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Diabetes Care Symposium

Is Coronary Artery Disease Inevitable in Type 2 Diabetes? From a Glucocentric to a Holistic View on Patient Management

  1. Giulia Ferrannini,
  2. Anna Norhammar,
  3. Viveca Gyberg,
  4. Linda Mellbin and
  5. Lars Rydén⇑
  1. Department of Medicine K2, Karolinska Institutet, Stockholm, Sweden
  1. Corresponding author: Lars Rydén, lars.ryden{at}ki.se
Diabetes Care 2020 Sep; 43(9): 2001-2009. https://doi.org/10.2337/dci20-0002
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    Figure 1

    Kaplan-Meier curves. A: The GAMI trial showing time to a first major adverse cardiovascular event (cardiovascular death, nonfatal myocardial infarction, stroke, and severe heart failure) in patients by glucose tolerance group (normal glucose tolerance [NGT], blue; IGT, brown; diabetes [DM], pink) (log-rank overall P = 0.0046). Reprinted with permission from Ritsinger et al. (33). B: The Yorkshire study showing time to a first major adverse cardiovascular event. Reprinted with permission from George et al. (34).

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    Figure 2

    Trend in 1-year mortality in Swedish patients with myocardial infarction in relation to the presence of diabetes or not. All ages 1995–2018. Reprinted with permission from SWEDEHEART (40).

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    Figure 3

    Progression of dysglycemia in relation to macro- and microvascular complications. Adapted with permission from Laakso and Kuusisto (41).

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    Figure 4

    A schematic presentation of possible pathways between type 2 diabetes and enhanced risk of cardiovascular disease. AGE, advanced glycoxidation end product; Apo, apolipoprotein; CVD, cardiovascular disease; ET-1, endothelin-1; FFAs, free fatty acids; GH, growth hormone; IGFBP, IGF binding protein; IL, interleukin; lig, ligand; MMP, matrix metalloproteinase; mol., molecule; NO, nitrogen oxide; oxLDL, oxidized LDL; PAF, platelet-activating factor; PAI-1, plasminogen activator inhibitor-1; TNF-α, tumor necrosis factor α; tPA, tissue plasminogen activator; vWF, von Willebrand factor.

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Diabetes Care: 43 (9)

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September 2020, 43(9)
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Is Coronary Artery Disease Inevitable in Type 2 Diabetes? From a Glucocentric to a Holistic View on Patient Management
Giulia Ferrannini, Anna Norhammar, Viveca Gyberg, Linda Mellbin, Lars Rydén
Diabetes Care Sep 2020, 43 (9) 2001-2009; DOI: 10.2337/dci20-0002

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Is Coronary Artery Disease Inevitable in Type 2 Diabetes? From a Glucocentric to a Holistic View on Patient Management
Giulia Ferrannini, Anna Norhammar, Viveca Gyberg, Linda Mellbin, Lars Rydén
Diabetes Care Sep 2020, 43 (9) 2001-2009; DOI: 10.2337/dci20-0002
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  • The TCF7L2 Locus: A Genetic Window Into the Pathogenesis of Type 1 and Type 2 Diabetes
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