Pre-diabetes, insulin resistance, inflammation and CVD risk.

Abstract:

:There is accumulating evidence that insulin resistance in the pre-diabetic state is associated with the presence of additional cardiovascular risk factors and increased incidence of cardiovascular disease (CVD). There is also accumulating evidence indicating that chronic sub-clinical inflammation as measured by such inflammatory markers as C-reactive protein (CRP) is associated with insulin resistance and other features of the insulin resistance syndrome, increased risk of development of type 2 diabetes and increased cardiovascular event risk. Insulin-sensitizing agents may have greater effects in reducing cardiovascular risk than secretagogues in the pre-diabetic state, and glitazones have been found to decrease CRP levels in patients with diabetes. Statins also reduce CRP levels. Efforts to reduce CVD should include increased emphasis on improving glycaemic control, preventing development of diabetes and addressing cardiovascular risk factors in the pre-diabetic state.

authors

Haffner SM

doi

10.1016/s0168-8227(03)00122-0

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

S9-S18

eissn

0168-8227

issn

1872-8227

pii

S0168822703001220

journal_volume

61 Suppl 1

pub_type

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