Abordaje integral del paciente con diabetes mellitus tipo 2 y enfermedad cardiovascular o de muy alto riesgo cardiovascular

Abstract

This document has been endorsed by the Diabetes and Obesity Working Group of the Spanish Society of Cardiology and the Diabetic Nephropathy Group of the Spanish Society of Nephrology. In this document on the management of patients with type 2 diabetes mellitus (T2DM) and cardiovascular disease or very high cardiovascular risk, it is intended to cover all aspects that should be considered in the treatment of these patients in order to reduce their cardiovascular risk and improve their clinical outcome.A new paradigm is being witnessed in the treatment of T2DM. The reduction of cardiovascular complications and mortality in patients with T2DM and cardiovascular disease, or high cardiovascular risk, goes beyond blood glucose control, and seems to be related more to the specific benefit provided by the new drugs. These include the group of sodium-glucose co-transporter type 2 inhibitors and the group of agonists of the glucagon-like peptide-1 receptor.The objective of this work is to update the document published by this working group at the beginning of 2018, and to provide information to specialties such, as cardiology and nephrology, on these new families of drugs that improve cardiovascular and renal prognosis