Diabetes, pre-diabetes and cardiovascular diseases in light of the 2019 ESC Guidelines

Abstract

The prevalence of diabetes mellitus (DM) is steadily increasing all over the world. DM is associated with a doubling of cardiovascular (CV) risk independently of other risk factors. The European Society of Cardiology (ESC) in collaboration with the European Association for the Study of Diabetes (EASD) presented a new set of guidelines on diabetes, pre-diabetes and cardiovascular diseases at the ESC 2019 Congress in Paris. The most important changes in the guidelines include a new assessment of CV risk in DM patients, an algorithm for glucose-lowering treatment, prevention of CV diseases including new targets for the treatment of dyslipidemia taking into account CV risk and recommendations for antiplatelet/antithrombotic drugs. Furthermore, attention focused on the management of DM concomitant with coronary artery disease and heart failure, as well as individualized therapeutic strategies for diabetic patients with arterial hypertension.

Keywords

• diabetes
• cardiovascular diseases
• cardiovascular risk
• esc guidelines
• pre-diabetes