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. 2021 Jan;146(2):85-91.
doi: 10.1055/a-1202-3165. Epub 2021 Jan 19.

[Diabetic Dyslipidemia]

[Article in German]

[Diabetic Dyslipidemia]

[Article in German]
Martin Merkel. Dtsch Med Wochenschr. 2021 Jan.

Abstract

Diabetic dyslipidemia is a major cause of the increased cardiovascular risk in diabetes. This lipid disorder is characterized by increased plasma triglycerides, increased remnant particles of triglyceride-rich lipoproteins, small dense LDL particles and reduced HDL cholesterol. The main pathogenetic triggers are obesity and insulin resistance. In addition to lifestyle measures, statins, ezetimibe and eventually PCSK9 inhibitors are available to treat diabetic dyslipidemia and to reduce the cardiovascular risk. Fibrates and omega-3 fatty acids currently do not play a significant therapeutic role. A consistent and target-oriented therapy of diabetic dyslipidemia is a prerequisite for a cardiovascular risk reduction in patients with diabetes, which has been well proven in clinical studies.

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Conflict of interest statement

Vorträge, Reisekosten oder Beratungshonorare von: Sanofi, Amgen, MSD, Shire, Berlin-Chemie, Böhringer, Vitaflo, Biomarin, Genzyme, Akcea, Novartis, Daiichi-Sankyo.

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