Diabetes Core Update
Diabetes Core Update April 2025
Apr 3, 2025
Michael Blaha, a renowned Professor of Cardiology and Epidemiology at Johns Hopkins, shares insights on diabetes and cardiovascular health. He dives into the role of coronary artery calcium scoring for risk management, emphasizing personalized strategies for patients. Blaha also discusses the health-related quality of life post-bariatric surgery versus lifestyle changes and addresses alarming risks associated with diabetes medications, including potential suicide. Lastly, he highlights the critical sleep-diabetes connection, especially for women with gestational diabetes.
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Quick takeaways
- The use of coronary artery calcium scores can personalize statin therapy, improving treatment outcomes for patients at intermediate coronary disease risk.
- Metabolic bariatric surgery significantly enhances health-related quality of life in individuals with type 2 diabetes compared to medical lifestyle interventions.
Deep dives
Coronary Calcium and Personalized Risk Management
A recent study explored the use of coronary calcium score as a guide for treatment in patients at intermediate risk for coronary artery disease. The trial found that patients informed of their calcium score were more likely to receive appropriate statin therapy, leading to better outcomes regarding plaque progression. Specifically, more than half of the patients had a calcium score of zero and did not require statin treatment, while those with higher scores received more aggressive lipid control. This demonstrates the potential of personalized treatment strategies for managing cardiovascular risk based on individual calcium score assessments.
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