CDC - Centers for Disease Control and Prevention  NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases

NDEP is a partnership of the National Institutes of Health, the Centers for Disease Control and Prevention, and more than 200 public and private organizations.

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. [5] 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

Cholesterol management

ATP III cholesterol management implementation tools (NHLBI)

Guidelines for Management of Dyslipidemia and Prevention of Atherosclerosis, AACE (2012 )

CVD prevention

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.

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults (2012).

Risk calculators

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 assessment tool for estimating 10-year risk of developing myocardial infarction and coronary death.

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.

UKPDS risk engine: a model for estimating the risk of coronary heart disease in type 2 diabetes:

Screening (testing) recommendations

Adults

Guidelines for Management of Dyslipidemia and Prevention of Atherosclerosis (2012) : American Association of Clinical Endocrinologists

Children and adolescents

Screening for High Blood Pressure in Children and Adolescents (2003)

Screening for Lipid Disorders in Children (2007)

Treatment goals for A1C, blood pressure, and cholesterol

Guiding Principles for Diabetes Care