A NARRATIVE REVIEW OF OPTIMAL CARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE AND TYPE 2 DIABETES: COLLABORATIVE RESPONSIBILITIES OF CARDIOLOGISTS AND DIABETOLOGISTS.
DOI:
https://doi.org/10.51168/sjhrafrica.v4i12.895Keywords:
Type 2 Diabetes, Cardiovascular diseases, Glycemic Control, Vascular Protection, Multidisciplinary Care, Coronary Artery Disease, Glucose RegulationAbstract
Diabetes and cardiovascular disease are linked, putting diabetics at higher risk of cardiovascular events and death. Comprehensive cardiovascular risk mitigation includes blood glucose management. Diabetes vascular protection includes hypertension, dyslipidemia, and lifestyle changes. Optimizing diabetic vascular protection requires cardiologists and diabetologists to work together. This narrative review examines type 2 diabetes' complex association with cardiovascular disease. Glycemic control and vascular protection methods in diabetics are crucial for early detection and therapy of coronary artery disease (CAD). It also highlights the difficulties of selecting diabetes patients for cardiac tests and the importance of interdisciplinary care. This narrative review underlines the substantial link between type 2 diabetes and cardiovascular disease and that glucose control is only one part of cardiovascular risk management in diabetics. Since improper glucose regulation is common in coronary artery disease, early glycemic control is crucial. Regular diabetes and glucose intolerance screening is advised for cardiac patients. Determining who needs non-invasive cardiac testing is difficult. A multidisciplinary team of cardiologists and diabetologists is needed to treat diabetic and cardiac patients. Further research should refine risk stratification approaches to identify diabetic people who might benefit most from CAD tests. Novel therapies to improve diabetic glucose control and cardiovascular outcomes are also needed. Long-term studies on interdisciplinary care teams and patient outcomes are needed. Clinicians should prioritize comprehensive vascular protection strategies for type 2 diabetics due to their complex cardiovascular risk. Identifying diabetic cardiac patients should be simplified. In this high-risk group, multidisciplinary care teams improve patient management and outcomes. To improve diabetes and cardiovascular disease care, policymakers should develop recommendations that encourage cardiologists and diabetologists to work together.
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Copyright (c) 2023 Binod Kumar Sharma
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