Prevention of Lipidemia
Dyslipidemia–elevated LDL-C, low HDL-C, high triglycerides, and the accompanying risk of cardiovascular disease, especially in diabetics, requires treatment with statins. The relationship between dyslipidemia and cardiovascular disease (CVD) means that reducing any of the risk factors will reduce the entire risk for CVD as a group. The best strategy for preventing a risk from becoming a reality is to assess all of the risk factors and address each one–not just the dyslipidemia:
- Education: Understanding one’s risks and the possible outcomes is an important part of reducing risk. It also increases patient compliance with the treatment methods and goals.
- Diet: A nutritional assessment into caloric reduction as well as the types of different foods that contribute to dyslipidemia, obesity and the metabolic syndrome, hypertension, and poor glycemic control can be used to formulate a better diet for prevention of dyslipidemia and CVD risk.
- Smoking: If a patient is a smoker, this must stop. Counseling and even medication is available to assist in smoking cessation.
- Physical inactivity: The mutually beneficial aspects of physical exercise and diet are important. Joining an athletic club can help ensure compliance.
- Hypertension: If diet and exercise do not reduce blood pressure, there are medications that are used to do this.
- Hyperglycemia: Patients with diabetes already understand hyperglycemia and its repercussions, but they should be made aware that diabetic risk overshadows all of the other risks and why this puts them in greater danger.
Prevention of dyslipidemia can be challenging, since it often is a genetic disease. Looking at the risks collectively will address all of the risk factors globally to offer a diabetic patient the best chance of reducing the CVD risk.