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Taking care of your diabetes is important to help you protect your heart. You can substantially lower your chances of having a heart attack or stroke by taking the following steps to keep your heart and blood vessels healthy.
Know your diabetes ABCs to help you manage your blood glucose, blood pressure, and cholesterol. Stop smoking if you have diabetes to lower your chances of developing heart disease. The A1C test shows your average blood glucose level over the past 3 months.
This is different from the blood glucose checks you do every day. The higher your A1C number, the higher your blood glucose levels have been during the past 3 months. High levels of blood glucose can harm your heart, blood vessels, kidneys, feet, and eyes.
Some people may do better with a slightly higher A1C goal. Your A1C goals may also change as you get older and your lifestyle changes. Ask your health care team what your goal should be.
Blood pressure is the force of your blood against the wall of your blood vessels. If your blood pressure gets too high, it makes your heart work too hard. High blood pressure can cause a heart attack or stroke and damage your kidneys and eyes.
Ask what your goal should be. A buildup of cholesterol, a form of fat found in your blood, can cause a heart attack or stroke. Ask your health care team what your cholesterol numbers should be. If you are over 40 years old, you may need to take medicine, such as a statinto lower your cholesterol levels and protect your heart.
Learn about getting your cholesterol checked. Quitting smoking is especially important for people with diabetes because both smoking and diabetes narrow blood vessels, so your heart has to work harder. If you smoke or use other tobacco products, stop. You can start by calling the National Quitline at QUITNOW or For tips on quitting, go to Smokefree.
Ask your health care team about your goals for A1C, blood pressure, and cholesterol, and what you can do to reach these goals. To improve your diabetes self-management skills, you may want a referral to a diabetes educator or a registered dietitian. Medicare, some private insurers, and other organizations will provide financial assistance for some of these services.
You can keep track of your ABCs with a diabetes record form. You can use it when you meet with your health care team in person or remotely. Talk with your team about your goals and how you are doing, and whether you need to make any changes to your diabetes care plan.
Healthy lifestyle habits that you stick with can help you manage your diabetes and prevent heart disease. Learn more about these tips to manage diabetes. Watch a video about what you can do to keep your heart healthy.
Learn about the Body Weight Plannerwhich may help you create a personal plan to reach your goal weight. Managing diabetes is not always easy. Feeling stressed, sad, lonely, or angry is common when you are living with diabetes. You may know what to do to stay healthy but may have trouble sticking with your plan over time.
Long-term stress can raise your blood glucose and blood pressure, but you can learn ways to lower your stress.
Try deep breathing, gardening, taking a walk, doing yoga, talking with a loved one, working on a hobby, or listening to your favorite music. Learn more about healthy ways to cope with stress.
Medicines may be an important part of your treatment plan. Your doctor will prescribe medicine based on your specific needs. Medicine may help you.
Ask your doctor whether you should take daily aspirin. Aspirin is not safe for everyone. Your doctor can tell you whether taking aspirin is right for you and exactly how much to take. Statins can reduce the risk of having a heart attack or stroke in some people with diabetes. In addition, certain diabetes medicines have been shown to reduce the risk of heart attacks and death in patients at very high risk of having a heart attack.
Talk with your doctor to find out whether taking a statin or a diabetes medicine that reduces heart attack risk is right for you. Take medicines the way your doctor or health care team tells you to.
Talk with your doctor or pharmacist if you have questions about your medicines. Before you start a new medicine, ask your doctor about possible side effects and how you can avoid them.
If the side effects of your medicine bother you, tell your doctor. Doctors diagnose heart disease in people with diabetes based on their.
Tests used to monitor your diabetes—A1C, blood pressure, and cholesterol—help your doctor decide whether it is important to do additional tests to check your heart health or to refer you to a specialist such as a cardiologist.
Treatment works best when it is given right away. Warning signs can be different in different people. You may not have all the listed symptoms. Women may experience chest pain, nausea, and vomiting; feel very tired sometimes for days ; and have pain that spreads to the back, neck, throat, arms, shoulders, or jaw.
People with diabetes-related nerve damage may not notice any chest pain. If you have any one of these warning signs, call You can help prevent permanent damage by getting to a hospital within an hour of a stroke.
The NIDDK conducts and supports clinical trials in many diseases and conditions, including diabetes. The trials look to find new ways to prevent, detect, or treat disease and improve quality of life. Clinical trials—and other types of clinical studies—are part of medical research and involve people like you.
