Cardiovascular health and diabetes

Module 1: Diabetes and cardiovascular disease

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CME Credits: 1
Module duration: 1 hour
Launch date: Winter 2019 (version 1)
Updated: Summer 2022 (version 2)
Expiry date: March 2027
Audience: Cardiologists (Basic), Diabetes and Metabolism Specialists (Subspeciality), Endocrinologists (Subspeciality), General Physicians (Subspeciality)

My name is Professor Miles Fisher. I’m a clinical diabetologist working in Glasgow Royal Infirmary and Honorary Professor at the University of Glasgow. I’ve had a career-long interest in aspects of cardiovascular disease (CVD) and diabetes and, over 20 years ago, I suggested that we should redefine diabetes as a state of premature cardiovascular death. That was partly to draw attention to the great burden CVD placed on our patients, and also the fact that diabetologists in clinical practice were tending to focus on glycaemia, but not other aspects of cardiovascular risk, like blood pressure or cholesterol. Since then, however, there’s been multiple ways we can improve the cardiovascular prognosis for people with diabetes.

This module presents an overview of historic and contemporary trial data and examines what this can tell us about the changing face of cardiovascular risk for people with diabetes.

Fisher M, Shaw KM. Diabetes — a state of premature cardiovascular death. Practical Diabetes. 2001;18:183-184.
http://onlinelibrary.wiley.com/doi/10.1002/pdi.243

Learning Outcomes

By the end of this module, you will be able to:

✓ Summarise the impact of type 1 and type 2 diabetes on the risk of cardiovascular disease, including coronary heart disease, stroke, heart failure and vascular disease

✓ Identify how people with type 2 diabetes first present with vascular disease compared with those without diabetes

✓ Explain the multiple mechanisms that contribute to cardiovascular disease in people with diabetes


This module includes self-marked assessments, such as knowledge checks and/or case studies, as well as a marked final assessment, which you can attempt up to five times. To complete the module, you must review all chapters, pass the final assessment (80% pass mark), and fill in our feedback form.


Contributors

Professor
Miles Fisher
Author
Professor
John Wilding
Expert Reviewer
Dr
Muhammad Fahad Arshad
Assessment Setter
Dr
Amar Puttanna
Assessment Setter