The position paper on the role of hypertriglyceridemia in the development of complications of type 2 diabetes mellitus
DOI:
https://doi.org/10.34687/2219-8202.JAD.2024.02.0001Keywords:
гипертриглицеридемия, сахарный диабет 2 типа, статины, фенофибрат, омега-3 ПНЖК.Abstract
Hypertriglyceridemia (HTG) is widespread in the group of patients with type 2 diabetes mellitus (DM2) and requires correction, since it is a risk factor for the development and progression of cardiovascular diseases (CVD) and microvascular complications, which include diabetic retinopathy, chronic kidney disease (CKD), etc. Thus, HTG in patients with type 2 diabetes is an interdisciplinary challenge for specialists such as an endocrinologist, cardiologist, ophthalmologist and nephrologist involved in the management of patients with type 2 diabetes. This article presents the results of an interdisciplinary expert council with the participation of leading specialists from the Russian Association of Endocrinologists, the Russian National Atherosclerosis Society, the Eurasian Association of Therapists, whose goal was to form a common understanding of the need to introduce a target level of triglycerides >1.7 mmol/l and create an algorithm for step-by-step achievement of the triglycerides parameter, taking into account comorbid conditions often found in type 2 diabetes. The algorithm for managing patients with HTG reflects both non-drug correction methods and the phasing of pharmacotherapy, with the allocation of clinical stages of the use of various therapeutic methods of influencing triglyceride levels, such as statins, fenofibrate and the drug Omega-3 PUFA
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Copyright (c) 2024 Г. П. Арутюнов, Г. Р Галстян, Т. Ю. Демидова, Ф. Х. Дзгоева, М. В. Ежов, В. Ю. Калашников, Г. А. Коновалов, Д. В. Липатов, И. В. Сергиенко, Ф. Е. Шадричев, М. Ш. Шамхалова, М. В. Шестакова
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