Cardiovascular Disease Risk Management
Hypertension and dyslipidemia commonly coexist with type 2 diabetes and are clear risk factors for CVD; and diabetes itself confers independent risk. Because of the increased risk, hypertension and cholesterol should be treated more intensively in people with diabetes than in the general population.  Increased CVD risk also increases the importance of lifestyle modification including abstinence from smoking. Extensive trial evidence shows the efficacy of targeted treatment of hypertension and statin therapy in the prevention and management of CVD in people with diabetes.
People with prediabetes are at increased risk for CVD, but targets for blood pressure and lipid management specific to prediabetes have not been established through randomized clinical trials.
CVD risk in children and adults with prediabetes should be monitored regularly and risk factors treated appropriately based on guidelines for prevention and management of CVD.
Decision Support – for CVD Risk Management
ATP III cholesterol management implementation tools (NHLBI)
- Spreadsheet-based 10-year risk assessment tool
- Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)
Cardiometabolic Risk Initiative: Focuses clinical attention on reducing cardiometabolic risk through systematic evaluation, education, lifestyle behavior changes, disease prevention, and treatment. Tools for patients and the health care team – some in Spanish.
Framingham Heart Study risk prediction estimates for various CVD outcomes: Risk prediction estimates for the risk of various CVD outcomes in different time horizons.
Risk score for CVD: This calculated score can help physicians determine a patient’s need for antihypertensive treatment and other management strategies for cardiovascular risk.
Screening (testing) recommendations
Guidelines for Management of Dyslipidemia and Prevention of Atherosclerosis (2012) : American Association of Clinical Endocrinologists
Children and adolescents