Risk Factors Management in Diabetic Patients

Sang Yong Kim

doi:10.4093/jkd.2019.20.3.157

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Kim: Risk Factors Management in Diabetic Patients

Focused Issue

The Journal of Korean Diabetes 2019; 20(3): 157-169.

Published online: 30 September 2019

DOI: https://doi.org/10.4093/jkd.2019.20.3.157

Risk Factors Management in Diabetic Patients

Sang Yong Kim

Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea.

Corresponding author: Sang Yong Kim. Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Korea, diabetes@chosun.ac.kr

Received 26 July 2019 Accepted 30 July 2019

Korean Diabetes Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diabetes mellitus is associated with a high frequency of complications related to cardiovascular disease as well as microvascular complications such as nephropathy, retinopathy, and neuropathy. Prevention of these vascular complications is the main issue for diabetic patients. Hyperglycemia, hypertension, and dyslipidemia are well-known risk factors for complications in diabetic patients. Moreover, these chronic conditions are often seen in many diabetic patients. So, multifactorial interventions are needed to manage these risk factors and prevent diabetic complications. However, there is still a debate about the optimal level required for glycemic control, the appropriate blood pressure target, and dyslipidemia management. Although many countries have written their own guidelines, there are some discrepancies between these different guidelines. Recently, the Korean Diabetic Association issued new guidelines for Korean diabetic patients. Here, I will introduce these new guidelines and discuss the optimal management of risk factors such as hyperglycemia, hypertension, and dyslipidemia in diabetic patients.

Keywords: Diabetes mellitus, Dyslipidemias, Hypertension, Risk factors, Risk management

Appendices

Appendix 1

Algorithm for hypertension management in diabetic patients [2].

Appendix 2

Algorithm for dyslipidemia management in diabetic patients [2].

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