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editorial
. 2018 May;6(10):195. doi: 10.21037/atm.2018.03.30

Table 2. A global strategy for cardiovascular prevention in type 2 diabetes.

Obtain an intensive glycemic control
Achieve an intensive control of all associated cardiovascular risk factors
When possible, prefer diabetes medications at low risk for hypoglycemia
When tolerated, use metformin as the first-line treatment
Use SGLT2-inhibitors or GLP-1 receptor agonists in patients with known vascular complications or at high risk for vascular complications
Avoid saxagliptin and alogliptin in patients with heart failure or at risk for heart failure
Prefer SGLT2 inhibitors in patients with heart failure
Deliver to all the patients a structured patient therapeutic education
Screen for asymptomatic coronary artery disease and peripheral artery disease