Bonnet Fabrice, Moulin Philippe
Fédération d'endocrinologie-diabétologie, maladies métaboliques, nutrition Hôpital Cardiovasculaire 69394 Lyon.
Rev Prat. 2003 May 15;53(10):1095-101.
To oppose the increase in cardiovascular risk of diabetic patients several therapeutic options, validated in clinical trials, are available for the practitioner. However he is supposed to propose the most efficient combination. This strategy implies a reasonable estimation of the level of the cardiovascular absolute risk and of the risk/benefit ratio of the different options. The emerging challenge is to maintain a good observance despite the numerous and complex therapeutic associations given for life long.
为了对抗糖尿病患者心血管风险的增加,有几种经过临床试验验证的治疗方案可供医生选择。然而,他应该提出最有效的组合。这种策略意味着要合理估计心血管绝对风险水平以及不同方案的风险/收益比。新出现的挑战是,尽管要终身采用众多复杂的联合治疗方案,但仍要保持良好的依从性。