Potential implications of the choice among three alternative treatment targets for apolipoprotein B100 in the management of patients with type 2 diabetes and chronic kidney disease

作者：Boronat Mauro^*; Garcia Canton Cesar; Lopez Rios Laura; Quevedo Virginia; Lorenzo Dionisio L; Batista Fatima; Riano Marta; Novoa Francisco J

来源：Diabetes and Vascular Disease Research, 2014, 11(1): 53-59.

DOI：10.1177/1479164113511834

• Apolipoprotein B100
• low-density lipoprotein-cholesterol
• non-high-density lipoprotein-cholesterol
• cardiovascular risk
• lipid goals
• type 2 diabetes

This study analyses discordance rates between attainment of therapeutic goals for apolipoprotein B100 (apoB) and both low-density lipoprotein-cholesterol (LDL-C) and non-high-density lipoprotein-cholesterol (non-HDL-C) in a sample of 152 patients with type 2 diabetes and chronic kidney disease from Gran Canaria (Spain), using treatment targets recommended by the American Diabetes Association/American College of Cardiology (ADA/ACC), the European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) and by a Spanish population-based study. Among subjects with LDL-C levels at therapeutic goal, apoB was above target in 16.3% (ADA/ACC), 6.5% (ESC/EAS) and 39.1% (population-based criteria), and among subjects with non-HDL-C levels at therapeutic goal, apoB was above target in 10.5% (ADA/ACC), 1.2% (ESC/EAS) and 29.6% (population-based criteria). These findings show that clinical management would be very differently altered depending on the criteria used to set treatment targets for apoB. Cut-off points derived from population data identify a greater number of subjects suitable for a more intensive lipid-lowering therapy.

• 出版日期2014-1