1. UDETMA Mission: Reduce the incidence of cardiovascular disease Methodology of UDETMA: Use of noninvasive tests (carotid ultrasound, ankle-brachial index) for the early diagnosis of atherothrombotic disease.

2. UDETMA directed to: Diabetic nephropathy Chronic Kidney Disease Hypertension Diabetes Dyslipidemia Moderate-risk general population

3. UDETMA offers a comprehensive assessment of different professionals working together on cardiovascular risk factors in conjunction with relevant specialists if indicated by the severity of vascular disease (cardiologist, neurologist, vascular surgeon...) Endocrinology Nephrology Nursing Technical Picture Neurology Education for vascular health, renal and diabetes Primary Care Comprehensive assessment

4. Primary care CKD Diabetes + Diabetic Nephropat y Dyslipidemia Hypertensio n Obesity IAM Moderate risk PAD Patients with events Ttreatment Calculating risk Early diagnosis ICTU S UDETMA (endocrinologists, nephrologists...) SPECIALISTS (cardiologist, neurologist, vascular surgeon...) Prevention model Population risk factors General population

5. UDETMA centered on the patient Physical examination Sample extraction Specialists visits Centralized common database Dietetic intervention Vascular Screening PATIENT UDETMA circuit

6. UDETMA uses a centralized common database

7. Imaging study: Carotid ultrasound Intima-media thickness (IMT) Plaque

8. Imaging study: study vascular calcification