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Is Atherosclerosis in Diabetes and Impaired Fasting Glucose Driven by Elevated LDL Cholesterol or by Decreased HDL Cholesterol?

Response to Schulze and Hoffmann

  1. Heinz Drexel, MD12,
  2. Stefan Aczel, MD12,
  3. Thomas Marte, MD1,
  4. Werner Benzer, MD2,
  5. Peter Langer, PHD1,
  6. Willi Moll, MD3 and
  7. Christoph H. Saely, MD12
  1. 1Vorarlberg Institute for Vascular Investigation and Treatment (VIVIT), Feldkirch, Austria
  2. 2Department of Medicine, Academic Teaching Hospital Feldkirch, Feldkirch, Austria
  3. 3Institute for Clinical Chemistry, Feldkirch, Austria
  1. Address correspondence to Heinz Drexel, MD, Professor of Medicine, VIVIT, Carinagasse 47, A-6800 Feldkirch, Austria. E-mail: vivit{at}lkhf.at

Our study (1) demonstrates that an LDL-related lipid factor in coronary patients with type 2 diabetes is 1) not elevated, 2) not associated with significant coronary stenoses, and 3) not significantly predictive for future events. Whereas the first two findings did not even show a trend for the LDL-related factor, our prospective data need to be confirmed by a longer follow-up with more end points. We have …

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