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Diabetes Care 30:162-172, 2007
DOI: 10.2337/dc07-9917
© 2007 by the American Diabetes Association
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Reviews/Commentaries/ADA Statements
ADA/AHA Statement

Primary Prevention of Cardiovascular Diseases in People With Diabetes Mellitus

A scientific statement from the American Heart Association and the American Diabetes Association

John B. Buse, MD, PHD, CO-CHAIR1, Henry N. Ginsberg, MD, CO-CHAIR2, George L. Bakris, MD3, Nathaniel G. Clark, MD, MS, RD4, Fernando Costa, MD5, Robert Eckel, MD6, Vivian Fonseca, MD7, Hertzel C. Gerstein, MD, MSC, FRCPC8, Scott Grundy, MD, PHD9, Richard W. Nesto, MD10, Michael P. Pignone, MD, MPH11, Jorge Plutzky, MD12, Daniel Porte, MD13, Rita Redberg, MD14, Kimberly F. Stitzel, MS, RD5 and Neil J. Stone, MD15

1 University of North Carolina School of Medicine, Chapel Hill, North Carolina
2 Department of Medicine, Columbia University, New York, New York
3 Rush Presbyterian/St. Luke’s Medical Center, Chicago, Illinois
4 American Diabetes Association, Alexandria, Virginia
5 American Heart Association, Dallas, Texas
6 University of Colorado Health Sciences Center, Denver, Colorado
7 Tulane University Health Sciences Center, New Orleans, Louisiana
8 McMaster University Medical Center, Hamilton, Ontario, Canada
9 Center for Human Nutrition, University of Texas Southwestern Medical Center, Dallas, Texas
10 Lahey Clinic Medical Center, Burlington, Massachusetts
11 Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
12 Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
13 VA San Diego Health Care, San Diego, California
14 Division of Cardiology, University of California, San Francisco, San Francisco, California
15 Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Address correspondence to Henry N. Ginsberg, MD, College of Physicians and Surgeons, Irving Center for Clinical Research, 630 W. 168th St., P&F 9-510, New York, NY 10032. E-mail: hng1{at}columbia.edu

ABSTRACT

The American Heart Association (AHA) and the American Diabetes Association (ADA) have each published guidelines for cardiovascular disease prevention: the ADA has issued separate recommendations for each of the cardiovascular risk factors in patients with diabetes, and the AHA has shaped primary and secondary guidelines that extend to patients with diabetes. This statement will attempt to harmonize the recommendations of both organizations where possible but will recognize areas in which AHA and ADA recommendations differ.

Abbreviations: ACCORD, Action to Control Cardiovascular Risk in Diabetes • ADA, American Diabetes Association • AHA, American Heart Association • ARB, angiotensin receptor blocker • CHD, coronary heart disease • CVD, cardiovascular disease • FIELD, Fenofibrate Intervention and Event Lowering in Diabetes • NHLBI, National Heart, Lung, and Blood Institute


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