Strict control of modifiable risk factors (hyperglycemia, blood pressure, obesity) is emphasized to mitigate the high incidence of CHF in type 2 diabetes, especially in younger patients.
The CHF incidence rate in type 2 diabetes may be much greater than previously believed. Our multivariate results emphasize the importance of controlling modifiable risk factors for CHF, namely hyperglycemia, elevated blood pressure, and obesity. Younger patients may benefit most from risk factor modification.
Nichols et al. (Sun,) studied this question.