Evidence map›Paper›PMID 42359232›Full record

ReviewCureus2026

Cardiovascular Implications of Diabetes Mellitus: A Systematic Literature Review.

Piyush Kumar Gupta, Anand Sekar G, Ram Diwakar, Niyanta Ashokkumar Panchal, Anshul Kumar, Anupravo Bhaumik

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Piyush Kumar GuptaDepartment of Community Medicine, Geetanjali Institute of Medical Sciences, Jaipur, IND.
Anand Sekar GDepartment of Cardiology, Aarupadai Veedu Medical College, Vinayaka Missions Research Foundation (VMRF-DU), Puducherry, IND.
Ram DiwakarDepartment of General Medicine, Maharshi Vashishtha Autonomous State Medical College, Basti, Basti, IND.
Niyanta Ashokkumar PanchalDepartment of Anesthesia, Dr. N. D. Desai Faculty of Medical Science, Dharmsinh Desai University, Nadiad, IND.
Anshul KumarDepartment of Endocrinology and Anesthesiology, Venkateshwar Hospital, New Delhi, IND.
Anupravo BhaumikDepartment of General Medicine, Agartala Government Medical College and Govind Ballabh Pant Hospital, Agartala, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus is a chronic metabolic disorder associated with a two- to four-fold higher risk of cardiovascular morbidity and mortality compared with individuals without diabetes due to complex interactions between metabolic, inflammatory, and vascular pathways. Despite extensive research, uncertainties remain regarding the integrated effects of emerging therapies and persistent cardiovascular risk in diabetic populations. This systematic literature review aimed to evaluate the cardiovascular implications of diabetes mellitus by synthesizing evidence on epidemiology, mechanisms, and clinical outcomes. A structured search was conducted across PubMed, Scopus, Web of Science, and Cochrane Library for studies published between 2015 and 2025, using predefined Boolean search terms, including MeSH terms in PubMed, to identify randomized controlled trials and observational studies reporting cardiovascular outcomes; no review protocol was registered prospectively. Eleven studies were included in the final review after searches were conducted for studies published between 2015 and 2025. Data were extracted and synthesized narratively because clinical and methodological heterogeneity, including differences in populations, interventions, outcomes, study designs, and follow-up durations, precluded formal meta-analysis, and I² assessment. The findings indicate that diabetes significantly increases the risk of major adverse cardiovascular events, heart failure, and mortality, driven by hyperglycemia-induced endothelial dysfunction, inflammation, and atherosclerosis. Pharmacological therapies such as SGLT2 inhibitors, GLP-1 receptor agonists, and mineralocorticoid receptor antagonists demonstrated significant reductions in cardiovascular and renal outcomes, while lifestyle interventions contributed to risk reduction. Persistent residual risk highlights incomplete therapeutic control. These findings emphasize the need for integrated and individualized management strategies. This review reinforces the importance of combining pharmacological and lifestyle interventions to effectively reduce cardiovascular complications in diabetes.

Indexed as

cardiovascular diseasediabetes mellitusglycemic controlheart failuresystematic review

Identifiers

PMID42359232
PMCPMC13292806

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.