Management of Cardiovascular Risk Factors in Elderly Diabetes Mellitus Patients.

Yu,  Sung Hoon

doi:2019.20.4.233

J Korean Diabetes > Volume 20(4); 2019 > Article

Focused Issue

The Journal of Korean Diabetes 2019;20(4):233-238.
DOI: https://doi.org/10.4093/jkd.2019.20.4.233 Published online January 17, 2020.

노인 당뇨병 환자의 심혈관질환 위험인자 관리

유성훈

Management of Cardiovascular Risk Factors in Elderly Diabetes Mellitus Patients.

Sung Hoon Yu

Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. physicianyu@gmail.com

Abstract

Tight control of dyslipidemia and hypertension in elderly diabetic patients aged 65 years or older are considered to be very important for the secondary prevention of cardiovascular disease and control of severe diseases associated with macrovascular complications. In addition, in elderly diabetes with risk factors for cardiovascular disease, it is important to control all of the accompanying risk factors together to accomplish the primary prevention of cardiovascular disease. In elderly diabetic patients, thorough control of blood glucose level by itself prevents macrovascular complications. However, it is recommended to perform tight blood glucose control along with other risk factors in consideration of the function and life of the patient. In particular, insulin resistance progresses before the onset of diabetes mellitus and other risk factors for cardiovascular disease. It is important to suppress and prevent the progression of macrovascular complications.

Key Words: Aged, Cardiovascular disease, Diabetes mellitus