Title : Progress of clinical research on diabetic cardiovascular diseases in Northwest China
Abstract:
Over the past 40 years, with the development of China's economy and changes in lifestyle, such as reduced physical activity, excessive energy intake, and the prevalence of overweight or obesity, the prevalence of diabetes in China has risen from 0.67% in 1980 to 12.4% in 2018. However, the rate of reaching the blood glucose target among Chinese diabetic patients is only 49.4% (HbA1c<7%), and the burden of diabetes is constantly increasing especially the threat of cardiovascular complications of diabetes. In addition, other risk factors that cause atherosclerotic cardiovascular diseases are also prevalent in China, such as hypertension, dyslipidemia, obesity, etc. In 2019, the Chinese government listed the prevention and control of diabetes as part of the "Healthy China" special campaign. Metabolic diseases such as diabetes, hypertension, dyslipidemia and obesity have driven the high incidence of metabolic cardiovascular diseases in China, and atherosclerotic cardiovascular diseases have become the leading cause of death among Chinese adults. Facing these challenges, early prevention and control of related risk factors may be an effective means to reduce the burden of metabolic cardiovascular diseases in China. Therefore, in recent years, our research team has carried out a series of clinical studies on diabetic cardiovascular diseases in the northwest region of China. In this speech, I will discuss a series of related clinical studies I have conducted in recent years, including the influencing factors of the occurrence, progression and prognosis of diabetes mellitus complicated with coronary heart disease, diabetic kidney disease, diabetic foot ulcers, and diabetes complicated with lower extremity arterial occlusive disease. Identifying these risk factors will help formulate precise prevention and control strategies, which may potentially prevent the occurrence and development of diabetic cardiovascular diseases in this region.
