Sex-gender-related therapeutic approaches for cardiovascular complications associated with diabetes

Pharmacol Res. 2017 May:119:195-207. doi: 10.1016/j.phrs.2017.01.023. Epub 2017 Feb 9.

Abstract

Diabetes is a chronic disease associated with micro- and macrovascular complications and is a well-established risk factor for cardiovascular disease. Cardiovascular complications associated with diabetes are among the most important causes of death in diabetic patients. Interestingly, several sex-gender differences have been reported to significantly impact in the pathophysiology of diabetes. In particular, sex-gender differences have been reported to affect diabetes epidemiology, risk factors, as well as cardiovascular complications associated with diabetes. This suggests that different therapeutic approaches are needed for managing diabetes-associated cardiovascular complications in men and women. In this review, we will discuss about the sex-gender differences that are known to impact on diabetes, mainly focusing on the cardiovascular complications associated with the disease. We will then discuss the therapeutic approaches for managing diabetes-associated cardiovascular complications and how differences in sex-gender can influence the existing therapeutic approaches.

Keywords: Cardiovascular complications; Diabetes mellitus; Risk factors; Sex-gender differences; Therapeutic approaches.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiovascular Diseases / drug therapy
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / therapy*
  • Diabetes Complications / drug therapy
  • Diabetes Complications / epidemiology*
  • Diabetes Complications / therapy*
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / epidemiology
  • Female
  • Humans
  • Male
  • Sex Characteristics
  • Sex Factors