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Chronic Venous Disease and Its Intersections With Diabetes Mellitus
R Jarošíková1, K Roztočil, J Husáková
1Diabetes Centre, Institute for Clinical and Experimental Medicine, Praha 4, Czech Republic. jaar@ikem.cz.
Insights
Chronic venous disease (CVD), a common vascular disorder, affects 60-80% of people. Early diagnosis and treatment are crucial, especially considering its links with diabetes mellitus (DM).
Area of Science:
- Vascular Medicine
- Endocrinology
Background:
- Chronic venous disease (CVD) is a prevalent vascular disorder characterized by impaired blood return and venous hypertension, affecting an estimated 60-80% of the population.
- CVD shares common risk factors with other civilization diseases, including obesity and diabetes mellitus (DM).
- Early detection and management are vital to prevent progression to severe complications such as venous leg ulcers.
Purpose of the Study:
- To highlight the significant intersections between diabetes mellitus (DM) and chronic venous disease (CVD).
- To emphasize the importance of screening CVD patients for DM due to its impact on symptoms, diagnosis, and treatment.
- To address challenges in managing CVD in diabetic patients, including adherence to treatment and lifestyle changes.
Main Methods:
- Review of existing literature on chronic venous disease and diabetes mellitus.
- Analysis of the epidemiological data and clinical manifestations of CVD.
- Examination of the impact of DM on CVD progression and treatment adherence.
Main Results:
- CVD and DM share common risk factors, and DM complications can modify CVD symptoms.
- The incidence of CVD appears similar in diabetic and non-diabetic populations.
- Diabetic patients face a higher risk of CVD and peripheral arterial disease, alongside potential challenges with treatment compliance.
Conclusions:
- Patients with CVD require thorough evaluation for DM, as its presence influences CVD management.
- Integrated management strategies are necessary for patients with both CVD and DM.
- Further research into the specific interactions and optimal treatment pathways for comorbid CVD and DM is warranted.
Abstract:
Chronic venous disease (CVD) is a vascular disorder in which blood return is severely compromised and CVD is usually characterized by venous hypertension. Along with obesity and diabetes mellitus, CVD is one of the most common civilization diseases. In general, the estimated prevalence of CVD ranges from 60-80 %. Early diagnosis and adequate treatment are important for preventing progression to more severe stages of the disease like venous leg ulcers. Clinical manifestations of CVD in initial stages of the disease are often asymptomatic. However, as CVD progresses, symptoms begin to develop. Treatment of CVD could be divided into conservative and surgical. Conservative therapy consists of compression, pharmacological treatment and lifestyle change. In cases where conservative therapy is ineffective, surgical or endovascular treatment may be required. The intersections between diabetes mellitus (DM) and CVD are not to be underestimated. CVD and DM have often the same risk factors. Symptoms of CVD can be modified by late complications of DM, but the incidence of different CVD degrees seems to be the same as in diabetics as in non-diabetics population. We are particularly concerned in diabetics about worse compliance with treatment due to their often-poorer adherence to treatment of DM and lifestyle changes. Moreover, there exist a higher risk of CVD and peripheral arterial disease in diabetics patients. Patients with CVD should always be inspected for the presence of DM, considering its presence can have a bearing on CVD symptoms, diagnostic procedures, and therapeutic strategies.
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