Diabetes is now considered the equivalent of having 2 or 3 major risk factors for coronary atherosclerosis. Also, the presence of diabetes increases the risk of any procedure and is associated with a poorer prognosis compared with individuals without diabetes. Also, diabetes dictates certain clinical approaches to disease. Thus today's clinician needs a full understanding of this disease and its effect on management decisions.
I was delighted that Dr. Prakash Deedwania, who has had a long and productive interest in diabetes and cardiovascular disease, was willing to organize and contribute to articles on this topic. This broad topic has been divided between two issues of the Cardiology Clinics. The first issue (November 2004) dealt with pathophysiology, clinical epidemiology, and the relationship between diabetes and other diseases such as heart failure and hypertension. The second issue deals with management strategies for preventing and treating the cardiovascular complications of diabetes. I am indebted to Dr. Deedwania and the group of experts he has assembled for these two important issues. Editing one issue is a big job, let alone two. However, Dr. Deedwania has had a long-standing academic and clinical interest in diabetes and metabolic syndrome in cardiovascular disease. His dedication to improving care for these individuals is evident in these two issues of the Cardiology Clinics.
Michael H. Crawford, MD Division of Cardiology University of California 505 Parnassus Ave., Box 0124 San Francisco, CA 94143-0124, USA
E-mail address: [email protected]
Cardiol Clin 23 (2005) xi-xii
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.