Comments on the new recommendations for dyslipidemia and cardiovascular risk management with regard to diabetes mellitus

Czech version

Authors: Branislav Vohnout ^1-4; Rid Bugáňová ⁵
Authors‘ workplace: Ústav výživy, FOaZOŠ SZU v Bratislave ¹; Koordinačné centrum pre familiárne hyperlipoproteinémie, SZU v Bratislave ²; Ústav epidemiológie LF UK v Bratislave ³; Diabeda s. r. o., Bratislava ⁴; MEDIVASA s. r. o., Žilina ⁵
Published in: AtheroRev 2020; 5(1): 16-20
Category: Guidelines

Overview

Two important guidelines for prevention of cardiovascular disease in diabetes and prediabetes and for the management of dyslipidaemias were published in 2019 (ESC/EASD 2019, ESC/EAS 2019). Both present new information on risk stratification and treatment of dyslipidemias in patients with diabetes. According the new recommendations diabetics are a priori at very-high, high or moderate cardiovascular risk based on presence of target organ damage, other major risk factors, age and duration of diabetes. The most important change in the guidelines is significant shift towards lower LDL-C treatment goals and a minimum 50 % reduction, together with reaching the tailored goal for very-high (< 1.4 mmol/l) and high (< 1.8 mmol/l) risk categories and a new goal (< 2.6 mmol/l) for moderate risk.

Keywords:

diabetes – dyslipidemia – LDL-C – recommendation – risk

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