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[Management of diabetes mellitus]
Chawki Atallah1, Mireille Amm-Azar
1Service d'endocrinologie et de maladies métaboliques, CHU Hôtel-Dieu de France, Beyrouth, Liban. chawki.atallah@hdf.usj.edu.lb
Abstract:
Diabetes mellitus is a chronic disease characterized by carbohydrate metabolic derangement and the onset, over years, of micro- and macrovasculopathies in association with high cardiovascular mortality. The management of diabetics evolved over the years due to a better understanding of the pathophysiology and onset mechanisms of complications of diabetes. It is a multidisciplinary task revolving round the patient and should address, in addition to diabetes mellitus, other cardiovascular risk factors. Therapeutic objectives have improved and set stricter glycemic criteria; it is proven nowadays that a good glycemic control protects against the onset or progression of diabetic complications. This article reviews in details the principles of an efficient management and the latest therapeutic recommendations.
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