When you volunteer to take part in a clinical study, you help doctors and researchers learn more about disease and improve health care for people in the future.
Find out if clinical studies are right for you. Watch a video of NIDDK Director Dr. Griffin P. Rodgers explaining the importance of participating in clinical trials.
You can view a filtered list of clinical studies on diabetes and heart disease that are federally funded, open, and recruiting at www.
: Blood sugar control and cardiovascular health| Diabetes, Heart Disease, & Stroke | Poorly Blood sugar control and cardiovascular health blood sugar too high or out Blokd normal range Diabetes can cause blood sugar to rise to dangerous levels. Controp monthly science-based diabetes and heart-healthy Conyrol in your inbox. Live a healthy lifestyle Exercise regularly and make healthy food choices. Cardiac magnetic resonance imaging MRI Cardiac magnetic resonance imaging MRI is another way to produce detailed images of your heart and its vessels without the use of radiation. After a heart attack, the heart muscle does not heal as well as in people who do not have diabetes. of proof spirits. |
| High blood sugar may raise heart disease risk even if you don’t have diabetes | Related Coverage. Do I need to lose weight? Decreased blood flow to the brain can cause a stroke. Controlling hypertension, often called the silent killer because it seldom produces symptoms, is a major component of managing heart disease. My podcast changed me Can 'biological race' explain disparities in health? The link between diabetes and heart disease Heart and vascular disease often go hand-in-hand with diabetes. |
| Raised blood sugar levels linked with increased risk of cardiovascular diseases | HbA1c levels were taken from ARIC study participants during clinical examinations in ARIC researchers tracked study participants for years to acquire coronary heart disease events, hospitalizations and deaths. In participants with diabetes, the researchers found a graded association between HbA1c and increasing coronary heart disease risk. Each 1-percentage-point increase in HbA1c level was associated with a 14 percent increase in heart disease risk. Non-diabetic persons with HbA1c levels of 6 percent or higher had almost a two-fold greater heart disease risk compared to persons with an HbA1c level below 4. But our results suggest we should also be concerned about elevated blood sugar levels in non-diabetics as well. The study authors were supported in part by grants from the National Heart, Lung, and Blood Institute. Unfortunately, many cardiovascular problems can go undetected and start early in life. Serious cardiovascular disease can begin before age of 30 in people with diabetes. The two most common types of diabetes are type 1 and type 2. Type 1 diabetes also called insulin-dependent diabetes mellitus is an autoimmune disease in which the body's immune system attacks the cells in the pancreas that produce insulin, resulting in no or a low amount of insulin. Type 2 diabetes also called non-insulin dependent diabetes mellitus is the result of the body's inability to make enough, or to properly use insulin. According to the American Diabetes Association, damage to the coronary arteries is two to four times more likely in people with no symptoms who have type 1 diabetes than in the general population. Because symptoms may be absent at first, the American Diabetes Association recommends early diagnosis and treatment, as well as management, of risk factors. Many studies demonstrate people with type 2 diabetes are at increased risk for heart disease. In fact, one study found that people with type 2 diabetes, without apparent heart problems, ran the same risk for heart disease as people without diabetes who had already suffered one heart attack. People with diabetes often experience changes in the blood vessels that can lead to cardiovascular disease. In people with diabetes, the linings of blood vessels may become thicker, making it more difficult for blood to flow through the vessels. When blood flow is impaired, heart problems or stroke can occur. Blood vessels can also suffer damage elsewhere in the body due to diabetes, leading to eye problems, kidney problems, as well as poor circulation to the legs and feet. Insulin resistance, sometimes called prediabetes, can develop into Type 2 diabetes. They just never knew it. According to the ADA, they include: chest pain; shortness of breath; fainting; a rapid or slow heartbeat; numbness in your legs; exhaustion; nausea and vomiting; and pain in one or both legs. Fortunately, there are many ways to reduce risk and limit progression of diabetes and heart disease, Gabbay says. The ADA is partnering with the American Heart Association to tackle the issue via a program called Know Diabetes by Heart. It aims to increase awareness of the connection between diabetes and heart disease and to provide patients with resources to keep themselves healthier. A stands for A1C, a measure of blood-glucose control over time. This is usually accomplished through diet, exercise, and medication. B stands for blood pressure. Controlling hypertension, often called the silent killer because it seldom produces