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2型糖尿病中的脂质紊乱

Lipid disorders in type 2 diabetes.

作者信息

Braun L T

机构信息

Preventive Cardiology Center, Rush Heart Institute, and Associate Professor, Rush University College of Nursing, Chicago, Illinois 60612, USA.

出版信息

Nurs Clin North Am. 2001 Jun;36(2):291-302, vii.

Abstract

Diabetes mellitus (DM) is a major risk factor for cardiovascular disease (CVD) in men and women. Type 2 is the most prevalent form of DM and is associated with a two to threefold increased risk of CVD morbidity and mortality. Insulin resistance, the fundamental defect of type 2 DM, is associated with a cluster of cardiovascular risk factors, one of which is dyslipidemia. This article discusses CVD risk in DM, characteristics of the atherogenic dyslipidemia, screening for abnormal lipids, clinical trial evidence for treatment of hyperlipidemia, and treatment approaches.

摘要

糖尿病(DM)是男性和女性心血管疾病(CVD)的主要危险因素。2型糖尿病是糖尿病最常见的类型,与心血管疾病发病率和死亡率增加两到三倍相关。胰岛素抵抗是2型糖尿病的基本缺陷,与一系列心血管危险因素相关,其中之一是血脂异常。本文讨论了糖尿病患者的心血管疾病风险、致动脉粥样硬化性血脂异常的特征、血脂异常的筛查、高脂血症治疗的临床试验证据以及治疗方法。

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