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The British Journal of Diabetes & Vascular Disease
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Audit of cardiovascular risk assessment in type 2 diabetic patients referred for insulin therapy: a cardiological perspective

Peter A Henriksen

K Ann Lockman

Sharon J Robertson

Donna Clark

Janet Ip Barclay

John Chalmers

Ian W Campbell

Diabetic Department, Victoria Hospital, Kirkcaldy, Fife, KY2 5AH, Scotland UK, jackie.wallace{at}faht.scot.nhs.uk

We present an audit of cardiovascular risk, and drug prescription of 250 type 2 diabetic patients referred from primary care to a District General Hospital for prescription of 250 type 2 diabetic patients referred from primary care to a District General Hospital for management of insulin therapy. Prescription patterns were compared to current UK guidelines for primary and secondary prevention and evidence-based practice. The audit uncovered substantial under-recognition of the high vascular risk of this type 2 diabetic population with respect to the use of antiplatelet therapy, statins and angiotensin blockers. Type 2 diabetic patients requiring insulin therapy have a particularly high cardiovascular risk and we believe they should be considered for antiplatelet, statin and angiotensin blocking therapy on initiation of insulin treatment even if they have no previous history of overt vascular events.

Key Words: angiotensin blockers • statins • antiplatelet • cardiovascular audit.

The British Journal of Diabetes & Vascular Disease, Vol. 4, No. 1, 34-38 (2004)
DOI: 10.1177/14746514040040010601
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