PMID- 38438934 OWN - NLM STAT- MEDLINE DCOM- 20240306 LR - 20240307 IS - 2047-783X (Electronic) IS - 0949-2321 (Print) IS - 0949-2321 (Linking) VI - 29 IP - 1 DP - 2024 Mar 4 TI - Advances in secondary prevention mechanisms of macrovascular complications in type 2 diabetes mellitus patients: a comprehensive review. PG - 152 LID - 10.1186/s40001-024-01739-1 [doi] LID - 152 AB - Type 2 diabetes mellitus (T2DM) poses a significant global health burden. This is particularly due to its macrovascular complications, such as coronary artery disease, peripheral vascular disease, and cerebrovascular disease, which have emerged as leading contributors to morbidity and mortality. This review comprehensively explores the pathophysiological mechanisms underlying these complications, protective strategies, and both existing and emerging secondary preventive measures. Furthermore, we delve into the applications of experimental models and methodologies in foundational research while also highlighting current research limitations and future directions. Specifically, we focus on the literature published post-2020 concerning the secondary prevention of macrovascular complications in patients with T2DM by conducting a targeted review of studies supported by robust evidence to offer a holistic perspective. CI - (c) 2024. The Author(s). FAU - Guan, Huifang AU - Guan H AD - College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, 130117, China. FAU - Tian, Jiaxing AU - Tian J AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. tina_yai@126.com. FAU - Wang, Ying AU - Wang Y AD - College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, 130117, China. FAU - Niu, Ping AU - Niu P AD - Rehabilitation Department, The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, 130021, China. FAU - Zhang, Yuxin AU - Zhang Y AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. FAU - Zhang, Yanjiao AU - Zhang Y AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. FAU - Fang, Xinyi AU - Fang X AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. AD - Graduate College, Beijing University of Chinese Medicine, Beijing, China. FAU - Miao, Runyu AU - Miao R AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. AD - Graduate College, Beijing University of Chinese Medicine, Beijing, China. FAU - Yin, Ruiyang AU - Yin R AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. FAU - Tong, Xiaolin AU - Tong X AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China. tongxiaolin@vip.163.com. LA - eng GR - 81904187/National Outstanding Youth Science Fund Project of National Natural Science Foundation of China/ GR - CD2020-4-4155/Capital Health Development Research Special Youth Talent Project/ GR - ZZ13-YQ-026/China Academy of Traditional Chinese Medicine Outstanding Youth Technology Talent Training Special Project/ GR - CI2021A01601/Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences/ GR - TMSK-2021-407/Translational Medicine National Major Scientific and Technological Infrastructure (Shanghai) Open Topic Project/ PT - Journal Article PT - Review DEP - 20240304 PL - England TA - Eur J Med Res JT - European journal of medical research JID - 9517857 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/complications MH - Secondary Prevention MH - *Coronary Artery Disease PMC - PMC10910816 OTO - NOTNLM OT - Experimental techniques and methodologies OT - Macrovascular complications OT - Protective mechanisms OT - Secondary prevention OT - Type 2 diabetes mellitus (T2DM) COIS- None of the authors have any competing interests. EDAT- 2024/03/05 00:45 MHDA- 2024/03/06 06:44 PMCR- 2024/03/04 CRDT- 2024/03/04 23:46 PHST- 2023/12/04 00:00 [received] PHST- 2024/02/21 00:00 [accepted] PHST- 2024/03/06 06:44 [medline] PHST- 2024/03/05 00:45 [pubmed] PHST- 2024/03/04 23:46 [entrez] PHST- 2024/03/04 00:00 [pmc-release] AID - 10.1186/s40001-024-01739-1 [pii] AID - 1739 [pii] AID - 10.1186/s40001-024-01739-1 [doi] PST - epublish SO - Eur J Med Res. 2024 Mar 4;29(1):152. doi: 10.1186/s40001-024-01739-1.