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POLICY AND PRACTICE REVIEWS article

Front. Endocrinol.
Sec. Cardiovascular Endocrinology
Volume 15 - 2024 | doi: 10.3389/fendo.2024.1395630

Emirates Consensus Recommendations on Cardiovascular Risk Management in Type 2 Diabetes

Provisionally accepted
Hani Sabbour Hani Sabbour 1,2,3*Wael Almahmeed Wael Almahmeed 2,4Fatheya Alawadi Fatheya Alawadi 5,6Abdullah Shehab Abdullah Shehab 7Abdulamjeed Al Zubaidi Abdulamjeed Al Zubaidi 8Alaaeldin Bashier Alaaeldin Bashier 5Abdul Rauf Ghulam Abdul Rauf Ghulam 9Fauzia Rashid Fauzia Rashid 10Hosam Zaky Hosam Zaky 11Hussien Heshmat Kassem Hussien Heshmat Kassem 12,13Jamila Bin Adi Jamila Bin Adi 14,15Juwairia Tahir Juwairia Tahir 16,17Khadija Hafidh Khadija Hafidh 18Mohammed Farghali Mohammed Farghali 19Mohamed M. Hassanein Mohamed M. Hassanein 20,5James Januzzi James Januzzi 21
  • 1 Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
  • 2 Heart, Vascular and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
  • 3 Warren Alpert Medical School, Brown University, Providence, Rhode Island, United States
  • 4 Department of Cardiology, Heart, Vascular and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
  • 5 Endocrine Section, Dubai Hospital, Dubai Academic Health Corporation (DAHC), Dubai, United Arab Emirates
  • 6 Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
  • 7 Department of Cardiology, Mediclinic Al Ain Hospital, Al Ain, United Arab Emirates
  • 8 Burjeel Hospital, Abu Dhabi, United Arab Emirates
  • 9 Senior specialist benefits design and strategic purchasing Department of Healthcare, Abu Dhabi, United Arab Emirates
  • 10 Endocrinologist, Dubai Hospital, Dubai, United Arab Emirates
  • 11 Cardiology Department, Dubai Hospital, Dubai Academic Health Corporation (DAHC), Dubai, United Arab Emirates
  • 12 Department of Cardiology, Zulekha Hospital Sharjah, Sharjah, United Arab Emirates
  • 13 Department of Cardiology, Faculty of Medicine, Cairo University, Cairo, Egypt
  • 14 President of The Emirates Society of Internal Medicine, Dubai, United Arab Emirates
  • 15 Consultant Physician Internal Medicine Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates
  • 16 Emirates Cardiac Society, Dubai, United Arab Emirates
  • 17 Rashid Hospital, Dubai, United Arab Emirates
  • 18 Department of Internal Medicine, Rashid Hospital, Dubai, United Arab Emirates
  • 19 Department of Medicine, Dubai Medical College, Dubai, United Arab Emirates
  • 20 College of Medicine, Mohamed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
  • 21 Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States

The final, formatted version of the article will be published soon.

    The combination of heart failure and diabetes conditions is highly prevalent in the United Arab Emirates. Development and dissemination of evidence-based regional recommendations for optimal screening, treatment, and referrals of people with diabetes and high cardiovascular risk is highly important. An expert panel of diabetologists, endocrinologists, and cardiologists from the Emirates Cardiac Society and Emirates Diabetes and Endocrine Society as well as different entities in the UAE, discussed evidence and a consensus report from the American Diabetes Association to formulate recommendations that could be applied for optimal management of heart failure in people with diabetes in the UAE. The inter-relationships between diabetes and heart failure are multifactorial and symptom regular assessments and risk factor mitigation steps are essential. Routine measurement of natriuretic peptides and high-sensitivity troponins can help identify patients requiring cardiac imaging referrals respective to the balance of clinical judgment and cost implications. While SGLT2i must be an important part of the standard of care, insulin, GLP1 receptor agonists, and/or metformin can be useful for additional glycemic control. The consensus panel aims that the presented recommendations can offer guidance for an optimal framework for people with a concomitance of diabetes and high cardiovascular risk in the United Arab Emirates.

    Keywords: Conceptualization, supervision, visualization, Writing -review & editing. Abdulamjeed Al Zubaidi: Formal Analysis, methodology, Writing -original draft. Alaaeldin Bashier: Investigation, Validation, Writing -original draft. Fatheya Alawadi: Formal Analysis

    Received: 04 Mar 2024; Accepted: 24 Sep 2024.

    Copyright: © 2024 Sabbour, Almahmeed, Alawadi, Shehab, Al Zubaidi, Bashier, Ghulam, Rashid, Zaky, Heshmat Kassem, Bin Adi, Tahir, Hafidh, Farghali, Hassanein and Januzzi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Hani Sabbour, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.