Role of Renin-Angiotensin System Blockade in Patients With Diabetes Mellitus
Publication year: 2009
Source: The American Journal of Cardiology, In Press, Corrected Proof, Available online 11 July 2009
Manoela F.B., Braga , Lawrence A., Leiter
The investigators review the evidence of the potential role of renin-angiotensin system (RAS) blockers in delaying or preventing the onset and progression of diabetes mellitus (DM) and cardiovascular disease and the suggested mechanisms by which these agents exert their favorable metabolic and cardiovascular effects. Data from clinical trials suggest that RAS blockade not only reduces cardiovascular risk in patients with DM but also may prevent or delay DM onset in at-risk subjects. These observations set the stage for further studies evaluating the risk for developing DM as a primary end point: the Diabetes Reduction Approaches With Ramipril And Rosiglitazone Medications…