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Cardiac Connection

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Diabetes and Heart Disease:
Double Trouble


 

 

Like Butch Cassidy and the Sundance Kid, diabetes and cardiovascular disease make more trouble together than on their own. People with diabetes have a higher risk of cardiovascular disease because they are also likely to have heart risk factors such as high cholesterol, LDL and triglycerides - fat that clogs blood vessels; lower HDL - which is good cholesterol; and high blood pressure (hypertension). In fact, heart disease is the leading cause of diabetes-related deaths. People who have diabetes also have a higher risk of stroke.

A respected medical journal recently reported that after menopause, women with diabetes and heart disease have three times the risk of developing heart failure than women who don't have diabetes. Each year, some 53,000 Americans die because their hearts can't pump blood efficiently. The Journal of the American Heart Association says that diabetes is the most powerful predictor of heart failure.

High blood pressure and diabetes: Here's a double fix

The report did offer some positive news that should inspire people to control their diabetes. The Journal said people with diabetes who had well-controlled blood sugar levels had a relatively low rate of heart failure. Healthy habits that keep your blood glucose levels under control can help you reduce hypertension and lower your risk for heart disease.

  • At least 30 minutes of moderate exercise, such as walking at a quick pace five days a week, can reduce blood sugar, cholesterol and blood pressure, even if you don't lose weight.
  • Eat less salt and more foods high in fiber and low in fat and sugar.
  • Quit smoking and limit alcohol consumption.
  • Keep your blood pressure below 130/80. 130 is the pressure as your heart beats and pushes blood into the blood vessels. 80 is the pressure when your heart rests between beats.
  • Ask your doctor about medication. Some people find that eating healthier and exercising make them feel better and lose weight, but don't always immediately lower blood pressure.
 
Last Reviewed: April 2008

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