, M. J., Ravichandren, K., Javadikasgari, H., Bakaeen, F. G., Svensson, L. G., & Sabik, J. F. (2017) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2017.05.050 · Cited by 30
Age-, race-, and gender-specific prevalence of diabetes among smokers
Jankowich, M., Choudhary, G., Taveira, T. H., & Wu, W.-C. (2011) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2011.05.029 · Cited by 17
Diabetes mellitus: a prothrombotic state. Implications for outcomes after coronary revascularization
Cola, C. (2009) · Vascular Health and Risk Management · doi:10.2147/vhrm.s4248 · Cited by 16
Clinical role of LDL and HDL subclasses and apolipoprotein measurement
Rosenson, R. S. (2004) · ACC Current Journal Review · doi:10.1016/j.accreview.2004.04.095 · Cited by 16
Jiang, Y.-J., Wei-xing, H., Gao, C., Feng, J. M., Chen, Z.-F., Zhang, J., Luo, C., & Pan, J. (2017) · Medicine · doi:10.1097/md.0000000000006647 · Cited by 14
McGrath, B., Norris, C., Hardwicke-Brown, E., Welsh, R., & Bainey, K. (2017) · European Heart Journal - Quality of Care and Clinical Outcomes · doi:10.1093/ehjqcco/qcw055 · Cited by 9
Personalizing Glucose-Lowering Therapy in Patients with Type 2 Diabetes and Cardiovascular Disease
Inzucchi, S. E. (2018) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/j.ecl.2017.10.011 · Cited by 7
Prevalence of diabetes in patients with nonacute CAD
Sasso, F. C., Furbatto, F., Carbonara, O., Nasti, R., Morra, S., Torella, R., & Piscione, F. (2011) · Acta Diabetologica · doi:10.1007/s00592-011-0263-3 · Cited by 2
Flagged first, then by citations
1 of the 111 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Herman W , KalyaniR, CherringtonA . American diabetes association standards of medical care in diabetes . Diabetes Care40 ( Suppl. 1 ), S1 – S132 ( 2017 ).
Cited by
Sorted by citations
Hypoxia signaling in human health and diseases: implications and prospects for therapeutics
Luo, Z., Tian, M., Yang, G., Tan, Q., Chen, Y., Li, G., Zhang, Q., Li, Y., Wan, P., & Wu, J. (2022) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-022-01080-1 · Cited by 499
Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments
Wang, M., Tan, Y., Shi, Y., Wang, X., Liao, Z., & Wei, P. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.00568 · Cited by 231
Henning, R. J. (2021) · Europe PMC (PubMed Central) · Cited by 209
Self-citationA Role for Advanced Glycation End Products in Molecular Ageing
Zgutka, K., Tkacz, M., Tomasiak, P., & Tarnowski, M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24129881 · Cited by 158
NLRP3 Inflammasome at the Interface of Inflammation, Endothelial Dysfunction, and Type 2 Diabetes
Góra, I. M., Ciechanowska, A., & Ładyżyński, P. (2021) · Cells · doi:10.3390/cells10020314 · Cited by 159
Metadata
- Authors
- Henning, R. J.
- Affiliations
- University of South Florida (US)
- Corresponding author
- Henning, Robert J
- ORCID
- Henning, Robert J
- Venue
- Future Cardiology
- Publisher
- Informa UK Limited
- Published
- 2018-11
- Volume
- 14
- Issue
- 6
- Pages
- 491-509
- ISSN
- 1479-6678 (ISSN-L)
- 1744-8298
- OpenAlex
- W2900050340
- Cited by
- 398
- References
- 111
- Citations by year
- 2026: 32 · 2025: 64 · 2024: 62 · 2023: 70 · 2022: 69 · 2021: 69 · 2020: 27 · 2019: 4 · 2018: 1
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Future Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, cardiovascular disease, hyperglycemia, insulin resistance, oxidative stress, advanced glycation end products, atherogenesis, vascular inflammation, tight glycemic control, metformin, SGLT2 inhibitors, DPP-4 inhibitors, coronary angioplasty, coronary stenting, coronary artery bypass grafting, acute myocardial infarction
- MeSH terms
- Cardiovascular Diseases, Diabetes Mellitus, Type 2, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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