1. Clinical implication of multiple risk factor control in the management of diabetic macrovasucular complications
- Author
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Y Kimura, Masaaki Suzuki, O Murase, M Takeuchi, Hideki Ito, Y Yamazaki, Y Hattori, Hajime Orimo, H Inada, Hajime Nawata, and Yutaka Harano
- Subjects
Blood Glucose ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,Blood Pressure ,Type 2 diabetes ,Body Mass Index ,Multiple risk factor ,Endocrinology ,Japan ,Risk Factors ,Internal medicine ,Diabetes mellitus ,Internal Medicine ,Humans ,Medicine ,Prospective cohort study ,business.industry ,Incidence ,Incidence (epidemiology) ,medicine.disease ,Surgery ,Cross-Sectional Studies ,Diabetes Mellitus, Type 2 ,Cutoff point ,business ,Diabetic Angiopathies - Abstract
Using cross-sectional and prospective analyses, the risk factors for macroangiopathy (MA) in nonobese Type 2 diabetic patients were evaluated. In the cross-sectional study, we determined a cutoff point for each variable at which changes in the prevalence of total MA reached statistically significant levels. In the prospective study, those who met more than four out of seven control criteria as set forth in the Multiclinical Study for Diabetic Macroangiopathy (MSDM) had less risk of MA in Type 2 diabetes initially diagnosed without MA compared with those who fulfilled less than three factors. These results suggest that multiple risk factor control is the most effective and reasonable way to lower the incidence of MA in Type 2 diabetes.
- Published
- 2002
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