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Volume 29, Number 1 (March/April)

Practical Prevention and Management of Cardiovascular Disease (pages 4-12)

Cynthia Rodriguez, M.S. A.R.N.P., F.N.P.-B.C., C.L.S.

Preventing and managing cardiovascular disease (CVD) are common and crucial challenges for the diabetes practitioner. In two instructive case studies, Ms. Rodriguez explores the pathophysiology of CVD and presents strategies for its treatment. The first case study looks at a postmenopausal woman with dyslipidemia and prediabetes. The second takes up the case of a 40-year-old Mexican-American man with metabolic syndrome and non-ST elevated myocardial infarction.
Complications and comorbiditiesCardiovascular disease

Beyond Glycemic Control (pages 13-16)

Nandish Thurkal, M.D., Edward Bergen, D.O., Shailesh Nandish, M.D., Mike Lujan, B.S., Rene Oliveros, M.D., F.A.C.C., and Robert Chilton, D.O., F.A.C.C.

Recent large trials have shown that intensive glycemic control does not improve cardiovascular mortality. The authors review the role of glucagon-like peptide-1 in a holistic approach to reducing cardiovascular risk in patients with diabetes.
Complications and comorbiditiesCardiovascular disease
Drug treatmentIncretin mimetics

Managing Diabetic Dyslipidemia (pages 18-25)

Peter P. Toth, M.D., Ph.D., F.A.A.F.P., F.N.L.A., F.C.C.P., F.A.H.A., F.A.C.C.

Patients with Type 2 diabetes have an increased risk of cardiovascular mortality. Dr. Toth explores the causes of this heightened risk, reviewing the characteristics of insulin resistance and the accompanying alterations in lipid metabolism. The article then examines management guidelines for dyslipidemia and thoroughly reviews the evidence for the use of statins, fibrates, niacin, ezetimibe, bile-acid-binding resins, omega-3 fish oil, and orlistat as treatments.
Drug treatmentAntihypertensives
Drug treatmentCholesterol-lowering drugs
Complications and comorbiditiesCardiovascular diseaseDyslipidemia

Ballroom Dancing and Diabetes (pages 26-27)

Charles A. Reasner, M.D.

Encouraging patients with diabetes is a constant challenge for any clinician. However, there are many alternative exercise strategies that may appeal to patients uninspired by traditional workouts. The Editor suggests a person favorite—ballroom dancing—and discusses its benefits, which include improved aerobic fitness, cognitive function, and mental outlook.
Management strategies and toolsPhysical activity