[Diabetics in secondary prevention].
It is well known that diabetics live with a significantly higher incidence of a cardiac insufficiency and that acute ischemia is the main cause of death in this group (75%). The risk of suffering a myocardial infarction after ischemic incidences is significantly higher for diabetics than for patients with normal carbohydrate metabolism. Diabetes mellitus is not only responsible for acute incidences, but also for a higher incidence of chronic coronary diseases. Furthermore a disturbed tolerance glucose value was detected in studies for two-thirds of the patients which could even be proven after complete rehabilitation. It has also been shown that the severity of hyperglycemia is in a close inverse relationship to the volume of the brain tissue which can be saved. For this reason hyperglycemia is possibly a therapeutic aim in case of acute ischemic incidences. Therefore the adjustment of blood sugar should be the primary aim to reduce risk in any cases of vascular incidences.
Tschöpe
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Herz- und Diabeteszentrum NRW, Georgstrasse 11, 32545, Bad Oeynhausen, Germany.
D001786:Blood Glucose / Q000378:metabolism; D002423:Cause of Death; D003925:Diabetic Angiopathies / Q000401:mortality / Q000517:prevention & control*; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology; D009203:Myocardial Infarction / Q000401:mortality / Q000517:prevention & control*; D012307:Risk Factors; D055502:Secondary Prevention; D015996:Survival Rate
D001786:Blood Glucose