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Panelists. Type 2 Diabetes, Renal Impairment, and CHD: Reducing 2 Vascular Risks With 1 Stone.

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Presentation on theme: "Panelists. Type 2 Diabetes, Renal Impairment, and CHD: Reducing 2 Vascular Risks With 1 Stone."— Presentation transcript:

1 Type 2 Diabetes, Renal Impairment, and CHD: Reducing 2 Vascular Risks With 1 Stone

2 Panelists

3 Case Study: 58-Year-Old Male

4 Incidence of MI in Subjects With T2DM vs the Nondiabetic CAD Population

5 Is Type 2 Diabetes a Coronary Risk Equivalent?

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8 Risk for Cardiovascular Events Is Greatest When Both Diabetes and CKD Are Present

9 Mortality Risk Doubles in Comorbid T2DM and CKD*

10 All-Cause and Cardiovascular Mortality by eGFR in Subjects With and Without Diabetes

11 All-Cause Mortality by eGFR in Subjects With and Without Diabetes and Hypertension

12 Effect of Intensive Glucose Control on Major Cardiovascular Events

13 Effect of Intensive Glucose Control on All-Cause Mortality

14 Effect of Intensive Glucose Control on Major CV Events by History of Macrovascular Disease

15 PPAR-a and PPAR-g Agonists: Target Systems

16 TZDs: Renal Function in Patients With Baseline Normo- and/or Microalbuminuria and T2DM

17 CV Events With PPAR-g Agonists

18 PROactive: Effect of Pioglitazone on CV Outcomes in T2DM Patients by CKD Status

19 VA-HIT: Effect of Gemfibrozil on Cardiac Events in Secondary Prevention

20 VA-HIT: Effect of Gemfibrozil on CV Events and Death in Patients With CRI

21 FIELD: Long-Term Effect of Fenofibrate on Albuminuria in T2DM

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23 ACCORD Lipid: Effect of Statin Plus Fenofibrate vs Statin Alone on Markers of Renal Function

24 ACCORD Renal Ancillary Study: Reversibility of Fenofibrate-Related Renal Function Impairment

25 Fenofibrate Treatment in Type 2 Diabetes: Effect on Renal Function

26 Effects of Fibrates on Cardiovascular Outcomes: A Systematic Review and Meta-Analysis

27 Fibrates: Is High TG, Low HDL-C the Optimal Patient Type?

28 Dual PPAR-a/g Agonists

29 Targets of Glucose-Lowering Drugs

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31 Impact of Intensive Glycemic Control in Subjects With CKD: Micro- and Macroalbuminuria

32 Impact of Intensive Glycemic Control in Subjects With CKD: Serum Creatinine

33 Impact of Intensive Glycemic Control in Subjects With CKD: All-Cause and CV Mortality

34 Impact of Intensive Glycemic Control in Subjects With CKD: End-Stage Renal Disease

35 NKF Diabetes and CKD Systematic Review Conclusions

36 STENO-2: Multifactorial Risk Factor Management in Type 2 Diabetes

37 STENO-2: All-Cause Mortality

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40 Dual a/g PPAR Agonist: Effect of Muraglitazar on A1c and Lipid Levels

41 Muraglitazar Clinical Development

42 Effect of Muraglitazar on All-Cause Mortality and MACE in Patients With T2DM

43 GALLANT 8: Effect of Tesaglitazar on Top of Metformin vs Metformin Alone on A1c

44 GLAD: Effect of Tesaglitazar vs Pioglitazone on Lipid Measures

45 Effect of Tesaglitazar on Serum Creatinine and Glomerular Filtration

46 Tesaglitazar Clinical Development

47 SYNCHRONY: Effect of Aleglitazar vs Pioglitazone on LDL-C and HDL-C

48 SYNCHRONY: Effect of Aleglitazar vs Pioglitazone on A1c and FPG

49 SYNCHRONY: Effect of Aleglitazar on Markers of Renal Function

50 SESTA R: Impact of Supratherapeutic Doses of Aleglitazar on Renal Function in T2DM

51 ALENEPHRO: Aleglitazar Phase 2 Renal Function Study

52 ALENEPHRO: Preliminary Details

53 Expected Targets for Dual PPAR-a/g Agonists

54 Effect of Aleglitazar on Cardiometabolic Risk

55 ALECARDIO: Aleglitazar in Patients With T2DM and ACS

56 Blood Glucose-Lowering Agents and Cardiovascular Risk Management

57 Program Summary

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