RT Journal Article SR Electronic T1 Metabolic Management of the Patient with Ischemic Heart Disease: Diabetes and Metabolic Syndrome JF MD Conference Express YR 2006 FD SAGE Publications VO 6 IS 1 SP 29 OP 29 DO 10.1177/155989770601018 UL http://mdc.sagepub.com/content/6/1/29.abstract AB “Let's get one thing clear,” said Mark Creager, MD, Harvard Medical School. “Diabetes is a cardiovascular disorder.” Dr. Creager reviewed links between hyperglycemia and endothelial dysfunction, including the interplay of free fatty acids that increase oxidative stress. “Hyperglycemia activates signaling events at the endothelial level we'd just as soon never got started,” he said. “Ultimately, hyperglycemia has a direct effect on thrombosis and fibrinolysis.”