Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia

Elevated levels of blood lipids are one of the major risk factors for cardiovascular (CV) disease in patients with type 2 diabetes mellitus. Diabetic dyslipidaemia is characterised by the presence of potentially atherogenic lipids, including high levels of plasma triglycerides (TGs), mild-to-moderat...

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Main Author: Alberto Zambon
Format: Article
Language:English
Published: Endocrinology Research Centre 2020-04-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/10351
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author Alberto Zambon
author_facet Alberto Zambon
author_sort Alberto Zambon
collection DOAJ
description Elevated levels of blood lipids are one of the major risk factors for cardiovascular (CV) disease in patients with type 2 diabetes mellitus. Diabetic dyslipidaemia is characterised by the presence of potentially atherogenic lipids, including high levels of plasma triglycerides (TGs), mild-to-moderately elevated levels of low-density lipoprotein cholesterol (LDL-C), and low levels of high-density lipoprotein cholesterol (HDL-C). Statin therapy to reduce LDL-C levels is the mainstay of treatment practice to reduce CV risk. However, despite achieving targets for LDL-C, patients with diabetic dyslipidaemia remain at a high risk of residual CV events. Hence there is a need to target other components (i.e. elevated TGs) of the atherogenic dyslipidaemia that are not affected by treatment with statins. This review highlights the clinical benefits of using non-HDL-C, a single marker that includes all atherogenic lipoproteins, as a leading treatment target to reduce the residual CV risk.
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spelling doaj-art-304a140130e7415caaf4fcf0d307d2212025-08-20T03:47:53ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782020-04-01231657110.14341/DM1035110594Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemiaAlberto Zambon0University of PadovaElevated levels of blood lipids are one of the major risk factors for cardiovascular (CV) disease in patients with type 2 diabetes mellitus. Diabetic dyslipidaemia is characterised by the presence of potentially atherogenic lipids, including high levels of plasma triglycerides (TGs), mild-to-moderately elevated levels of low-density lipoprotein cholesterol (LDL-C), and low levels of high-density lipoprotein cholesterol (HDL-C). Statin therapy to reduce LDL-C levels is the mainstay of treatment practice to reduce CV risk. However, despite achieving targets for LDL-C, patients with diabetic dyslipidaemia remain at a high risk of residual CV events. Hence there is a need to target other components (i.e. elevated TGs) of the atherogenic dyslipidaemia that are not affected by treatment with statins. This review highlights the clinical benefits of using non-HDL-C, a single marker that includes all atherogenic lipoproteins, as a leading treatment target to reduce the residual CV risk.https://www.dia-endojournals.ru/jour/article/view/10351cardiovascular riskdiabetic dyslipidaemiafenofibratelow-density lipoprotein cholesterolnon-high-density lipoprotein cholesterolstatinstriglyceridesomega-3 fatty acids
spellingShingle Alberto Zambon
Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
Сахарный диабет
cardiovascular risk
diabetic dyslipidaemia
fenofibrate
low-density lipoprotein cholesterol
non-high-density lipoprotein cholesterol
statins
triglycerides
omega-3 fatty acids
title Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
title_full Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
title_fullStr Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
title_full_unstemmed Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
title_short Non- high-density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
title_sort non high density lipoprotein cholesterol and cardiovascular disease in patients with diabetic dyslipidaemia
topic cardiovascular risk
diabetic dyslipidaemia
fenofibrate
low-density lipoprotein cholesterol
non-high-density lipoprotein cholesterol
statins
triglycerides
omega-3 fatty acids
url https://www.dia-endojournals.ru/jour/article/view/10351
work_keys_str_mv AT albertozambon nonhighdensitylipoproteincholesterolandcardiovasculardiseaseinpatientswithdiabeticdyslipidaemia