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Vol. 30. Issue 3.
Pages 137-153 (May - June 2018)
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Vol. 30. Issue 3.
Pages 137-153 (May - June 2018)
Clinical recommendations
DOI: 10.1016/j.artere.2018.05.002
Diabetes mellitus and cardiovascular risk: Update of the recommendations of the Diabetes and Cardiovascular Disease working group of the Spanish Diabetes Society (SED, 2018)
Diabetes mellitus y riesgo cardiovascular. Actualización de las recomendaciones del Grupo de Trabajo de Diabetes y Riesgo Cardiovascular de la Sociedad Española de Diabetes (SED, 2018)
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Francisco Arrietaa,
Corresponding author
arri68@hotmail.com

Corresponding author.
, Pedro Iglesiasb, Juan Pedro-Botetc, Antonio Becerrad, Emilio Ortegae, Juan Carlos Obayaf, Andreu Nubiolag, Gonzalo Fernando Maldonadoh, Maria del Mar Camposi, Romina Petreccaj, José Luis Pardok, Víctor Sánchez-Margaletl, José Juan Alemánm, Jorge Navarron, Santiago Durano, Francisco Javier Tébarp, Manuel Aguilarq, Fernando Escobarr, Cardiovascular Risk Group of the Spanish Society of Diabetes (SED)
a Hospital Universitario Ramón y Cajal, CIBEROBN, IRYCIS, Madrid, Spain
b Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain
c Parc de Salut Mar, Barcelona, Spain
d Hospital Universitario Ramón y Cajal, Madrid, Spain
e Hospital Universitario Araba, Vitoria-Gasteiz, Spain
f Hospital Clínic i Universitari, CIBEROBN, IDIBAPS, Barcelona, Spain
g Centro de Salud Chopera, Alcobendas, Madrid, Spain
h Hospital de l’Esperit Sant, Santa Coloma de Gramenet, Barcelona, Spain
i Hospital Universitario San Cecilio, Granada, Spain
j Hospital Universitario Princesa, Madrid, Spain
k Centro de Salud Orihuela, Orihuela, Alicante, Spain
l Hospital Universitario Virgen Macarena, Seville, Spain
m Centro de Salud Tacoronte, Tacoronte, Santa Cruz de Tenerife, Spain
n Hospital Universitario Nuestra Señora de Valme, Seville, Spain
o Primary Care Management, IIS INCLIVA, CIBERESP, Valencia, Spain
p Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
q Hospital Puerta del Mar, Cadiz, Spain
r Hospital Universitario San Cecilio, Granada, Spain
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Tables (4)
Table 1. Statin therapy according to the percentage reduction target of LDL-C.
Table 2. New risk classification according to the American Association of Clinical Endocrinologists and the American College of Endocrinology Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease, 2017.
Table 3. New therapeutic targets according to criteria from the American Association of Clinical Endocrinologists and the American College of Endocrinology Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease, 2017.
Table 4. LDL cholesterol (LDL-C) therapeutic target of statin treatment according to cardiovascular risk in the diabetic population.
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Abstract

This document is an update to the clinical practice recommendations for the management of cardiovascular risk factors in diabetes mellitus. The consensus is made by members of the Cardiovascular Risk Group of the Spanish Diabetes Society. We have proposed and updated interventions on lifestyle, pharmacological treatment indicated to achieve therapeutic objectives according to the levels of HbA1c, degree of obesity, hypertension, hyperlipidemia, heart failure, platelet antiagregation, renal insufficiency, and diabetes in the elderly, as well as new biomarkers of interest in the evaluation of cardiovascular risk in individuals with diabetes mellitus. The work is an update of the interventions and therapeutic objectives in addition, it is noted the need for the inclusion of specialists in Endocrinology, Metabolism and Nutrition in Cardiac Rehabilitation Units for the control and monitoring of this population.

Keywords:
Consensus
Diabetes mellitus
Cardiovascular risk factors
Hypertension
Dyslipidemia
Age
Chronic complications
Resumen

El presente documento es una actualización de las recomendaciones de práctica clínica para el manejo de los factores de riesgo cardiovascular en la diabetes mellitus. Este consenso está elaborado por los miembros del Grupo de Riesgo Cardiovascular de la Sociedad Española de Diabetes (SED). Se han propuesto y actualizado las intervenciones sobre el estilo de vida, tratamiento farmacológico indicado para alcanzar los objetivos terapéuticos según los niveles de HbA1c, grado de obesidad, hipertensión arterial, hiperlipemia, insuficiencia cardiaca, antiagregación plaquetaria, insuficiencia renal y diabetes en el anciano, así como nuevos biomarcadores de interés en la evaluación del riesgo cardiovascular. El trabajo es una actualización de las intervenciones y objetivos terapéuticos; además, se señala la necesidad de la inclusión de los especialistas en Endocrinología, Metabolismo y Nutrición en las Unidades de Rehabilitación Cardiaca para el control y seguimiento de esta población.

Palabras clave:
Consenso
Diabetes mellitus
Factores de riesgo cardiovascular
Hipertensión
Dislipemia
Edad
Complicaciones crónicas

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