symptoms, is a major component of managing heart disease. If your blood pressure is too high, it can cause a heart attack or stroke, as well as kidney damage and other health problems. C stands for cholesterol, which is a type of fat found in the blood. Keeping blood vessels clear of the plaque that can build up when cholesterol levels rise helps prevent heart attack and stroke. Quitting smoking helps lower your risk for heart attack, stroke, and nerve, kidney, and eye disease. Similarly, consuming too much alcohol can be a problem, as it can elevate blood pressure and lead to heart failure or stroke. beer, 5 oz. of wine, or 1. of proof spirits. Read More: The Truth About Fasting and Type 2 Diabetes. A wide variety of medications are available to help control diabetes and slow its progression. They may also help manage your risk for heart disease. Metformin is another widely used medication that limits how much carbohydrate the intestines can absorb and boosts insulin sensitivity to help the body better manage blood-sugar levels. Other medications, like amylinomimetic drugs that are injected before meals, can slow the rate of digestion, lowering your blood-sugar levels. Two new classes of medications show promise in treating glucose levels in people with Type 2 diabetes, Gabbay says. |
| Diabetes and Heart Disease | of wine, or 1. of proof spirits. Read More: The Truth About Fasting and Type 2 Diabetes. A wide variety of medications are available to help control diabetes and slow its progression. They may also help manage your risk for heart disease. Metformin is another widely used medication that limits how much carbohydrate the intestines can absorb and boosts insulin sensitivity to help the body better manage blood-sugar levels. Other medications, like amylinomimetic drugs that are injected before meals, can slow the rate of digestion, lowering your blood-sugar levels. Two new classes of medications show promise in treating glucose levels in people with Type 2 diabetes, Gabbay says. These medications—GLP-1 receptor agonists and SGLT-2 inhibitors—have been shown to have a significant impact on lowering the risk of heart disease and stroke. Both help lower glucose levels and may support weight loss and blood-pressure reduction. Managing diabetes can help prevent heart disease. However, for people who already have both conditions, treatments that address any damage that has occurred in the heart or blood vessels are important and should be delivered alongside blood-sugar management. Individuals with both conditions will likely also need to control blood pressure and cholesterol levels, which can be achieved through medications as well as diet and exercise. Exercise is a key way to control Type 2 diabetes and support a healthy heart. For people with obesity, losing weight is typically advised, and exercise may help you achieve that. Eating right is also important, a fact that was first emphasized in the s. Today, we know more about how food contributes to the development of chronic disease or help improve overall health. One of the most widely recommended diets for overall health and wellness is the Mediterranean diet, which features mostly vegetables and fruits, whole grains, some fatty cold-water fish, and limited dairy and meat. The DASH diet, which stands for Dietary Approaches to Stop Hypertension, is also good for heart health. No matter which specific diet you adopt, Freeman says, there are five things he tells people who are trying to control their diabetes and, in turn, protect their hearts. Exercise more. Aim to complete 30 minutes per day of moderate- or vigorous-intensity exercise, and make it a regular habit. Eat plants. Skip refined oils, processed meats, and fried foods, as these can contribute to higher cholesterol levels. Symptoms, Diagnosis and Monitoring of Diabetes. Preventing and Treating Diabetes. Diabetes Tools and Resources. Get monthly science-based diabetes and heart-healthy tips in your inbox. Know Diabetes by Heart raises awareness that living with Type 2 diabetes increases risk for heart disease and stroke — and that people should talk with their doctor at their next appointment about ways to reduce risk. Home Health Topics Diabetes Diabetes Complications and Risks Cardiovascular Disease and Diabetes. Play without Auto-Play Play Video Text. Why are people with diabetes at increased risk for CVD? High blood pressure hypertension High blood pressure is a major risk factor for heart disease and stroke. Studies have shown a link between high blood pressure and insulin resistance. When patients have both HBP and diabetes, which is a common combination, their risk for CVD increases even more. Abnormal cholesterol and high triglycerides Patients with diabetes often have unhealthy cholesterol levels including high LDL "bad" cholesterol, low HDL "good" cholesterol, and high triglycerides. This often occurs in patients with premature coronary heart disease. It's also characteristic of a lipid disorder associated with insulin resistance called atherogenic dyslipidemia, or diabetic dyslipidemia in patients with diabetes. You can also protect yourself by controlling your high blood pressure and high cholesterol. If you smoke, get