Abstract
Mortality from cardiovascular disease is increased by a factor of two to three in persons with diabetes as compared with the general population.1 Cardiovascular disease develops earlier in the presence of diabetes and occurs as often in diabetic women as in diabetic men. To reduce this increased risk, a multifactorial approach to the management of type 2 diabetes has been advocated. The American Diabetes Association, for example, recommends not only good glycemic control but also identification and aggressive treatment of associated cardiovascular risk factors, with more stringent target levels for lipids and blood pressure than those recommended for the general . . .