Diabetes Mellitus is Not Only A Risk Factor But A Cardiovascular Disease

Diabetes Mell itus (DM) is a chronic systemic disease characterized by disorders in metabolism of insulin, carbohydrate, fat and protein and impairment of structure and function of blood vessels; the early manifestations are metabolic and the complications result from vascular disease. Vascular changes may precede several years overt DM. Both type 1 and type 2 DM are vulnerable to microvascular and macrovascular complications. The relation of glucose and coronary artery disease is continuous and graded across the range of nondiabetic glucose values, independent of traditional and nontraditional risk factors with no gender difference.