Introduction and background - scale of the problem of diabetes; reasons for exponential rise in numbers; overview of vascular complications.
Definition and epidemiology - diabetes and cardiovascular disease focus on the heart scale of the problem
Aetiology - importance of metabolic (insulin resistance) syndrome. Co-occurrence of risk factors for atherogenesis and vascular disease
Diagnosis - diabetes is a cardiovascular disease risk factor screening low threshold for investigations tools for investigation
Prevention - evidence base for treatment key clinical trials
Treatment - obesity, dyslipidaemia, hypertension, glycaemia, lifestyle advice
Future developments - emphasis on care pathways algorithmic approaches treating to target new uses for established therapies (e.g. glitazones, rapid acting insulin secretagogues)