Article (Scientific journals)
Le diabete de type 2 au coeur du syndrome metabolique: plaidoyer pour une prise en charge globale.
Scheen, André; Van Gaal, L. F.
2005In Revue Médicale de Liège, 60 (5-6), p. 566-71
Peer reviewed
 

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Keywords :
Diabetes Complications/etiology/prevention & control; Diabetes Mellitus, Type 2/complications/physiopathology; Humans; Metabolic Syndrome X/physiopathology; Prognosis; Public Health; Risk Factors
Abstract :
[en] Type 2 diabetes is frequently associated with other comorbidities among which abdominal obesity, arterial hypertension, dyslipidaemia and a prothrombotic state. All these cardiovascular risk factors belong to the so-called metabolic syndrome. The appropriate management of a patient with type 2 diabetes requires a global approach targeting each risk factor in order to reduce cardiovascular morbidity and mortality. Microalbuminuria is correlated with markers of the metabolic syndrome in diabetic patients as shown by the DANA survey performed among general practitioners from the areas of Liege and Antwerp and, in this type of patients, is considered as a prognostic factor of cardiovascular complications. The OCAPI study, performed among Belgian internists and diabetologists, demonstrated that two thirds of diabetic patients have a metabolic syndrome and that the objectives are far from being reached in clinical practice, especially as far as lipid and arterial pressure control is concerned. Interestingly, the Danish STENO-2 study demonstrated that an intensive multi-risk approach reduces the incidence of both micro- and macroangiopathic complications by more than 50%. This challenge represents a major public health issue considering the high and increasing prevalence of type 2 diabetes and the major burden associated to this disease.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Van Gaal, L. F.
Language :
French
Title :
Le diabete de type 2 au coeur du syndrome metabolique: plaidoyer pour une prise en charge globale.
Alternative titles :
[en] Type 2 diabetes, in the heart of the metabolic syndrome: plea for a global approach
Publication date :
2005
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Special issue title :
Le diabète sucré dans tous ses états
Volume :
60
Issue :
5-6
Pages :
566-71
Peer reviewed :
Peer reviewed
Additional URL :
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