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Tidlig opsporing af diabetes og hjertekarsygdom

DIABETESTINGET. Tidlig opsporing af diabetes og hjertekarsygdom. Professor, overlæge, dr.med Kenneth Egstrup. 8.April 2008. S TUDIEDESIGN. O RAL G LUKOSE T OLERANCE T EST. 203 P ATIENTER MED AMI. E KKOKARDIOGRAFI (MEDIAN: 2 DAGE [1-4 DAGE]). O RAL G LUCOSE T OLERANCE T EST

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Tidlig opsporing af diabetes og hjertekarsygdom

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  1. DIABETESTINGET Tidlig opsporing af diabetes og hjertekarsygdom Professor, overlæge, dr.med Kenneth Egstrup 8.April 2008

  2. STUDIEDESIGN ORAL GLUKOSE TOLERANCE TEST 203PATIENTER MED AMI EKKOKARDIOGRAFI (MEDIAN: 2 DAGE [1-4 DAGE]) ORAL GLUCOSE TOLERANCE TEST (MEDIAN 3 DAGE [2-4 DAGE]) KENDT DM

  3. IGT New DM Known DM FOREKOMST AF DYSGLYKÆMI 65% 28% 22% 15% 14% 10% 2% 2% Baggrundsbefolkning AMI

  4. OGTT ved AMI (Svendborg) n = 403; P<0.001 Known DM New DM Cumulative mortality risk IGT Normal Follow-up time (months)

  5. Det bør vi gøre noget ved ! • Tidlig diagnose • Intensiv behandling • Opfølgning • Øget samarbejde kardiologer og endokrinologer

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