1. Pharmacological treatment of lipid disorders in diabetes.
- Author
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Brown WV
- Abstract
Patients with type 2 diabetes (T2D) experience myocardial infarction to the extent that the disease has been classified as a coronary artery disease (CAD) equivalent. This risk is related in part to lipid abnormalities, some of which can be corrected by a change in lifestyle, whereas others require drug therapy. To correct high levels of triglycerides, fibrates are often used. These agents reduce very low-density lipoproteins (VLDL) and can increase high-density lipoprotein cholesterol (HDL-C). Niacin is also used to treat elevated triglycerides and raise HDL-C, although some adjustment in hypoglycaemic therapy may be required. The statins can be used for low-density lipoprotein cholesterol (LDL-C) reduction with modest improvement in triglyceride and HDL-C levels. Statin therapy has proven effective in preventing vascular events in the patients with diabetes included in large trials. However, combination therapy may be required to successfully treat the combined elevations of LDL and triglycerides found in many patients with T2DM. Some patients may be at more risk of myopathy or liver dysfunction with combination therapy, and this requires monitoring for adequate safety. [ABSTRACT FROM AUTHOR]
- Published
- 2004
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