Other Type 2 Diabetes and Heart Failure

[Lawpy]

Wasn't sure where to post this info. There's a recent scientific statement regarding the association between Type 2 diabetes and heart failure.

https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000000691

Curious in particular to hear inputs from @Raryn @IMreshopeful @Instatewaiter

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[Lawpy]

Some useful figures:

 

[Instatewaiter]

I mean what specific questions do you have?

This connection is a very well known connection for both ischemic and nonischemic cardiomyopathies

 

[Raryn]

Wasn't sure where to post this info. There's a recent scientific statement regarding the association between Type 2 diabetes and heart failure.

https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000000691

Curious in particular to hear inputs from @Raryn @IMreshopeful @Instatewaiter

I more or less concur that I don't see any particular questions. It's a common comorbid condition. I glanced through the article but didn't read every word - I guess I'd just point out the summary of the data is that different glucose lowering agents are better for heart failure. SGLT2i (invokana, jardiance, farxiga, steglatro) for example have phenomenal evidence for improved heart failure outcomes in particular and that's something they mentioned.

Use more: metformin, SGLT2i, GLP1a
Use less: TZD, SU, DPP4i
Be cautious with: insulin

But honestly, that's the practice pattern I have in general terms. Except maybe I'm using more TZDs in patients without heart failure.