Management of Cardiovascular Disease in Patients with Diabetes

Authoring Organization

Publication Month/Year

August 25, 2023

Supplemental Implementation Tools

Document Type


Country of Publication


Document Objectives

The current Guidelines on cardiovascular disease and diabetes are designed to guide prevention and management of the manifestations of CVD in patients with diabetes. In contrast to the previous 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases—only focus on CVD and diabetes and - given the lack of clear evidence - leave aside the aspect of pre-diabetes. This version of the Guidelines gives recommendations on CV risk stratification as well as on screening, diagnosis, and treatment of CVD in patients with diabetes. Based on evidence from large CVOTs, the current Guidelines provide clear recommendations on how to reduce cardiovascular risk in patients with diabetes and how to treat patients with diabetes and clinical manifestations of cardio-renal disease such as atherosclerotic cardiovascular disease, heart failure, atrial fibrillation, and chronic kidney disease. Special considerations have been given to a multifactorial, interdisciplinary approach, which should involve healthcare providers from different disciplines and areas of expertise to support shared decision-making and implement a personalized treatment strategy.

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings


Intended Users

Nurse, nurse practitioner, physician, physician assistant


Assessment and screening, Treatment, Management, Prevention

Diseases/Conditions (MeSH)

D003920 - Diabetes Mellitus, D002318 - Cardiovascular Diseases


diabetes, cardiovascular disease, diabetes mellitus, CVD

Source Citation

Nikolaus Marx and others, 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes: Developed by the task force on the management of cardiovascular disease in patients with diabetes of the European Society of Cardiology (ESC), European Heart Journal, 2023;, ehad192, https://doi.org/10.1093/eurheartj/ehad192