Causal connections -- Ch. 2. Types of diabetes and their implications regarding heart and vascular disease -- Ch. 3. Recognition and assessment of insulin resistance -- Ch. 4. Hypertension, diabetes, and the heart -- Ch. 5. Hyperlipidemia, diabetes, and the heart -- Ch. 6. The coagulation and fibrinolytic systems, diabetes, and the heart: therapeutic implications for patients with Type 2 diabetes -- Ch. 7. Insulin resistance, compensatory hyperinsulinemia, and coronary heart disease: Syndrome X -- Ch. 8. Detection and diagnosis of syndromes of insulin resistance and of diabetes mellitus --Ch. 9. Polycystic ovary syndrome, insulin resistance, and cardiovascular disease -- Ch. 10. Detection and diagnosis of heart disease in diabetic and prediabetic subjects -- Ch. 11. Treatment of diabetes: implications for heart disease -- Ch. 12. Management of patients with diabetes and coronary artery disease -- Ch. 13. Pathophysiology and management of congestive heart failure in patients with diabetes mellitus -- Ch. 14. Special therapeutic considerations: coronary interventions and coronary surgery -- Ch. 15. Nonpharmacological reduction of cardiovascular risk -- Ch. 16. Future directions: elucidation of mechanisms as targets for therapy.