By Amer Diabetes Assn
This magazine provides study advances with medical relevance. Articles on scientific perform, commentaries, digests of contemporary learn reviews, scientific information, scientific studies, and guidelines of the yank Diabetes organization of regulate, prognosis, vitamin and treatment.
Read Online or Download Diabetes Care-Supplement1-2011 PDF
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Extra info for Diabetes Care-Supplement1-2011
In 2010, a position statement of the ADA, AHA, and American College of Cardiology Foundation (ACCF) updated prior joint recommendations for primary prevention (243). Low dose (75–162 mg/ day) aspirin use for primary prevention is reasonable for adults with diabetes and no previous history of vascular disease who are at increased CVD risk (10-year risk of CVD events over 10%) and who are not at increased risk for bleeding. This generally includes most men over age 50 years and women over age 60 years who also have one or more of the following major risk factors: smoking, hypertension, dyslipiS32 demia, family history of premature CVD, and albuminuria.
Their recommendations are summarized below, but clinicians should refer to the task force report (305) for further details and practical descriptions of how to perform components of the comprehensive foot examination. At least annually, all adults with diabetes should undergo a comprehensive foot examination to identify high risk conditions. Clinicians should ask about history of previous foot ulceration or amputation, neuropathic or peripheral vascular symptoms, impaired vision, tobacco use, and foot care practices.
Niacin is the most effective drug for raising HDL cholesterol. It can significantly increase blood glucose at high doses, but recent studies demonstrate that at modest doses (750 –2,000 mg/day), significant improvements in LDL cholesterol, HDL cholesterol, and 3. org Combination therapy Combination therapy, with a statin and a fibrate or statin and niacin, may be efficacious for treatment for all three lipid fractions, but this combination is associated with an increased risk for abnormal transaminase levels, myositis, or rhabdomyolysis.