Cardiovascular effects of anti-hyperglycemic therapy Edoardo Mannucci Diabetes Agency Careggi teaching hospital, Firenze, Italy ADVANCE MACE CV mort. Effects of intensified glycemic control on CV mortality Adrenercic activation could have a negative impact on the prognosis of MYOCARDIAL ISCHEMIA MACE Secondary prevention of macrovascular events in patients with type 2 diabetes: The PROACTIVE Study Dormandy JA et al., Lancet 2005; 366: 1279 Relative risk SU vs other therapies vs. Conventional 0.96 vs. Insulin 1.03 vs. Metformin 1.53 MI 0.83 0.91 1.24 Stroke 1.19 1.40 2.12 Mortality Effect of SU on MACE Monami M, Ganovese S, Mannucci E – 2013 [in press] Effect of SU on mortality Monami M, Ganovese S, Mannucci E – 2013 [in press]