PMID- 28685623 OWN - NLM STAT- MEDLINE DCOM- 20171106 LR - 20211110 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 18 IP - 12 DP - 2017 Aug TI - Cardiovascular disease prevention strategies for type 2 diabetes mellitus. PG - 1243-1260 LID - 10.1080/14656566.2017.1351946 [doi] AB - Type 2 diabetes mellitus (T2DM) is associated with several cardiovascular (CV) risk factors such as insulin resistance, obesity, hypertension, dyslipidaemia, non-alcoholic fatty liver disease as well as platelet and haemostatic abnormalities increasing the risk of thrombosis. Therefore, T2DM patients are at an increased risk for CV disease (CVD). Areas covered: This narrative review discusses the treatment of T2DM. This includes lifestyle measures (diet, exercise and smoking cessation) as well as hypolipidaemic, antihypertensive, weight reducing, antiplatelet and glucose lowering drugs. The focus is on the effects of these therapeutic strategies on CVD risk. Randomized controlled clinical trials (RCTs) reporting CVD outcomes with such drugs in T2DM patients are also reviewed. Expert opinion: Apart from current guidelines, the findings of RCTs on CVD outcomes in T2DM patients should be taken into consideration in daily clinical practice. Multiple risk factors should be targeted simultaneously in such high-risk patients in order to efficiently reduce the risk of CV events. FAU - Katsiki, Niki AU - Katsiki N AD - a Second Department of Propaedeutic Internal Medicine , Medical School, Aristotle University of Thessaloniki, Hippocration Hospital , Thessaloniki , Greece. FAU - Purrello, Francesco AU - Purrello F AD - b Department of Clinical and Experimental Medicine , University of Catania , Catania , Italy. FAU - Tsioufis, Costas AU - Tsioufis C AD - c First Cardiology Clinic , National and Kapodistrian University of Athens, Hippokration Hospital , Athens , Greece. FAU - Mikhailidis, Dimitri P AU - Mikhailidis DP AD - d Department of Clinical Biochemistry , Royal Free Hospital Campus, University College London Medical School, University College London (UCL) , London , UK. LA - eng PT - Journal Article PT - Review DEP - 20170714 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 SB - IM MH - Cardiovascular Diseases/*prevention & control MH - Diabetes Mellitus, Type 2/complications/*drug therapy MH - Humans MH - Insulin Resistance MH - Life Style MH - Practice Guidelines as Topic MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Type 2 diabetes mellitus OT - antidiabetic drugs OT - antihypertensive OT - antiplatelet drugs OT - cardiovascular risk OT - hypolipidaemic drugs EDAT- 2017/07/08 06:00 MHDA- 2017/11/07 06:00 CRDT- 2017/07/08 06:00 PHST- 2017/07/08 06:00 [pubmed] PHST- 2017/11/07 06:00 [medline] PHST- 2017/07/08 06:00 [entrez] AID - 10.1080/14656566.2017.1351946 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2017 Aug;18(12):1243-1260. doi: 10.1080/14656566.2017.1351946. Epub 2017 Jul 14.