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Hepatology Section, Division of Medicine, Imperial College School of Medicine, St Mary's Hospital, London D M Forton MRCP, J Main FRCP, G R Foster FRCP, H C Thomas FRCP, S D Taylor-Robinson MRCP Robert Steiner Magnetic Resonance Unit, Clinical Sciences Centre, Hammersmith Hospital, London W12 0HS, UK D M Forton MRCP, J M Allsop DCR, S D Taylor-Robinson MRCP ; Correspondence to: Dr Daniel Forton e-mail: d.forton ic.ac and spironolactone. Introduction . Member Prescription Benefit . Pharmacy And Therapeutics P&T ; Committee And Preferred Drug Committee PDC ; . How To use This Preferred Drug Guide . Cost Index . Generic Substitution Dispensing Limits . Alphabetical List . caps . capsules conc . concentrate crm . cream DL dispensing limit ext . extended inj . injection NP non-preferred oint . ointment oTC over-the-counter P preferred PA prior authorization soln . solution ST step therapy supp . suppositories susp . suspension tabs . tablets. Remains unclear 2 ; . 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The worldwide prevalence of type 2 diabetes mellitus has reached epidemic proportions. The so-called traditional risk factors cannot fully explain the excessive cardiovascular disease risk of type 2 diabetic patients. Numerous studies indicate that postprandial metabolic derangements, most notably hyperglycaemia and hypertriglyceridaemia, which are exaggerated and prolonged in type 2 diabetes, are important cardiovascular disease risk factors since they induce oxidative stress and endothelial dysfunctions. This review discusses the current evidence showing that postprandial dysmetabolism may indeed constitute an important cardiovascular disease risk factor as well as the mechanisms underlying this association. Finally, some possible therapeutic options and recommendations for future research are discussed. 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