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糖尿病与心血管疾病紧密相关,糖尿病患者心血管事件发生率显著增加,而约2/3的冠心病患者存在糖代谢异常,两者应进行双向筛查。降糖治疗可以显著减少微血管并发症,然而糖尿病患者致死、致残的主要原因是大血管并发症,强化血糖控制如何减少糖尿病心血管事件,仍无明确结论。推荐根据患者糖尿病病程、心血管并发症情况及低血糖风险等,设定个体化降糖治疗方案,同时进行生活方式改变,控制血压、血脂、肥胖等多重危险因素,以减少心血管事件。
Diabetes and cardiovascular disease are closely related to the incidence of cardiovascular events in diabetic patients increased significantly, while about two-thirds of coronary heart disease patients with abnormal glucose metabolism, the two should be two-way screening. Hypoglycemic treatment can significantly reduce microvascular complications, however, the main cause of death and disability in diabetic patients is macrovascular complications, and how to strengthen the control of blood glucose to reduce diabetic cardiovascular events, there is no clear conclusion. According to the patient’s diabetes duration, cardiovascular complications and hypoglycemia risk, it is recommended to set individualized hypoglycemic treatment plan, at the same time, lifestyle changes, control of blood pressure, lipids, obesity and other multiple risk factors to reduce cardiovascular events.