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Diabetes & CVD

Diabetes greatly increases the odds of cardiovascular disease (CVD), such as heart attacks, stroke, heart failure, and peripheral artery disease. Sustained elevated blood sugar causes damage to blood vessels, inflammation, and atherosclerosis, making cardiovascular disease the leading cause of death in those with diabetes.

The mechanisms between diabetes and CVD include:

Endothelial dysfunction: Hyperglycemia damages the lining of blood vessels and increases the likelihood of plaque formation.

Atherosclerosis: Diabetes accelerates the deposition of fat in the arteries, leading to increased risk for coronary artery disease.

Hypertension and dyslipidemia: Both are common in diabetes and further increase cardiovascular risk.

Chronic inflammation: Elevated markers of inflammation leads to the stiffness of the vasculature and progression of heart disease.

Prevention and management include:

Glycemic control: Appropriate blood glucose management through diet, exercise, and medication can be a pathway to decreasing vascular complications.

Heart healthy lifestyle: Follow a balanced diet, engage in regular exercise, do not smoke, and limit alcohol.

Blood pressure and lipid management: Managing hypertension and dyslipidemia is critical in minimizing cardiovascular risk.

Regular monitoring: Screening of coronary artery disease, heart function, and vascular health can prompt early intervention.

Early intervention and integrated care are vital in diabetic patients to prevent or treat cardiovascular disease. Lifestyle changes, adherence to medication, and continuous monitoring can decrease risk for heart disease and improve overall cardiovascular health.

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