help to stop. High blood glucose from diabetes can damage your blood vessels and the nerves that control your heart and blood vessels. Over time, this damage can lead to heart disease. People with diabetes tend to develop heart disease at a younger age than people without diabetes. Adults with diabetes are nearly twice as likely to have heart disease or stroke as adults without diabetes. The good news is that the steps you take to manage your diabetes also help lower your chances of having heart disease or stroke. Your risk for heart disease is greater if you are male rather than female, whether you have diabetes or not. Smoking raises your risk of developing heart disease. If you have diabetes, it is important to stop smoking, because both smoking and diabetes narrow blood vessels. Smoking also increases your chances of developing other long-term problems such as. If you have high blood pressure , your heart works harder to pump blood. High blood pressure can strain your heart, damage blood vessels, and increase your risk of heart attack, stroke, and eye or kidney problems. Have your blood pressure checked regularly and work with your doctor to control or lower high blood pressure. Cholesterol is a type of fat, produced by your liver and found in your blood. You have two kinds of cholesterol in your blood: LDL and HDL. High levels of LDL cholesterol raise your risk of developing heart disease. To improve LDL and HDL levels, limit the amount of fat in your eating plan, eat more plant-based foods, and get regular physical activity. Another type of blood fat, triglycerides , also can raise your risk of heart disease when the levels are higher than recommended by your health care team. Being overweight or having obesity can make it harder to manage your diabetes and raise your risk for many health problems, including heart disease and high blood pressure. If you are overweight, a healthy eating plan with fewer calories and more physical activity often will lower your blood glucose levels and reduce your need for medicines. Excess belly fat around your waist, even if you are not overweight, can raise your chances of developing heart disease. Other risk factors for developing kidney disease are high blood pressure and a family history of kidney failure. If you have risk factors, get tested for kidney disease and protect your kidneys by making healthy food choices, being more active, aiming for a healthy weight, and managing health conditions that cause kidney damage. A family history of heart disease may add to your chances of developing the condition. If one or more of your family members had a heart attack before age 50, you have double the chance of developing heart disease compared with people who have no family history of the disease. Taking care of your diabetes is important to help you protect your heart. You can substantially lower your chances of having a heart attack or stroke by taking the following steps to keep your heart and blood vessels healthy. Know your diabetes ABCs to help you manage your blood glucose, blood pressure, and cholesterol. Stop smoking if you have diabetes to lower your chances of developing heart disease. The A1C test shows your average blood glucose level over the past 3 months. This is different from the blood glucose checks you do every day. The higher your A1C number, the higher your blood glucose levels have been during the past 3 months. High levels of blood glucose can harm your heart, blood vessels, kidneys, feet, and eyes. Some people may do better with a slightly higher A1C goal. Your A1C goals may also change as you get older and your lifestyle changes. Ask your health care team what your goal should be. Blood pressure is the force of your blood against the wall of your blood vessels. If your blood pressure gets too high, it makes your heart work too hard. High blood pressure can cause a heart attack or stroke and damage your kidneys and eyes. Ask what your goal should be. A buildup of cholesterol, a form of fat found in your blood, can cause a heart attack or stroke. Ask your health care team what your cholesterol numbers should be. If you are over 40 years old, you may need to take medicine, such as a statin , to lower your cholesterol levels and protect your heart. |
Blood sugar control and cardiovascular health -
Recognize the Symptoms of Heart Disease If you have prediabetes or type 1 or type 2 diabetes, you should be aware of the symptoms of heart disease, including:. Shortness of breath Fainting or near fainting Fluttering in your chest Chest pain, also known as angina, including feelings of chest tightness or pressure.
Slow heartbeat Dizziness or lightheadedness Pain in one or both arms Fast heartbeat, not due to a temporary increase in physical activity. Numbness or weakness in your legs Neck, jaw, throat, back, or upper abdomen pain Extreme fatigue Nausea and vomiting.
Talk With Your Health Care Team Describe all your symptoms as accurately as possible and be honest about your lifestyle. How does my diabetes increase my risk of heart disease?
What should I monitor in addition to my A1C , blood pressure, and cholesterol levels? What tests do you recommend? How often should my heart health be checked?
