Risk Factors Management in Diabetic Patients.

Kim,  Sang Yong

doi:2019.20.3.157

J Korean Diabetes > Volume 20(3); 2019 > Article

Focused Issue

The Journal of Korean Diabetes 2019;20(3):157-169.
DOI: https://doi.org/10.4093/jkd.2019.20.3.157 Published online October 2, 2019.

당뇨병 환자의 위험인자 관리

김상용

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. diabetes@chosun.ac.kr

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.

Key Words: Diabetes mellitus, Dyslipidemias, Hypertension, Risk factors, Risk management