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2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes

ESC Clinical Practice Guidelines

The current Guidelines on cardiovascular disease and diabetes are designed to guide prevention and management of the manifestations of CVD in patients with diabetes. In contrast to the previous 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases—only focus on CVD and diabetes and - given the lack of clear evidence - leave aside the aspect of pre-diabetes. This version of the Guidelines gives recommendations on CV risk stratification as well as on screening, diagnosis, and treatment of CVD in patients with diabetes. Based on evidence from large CVOTs, the current Guidelines provide clear recommendations on how to reduce cardiovascular risk in patients with diabetes and how to treat patients with diabetes and clinical manifestations of cardio-renal disease such as atherosclerotic cardiovascular disease, heart failure, atrial fibrillation, and chronic kidney disease. Special considerations have been given to a multifactorial, interdisciplinary approach, which should involve healthcare providers from different disciplines and areas of expertise to support shared decision-making and implement a personalised treatment strategy.

Diabetes and the Heart
Coronary Artery Disease (Chronic)
Diseases of the Aorta
Diagnostic Methods
Peripheral Vascular and Cerebrovascular Disease
Stroke Prevention
Chronic Heart Failure
Epidemiology, Prognosis, Outcome
Diagnostic Methods

Main resources

Scientific Presentation at ESC Congress 2023

Access the live session and the replay

Watch now

More resources

ESC TV Interview

The essentials of the Guidelines in just a few minutes.

Congress News Article

Insights from the Chairs of the Guidelines Task Force.

Slide set

Educational material.

ESC Pocket Guidelines App

Have the ESC Pocket Guidelines with you all the time.

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