Women with type 2 diabetes are at high risk of cardiovascular disease. Early identification and modification of diabetes and cardiovascular risk factors, and adherence to clinical management guidelines are essential for optimising outcomes.
- Cardiovascular disease is the most common complication affecting patients with type 2 diabetes and is responsible for death in more than 30% of them.
- The protective effect against cardiovascular disease usually afforded to women is eliminated by the presence of diabetes.
- Women with type 2 diabetes have a much higher relative risk of developing and dying from cardiovascular disease than men with diabetes.
- Many women experience less intensive screening and management of cardiovascular risk factors than men.
- Women at high risk of type 2 diabetes and cardiovascular disease can be identified early by using established screening algorithms such as the Australian type 2 diabetes risk assessment tool (AUSDRISK) and the Australian absolute cardiovascular risk calculator, which are both available as online tools.
- Women with a history of gestational diabetes or polycystic ovary syndrome are at increased risk of type 2 diabetes, and require early identification and modification of metabolic risk factors, regular screening for diabetes and intensive management of cardiovascular risk factors.
- Women with type 2 diabetes require close attention to cardiovascular disease risk stratification and intensive monitoring and management, which can be achieved by adherence to best practice clinical guidelines.
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