【提要】  CVD与T2DM有共同病理基础。糖代谢异常显著增加CVD患者主要心血管不良事件风险。血糖的五个维度——HbA1c、餐后血糖、血糖波动、低血糖FPG均与心血管疾病发生和死亡风险显著相关。阿卡波糖满足血糖五维管理的需求，是CVD患者理想的口服降糖药物。

      【关键词】 心血管疾病；HbA1c；血糖波动；阿卡波糖

        Management of glycemic pentad in CVD patients 

    【Summary】 Cardiovascular disease and type 2 diabetes mellitus have a multifaceted symbiosis. Each varia-ble of the glycemic pentad is associated with CV morbidity and mortality. Such as HbA1c, PPG, glucose fluc-tuation, hypoglycemia and FPG. Acarbose acts on all variables of the glycaemic pentad and would be an ideal oral hypoglycemic drug for patients with CVD.

    【Key words】 Cardiovascular disease；HbA1c；Glucose fluctuation；Acarbose