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Management of dyslipidaemia in patients with comorbidities: facing the challenge: type 2 diabetes mellitus
Journal article   Peer reviewed

Management of dyslipidaemia in patients with comorbidities: facing the challenge: type 2 diabetes mellitus

Heinz Drexel, Andreas Festa, Thomas A Schmidt, Bianca Rocca, Dobromir Dobrev, Stefan Agewall, Juan Tamargo and Susanne Kaser
European heart journal. Cardiovascular pharmacotherapy, v 11(8), pp 698-711
01 Dec 2025
PMID: 41143728

Abstract

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Type 2 diabetes mellitus typically has the lipid features of elevated trigycerides, reduced HDL-cholesterol (both parts of the metabolic syndrome) and average or slightly elevated LDL-cholesterol. In consequence of hypertriglyceridemia, LDL particles are small and dense and therefore highly atherogenic. Outcome studies reveal that LDL-C lowering drugs have an above-average efficacy in type 2 diabetes as compared with non-diabetic patients. A minor increase of glycaemia in statin trials does not impair the beneficial cardiovascular results. Non-statin lipid lowering drugs do not impair glycaemia. Type 2 diabetes mellitus is now considered a major indication for lipid lowering drugs, thus there is a high value of and no major limitation for those compounds. Graphical AbstractCentral illustration: the central illustration depicts the major site of action as well as the level of evidence for cardiovascular risk reduction.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Pharmacology & Pharmacy
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