Optimal glycemic control improves outcomes of chronic heart failure

摘要

There is a high prevalence of heart failure in patients with diabetes mellitus due to hyperglycemia-induced metabolic disturbances and remodeling of myocardium, as well as increased incidence of ischemic cardiomyopathy. Patients with heart failure and concurrent diabetes have an increased mortality and hospital readmission than those without diabetes. Little is known about the impact of diabetes control on the clinical outcomes of heart failure. It is likely that optimal control of diabetes with insulin or other hypoglycemic agents restores myocardial metabolic imbalance and reduces mortality and hospital readmission in heart failure.