title: [Diabetes mellitus and cardiovascular risk: Working group recommendations of Diabetes and Cardiovascular Disease of the Spanish Society of Diabetes (SED, 2015)].
abstract: The present paper updates the Clinical Practice Recommendations for the management of cardiovascular risk factors (CVRF) in diabetes mellitus. This is a medical consensus agreed by an independent panel of experts from the Spanish Society of Diabetes (SED). Several consensuses have been proposed by scientific and medical Societies to achieve clinical goals. However, the risk score for general population may lack sensitivity for individual assessment or for particular groups at risk, such as diabetics. Traditional risk factors together with non-traditional factors are reviewed throughout this paper. Intervention strategies for managing CVRF in the diabetic patient are reviewed in detail: balanced food intake, weight reduction, physical exercise, smoking cessation, reduction in HbA1c, therapy for high blood pressure, obesity, lipid disorders, and platelet anti-aggregation. It is hoped that these guidelines can help clinicians in the decisions of their clinical activity. This regular update by the SED Cardiovascular Disease Group of the most relevant concepts, and of greater practical and realistic clinical interest, is presented in order to reduce CVR of diabetics.
authors.affiliation: Unidad Enfermedades Metabólicas del Adulto (CSUR), Servicio de Endocrinología y Nutrición Hospital Universitario Ramón y Cajal, IRYCIS, CIBEROBN, Madrid, España. Electronic address: arri68@hotmail.com.
authors.forename: Francisco
authors.initials: F
authors.lastname: Arrieta
authors.affiliation: Servicio de Endocrinología y Nutrición Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Iglesias
authors.affiliation: Unidad de Lípidos y Riesgo Vascular, Servicio de Endocrinología y Nutrición, Parc de Salut Mar, Barcelona, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Pedro-Botet
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Tébar
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Clínic, IDIBAPS, CIBEROBN, Barcelona, España.
authors.forename: Emilio
authors.initials: E
authors.lastname: Ortega
authors.affiliation: Servicio Endocrinologia, Hospital ĹEsperit Sant, Sta. Coloma Gramenet, Barcelona, España.
authors.forename: Andreu
authors.initials: A
authors.lastname: Nubiola
authors.affiliation: Centro de Salud Orihuela I, Orihuela (Alicante), Alicante, España.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Pardo
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitario Araba, Vitoria-Gasteiz, España.
authors.forename: Gonzálo Fernando
authors.initials: GF
authors.lastname: Maldonado
authors.affiliation: Centro de Salud Chopera, Madrid, España.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Obaya
authors.affiliation: Instituto Médico del Puerto de Santamaría, Cádiz, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Matute
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitario de La Princesa, Madrid, España.
authors.forename: Romina
authors.initials: R
authors.lastname: Petrecca
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitari Germans Trias i Pujol, Badalona, España.
authors.forename: Nuria
authors.initials: N
authors.lastname: Alonso
authors.affiliation: Profesora del Grado en Ciencias de la Actividad Física y del Deporte en Cardenal Spínola CEU, Sevilla.
authors.forename: Elena
authors.initials: E
authors.lastname: Sarabia
authors.affiliation: Servicio Bioquímica Clínica, Hospital Universitario Virgen Macarena, Sevilla, España.
authors.forename: Victor
authors.initials: V
authors.lastname: Sánchez-Margalet
authors.affiliation: Centro de Salud de Tacoronte, Tenerife, España.
authors.forename: José Juan
authors.initials: JJ
authors.lastname: Alemán
authors.affiliation: Dirección Atención Primaria, IIS INCLIVA, CIBERESP, Valencia, España.
authors.forename: Jorge
authors.initials: J
authors.lastname: Navarro
authors.affiliation: Servicio de Endocrinología y Nutrición Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Becerra
authors.affiliation: Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Ntra. Sra. de Valme. Sevilla, España.
authors.forename: Santiago
authors.initials: S
authors.lastname: Duran
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Puerta del Mar, Cádiz, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Aguilar
authors.affiliation: Servicio de Endocrinología y Nutrición Hospital Universitario San Cecilio, Granada, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Escobar-Jiménez
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D003920:Diabetes Mellitus / Q000453:epidemiology*; D006801:Humans; D012307:Risk Factors; D016540:Smoking Cessation / Q000379:methods; D013030:Spain
keywords: Cardiovascular risk factors; Clinical practice guidelines; Diabetes mellitus; Factores de riesgo cardiovascular; Guía práctica clínica