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Management of Diabetic Dyslipidemia in Indians: Expert Consensus Statement from the Lipid Association of India

Published:November 22, 2022DOI:https://doi.org/10.1016/j.jacl.2022.11.002

      Highlights

      • 74 million adults in India had diabetes in 2021 (1 in 12), more than half undiagnosed
      • Diabetes in India is associated with earlier age of onset compared to Western groups
      • More than 90% of Indian patients with diabetes are estimated to have dyslipidemia
      • Indian patients with diabetes have an aggressive course of atherosclerosis
      • Aggressive treatment of diabetic dyslipidemia is needed to prevent ASCVD events

      Abstract

      In 2021 an estimated 74 million individuals had diabetes in India, almost all type 2 diabetes. More than half of patients with diabetes are estimated to be undiagnosed and more 90% have dyslipidemia that is associated with accelerated development of atherosclerotic cardiovascular disease (ASCVD). Patients of Indian descent with diabetes have multiple features that distinguish them from patients with diabetes in Western populations. These include characteristics such as earlier age of onset, higher frequency of features of the metabolic syndrome, more prevalent risk factors for ASCVD, and more aggressive course of ASCVD complications. In light of the unique features of diabetes and diabetic dyslipidemia in individuals of Indian descent, the Lipid Association of India developed this expert consensus statement to provide guidance for management of diabetic dyslipidemia in this very high risk population. The recommendations contained herein are the outgrowth of a series of 165 webinars conducted by the Lipid Association of India across the country from May 2020 to July 2021, involving 155 experts in endocrinology and cardiology and an additional 2880 physicians.

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