Document Detail


The role of renin-angiotensin agents in altering the natural history of type 2 diabetes mellitus.
MedLine Citation:
PMID:  20809236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Type 2 diabetes mellitus (T2DM) is a major risk factor for cardiovascular disease (CVD) morbidity and mortality worldwide. Renin-angiotensin system (RAS) blockers have been indispensable in diminishing the macrovascular and microvascular complications of diabetes. In addition, cumulative evidence from retrospective studies pointed toward a beneficial effect of RAS agents in preventing the development and progression of T2DM. This disease-modifying potential of RAS blockers has been substantiated by recent prospective trials. Contemporary concepts regarding the natural history of T2DM and the pathophysiologic processes involved have increased our understanding of the mechanisms underlying the therapeutic potential of these agents in diabetes management. In addition to their established roles in the primary prevention of CVD in patients with diabetes, RAS blockers might be considered a suitable therapeutic choice for preventing the development of frank diabetes in high-risk patients.
Authors:
Joel A Lardizabal; Prakash C Deedwania
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current cardiology reports     Volume:  12     ISSN:  1534-3170     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-15     Completed Date:  2010-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  464-71     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of California in San Francisco (Fresno-MEP), 155 North Fresno Street, Fresno, CA 93701, USA. dr_jolar@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Angiotensin II Type 1 Receptor Blockers / pharmacology,  therapeutic use*
Angiotensin-Converting Enzyme Inhibitors / pharmacology,  therapeutic use*
Antihypertensive Agents / therapeutic use
Blood Glucose / metabolism
Cardiovascular Diseases / drug therapy*,  etiology,  prevention & control
Diabetes Mellitus, Type 2 / drug therapy,  etiology,  prevention & control*
Diabetic Angiopathies / prevention & control*
Disease Progression
Humans
Insulin Resistance
Microvessels
Renin-Angiotensin System / drug effects*
Risk Factors
Signal Transduction
Chemical
Reg. No./Substance:
0/Angiotensin II Type 1 Receptor Blockers; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Antihypertensive Agents; 0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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