What lifestyle changes would you advise? Do I need to lose weight? Should I change my eating plan? Testing for Cardiovascular Disease Based on your symptoms, your doctor may request any of these outpatient tests to evaluate your risk of heart disease:.
Electrocardiograms EKG Electrocardiograms EKG monitor your heart's electrical signals to check if your heart rate and rhythms are average. Stress tests Stress tests monitor how your heart rate, blood pressure, and breathing respond when you in-crease your activity levels.
Cardiac computerized tomography CT Cardiac computerized tomography CT scans use x-rays to compile a three-dimensional, high-quality picture of your heart and blood vessels.
Cardiac magnetic resonance imaging MRI Cardiac magnetic resonance imaging MRI is another way to produce detailed images of your heart and its vessels without the use of radiation. Medications prescribed by your doctor Take medications prescribed by your doctor to reduce the risk of heart disease.
Stay in the Know Join the Know Diabetes by Heart initiative and receive a monthly newsletter filled with useful facts about the connection between diabetes and heart disease, in addition to resourceful, science-backed.
Working with your health-care team to achieve the following targets is the key to good diabetes management. Achieving and maintaining a healthy weight through regular physical activity and healthy eating is important, but most people with diabetes will also require medications to reach these goals.
Ask your doctor about the ABCDEs to reduce your risk of heart attack and stroke:. A1C is a blood test that measures your average blood sugar level over the past days.
C — Cholesterol —The LDL bad cholesterol target is less than 2. D — Drugs to protect your heart—Speak with your health-care team about medication to protect against heart attack and stroke, such as blood pressure pills ACE inhibitors or ARBs , cholesterol-lowering pills statins , Aspirin, Clopidogrel and others.
S — Screening for complications —Ask your health-care team about tests for your heart, feet, kidneys, and eyes. S — Self management, stress, and other barriers —Set goals for yourself to reach your targets and live well with diabetes, such as managing stress effectively.
Note that A1C targets for pregnant women, older adults and children 12 years of age and under are different. In addition to healthy living habits, it may also help to limit your intake of salt and alcohol.
Home Conditions Diabetes and Heart Disease Diabetes and Heart Disease. The link between diabetes and heart disease Heart and vascular disease often go hand-in-hand with diabetes. Silent heart disease in young people with diabetes Serious cardiovascular disease can begin before age of 30 in people with diabetes.
What causes heart disease in persons with diabetes? Prevention and treatment of heart disease in people with diabetes Even when taking proper care of yourself, heart disease may still occur. Specific treatment for heart disease will be determined by your physician based on: Your age, overall health, and medical history Extent of the disease Your tolerance for specific medications, procedures, or therapies Expectations for the course of the disease Your opinion or preference When risk factors are eliminated or reduced in a person with diabetes, the risk for heart disease may be reduced.
Other preventive treatment measures may include: See a physician regularly. Have annual electrocardiograms, or EKGs a test that records the electrical activity of the heart, shows abnormal rhythms and detects heart muscle damage , cholesterol and blood pressure check-ups and pulse measurement in legs and feet.
Pay attention to your symptoms and report them promptly to your physician. Control your blood sugar levels. Control your weight. Exercise regularly. Eat a healthy and balanced diet.
Hewlth person needs a certain amount sugag sugar in their blood to cardiovxscular healthy and energized. This study was recently published helth the Weight loss and body image The African Mango seed detoxification Regional Health — Europe. Researchers analyzed data Blood sugar control and cardiovascular health the UK Biobank of more thanUK residents for the study. All participants had different blood sugar levels including:. Upon analysis and after adjusting for age, the research team found both men and women with moderately elevated blood sugar levels below the threshold for diabetes were at increased risk for any type of cardiovascular disease. Prediabetes is known to increase the risk of progressing to diabetes and potentially developing heart disease. Diabetes and heart disease conttrol go hand-in-hand. Conyrol fact, adults with diabetes are twice healtth likely to have a heart attack or Boost energy naturally than cardiovasculat without Weight loss and body image. Those affected by all types Bloof diabetes are still at risk of developing heart disease, even if blood glucose blood sugar levels are managed. The most common form of heart disease is coronary artery disease, which develops over time as the arteries that supply blood to the heart fill with plaque. Plaque, which is made up of cholesterol and other substances, causes the arteries to harden. The medical term for this is atherosclerosis.
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