2. Conventional Cardiac risk factors… superimposed on the diabetic state … Hypertension Microalbuminuria Inactivity South Asian origin Dyslipidaemia Obesity … further accentuate atherosclerosis in the diabetic state…accounting for the excess Cardiac risk
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5. Heart Attack Which patient is at greater risk of future attack? An attack survivor A typical Type 2 diabetic
6. Risk Factors and C.H.D. Adapted from : Stamler; Diabetes Care,12,573 (1989) Cholesterol. Smoking. Hypertension .
7. Heart Attack Equal risk An attack survivor A typical Type 2 diabetic Without heart problem