Coronary Risk Factors And Risk Of Diabetic Cardiovascular Complications
Diabetes usually occurs among elderly as part of metabolic syndrome, which includes abdominal obesity, hypertension, hyperlipidemia, and all these factors can act to promote diabetic complications so aggressive treatment of diabetes and associated coronary risk factors is recommended to prevent diabetic complications (Fowler 2008) (Boyle 2007).
The main cause of death in diabetic patients is cardiovascular complications which is higher among those with other risk factors as (hypertension, smoking and dyslipidemia) so treatment programs for diabetic patients should include lifestyle changes as weight reduction, increase physical activity and change dietary habits as decrease dietary fat to help control diabetes and coronary risk factors (Leiva et al., 2005), (American Diabetic Association 2013), (Forbes and Cooper 2013).
American Diabetic Association 2013 recommended that all cardiovascular risk factors should be assessed at least annually and if detected should be treated probably, and also recommended that older adults who are functional, cognitively intact, and have significant life expectancy should be screened as young adults and receive diabetes care with goals similar younger adults
Studies carried in Egypt showed that also Egyptian diabetic patients have high prevalence of complications and the incidence of complications increase among those with poor levels of control of hypertension,…