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Can You Have A Heart Attack Due To Diabetes?

8 Ways To Avoid Heart Attacks And Strokes If You Have Diabetes

8 Ways To Avoid Heart Attacks And Strokes If You Have Diabetes

Protect your heart Although many people with type 2 diabetes worry about losing their vision or having an amputation, the greater risk is to the heart and brain. About 65% of people with type 2 diabetes die of heart disease or stroke. They are two to four times more likely to die of heart disease than people without diabetes. "When someone does get a diagnosis of diabetes, they probably have had prediabetes for as long as 10 years," says Gerald Bernstein, MD. "By the time their diagnosis is made, their risk for cardiovascular disease is extremely high. And then 10 years later, they will have their first cardiovascular event." An enormous challenge "People with type 2 diabetes are faced with an enormous challenge. Because they not only have the problem of glucose metabolism that has gone astray, but in most patients, they have an associated problem related to their cholesterol and to their blood pressure, and obviously their weight," says Dr. Bernstein, director of the diabetes management program at the Gerald J. Friedman Diabetes Institute at Beth Israel Medical Center in New York City. "All of these things have to be attacked with the same vigor." To help prevent heart attacks and stroke, the National Institute of Diabetes and Digestive and Kidney Diseases recommends the following steps. Control your blood sugar If you've been prescribed medication, take it. To make sure your blood sugar is in the safe zone, get a hemoglobin A1C test at least twice a year. This test measures the amount of glucose stuck to red blood cells, which is a sign of blood sugar control in the previous three months. (Aim for below 7%). For a better sense of your daily blood sugar or how food affects it, you can prick your finger and use a blood glucose monitor to get a reading. (It should be 90 Continue reading >>

Diabetes And Your Heart

Diabetes And Your Heart

If you have diabetes, you are more likely to develop coronary heart disease than someone without diabetes. Diabetes causes high levels of glucose in your blood. This is because of a problem with a hormone your pancreas produces called insulin. Insulin is responsible for moving glucose (a type of sugar) from your bloodstream and into the cells of your body for energy. If there little or no insulin being produced, or your body has become resistant to insulin, glucose stays in the bloodstream and can’t move across to your cells to give them energy to work properly. High levels of glucose in your blood can damage the walls of your arteries, and make them more likely to develop fatty deposits (atheroma). If atheroma builds up in your coronary arteries (the arteries that supply oxygen-rich blood to your heart) you will develop coronary heart disease, which can cause angina and heart attack. Types of diabetes Type one diabetes happens when your body cannot make insulin. This type most commonly affects children and young adults, and is a result of your body’s immune system attacking the cells that produce insulin in the pancreas. Type two diabetes occurs when your pancreas isn’t producing enough insulin or your body has become resistant to the insulin it’s producing. Type two diabetes is much more common than type 1 and tends to develop gradually as people get older – usually after the age of 40, but more and more people every year are being diagnosed at a much younger age. It's closely linked with: being overweight, especially if you carry weight around your middle being physically inactive a family history of type 2 diabetes. Some ethnic groups have a much higher rate of diabetes - particularly people of South Asian and African Caribbean origin. Diabetes and your he Continue reading >>

Silent Heart Attack

Silent Heart Attack

A heart attack that does not produce the hallmark symptoms of chest pain and difficulty breathing. It is estimated that as many as 4 million Americans have had silent heart attacks, and diabetes raises the risk of having one. A heart attack, also known as a myocardial infarction, occurs when low blood flow to the heart starves it of oxygen, damaging it. Most heart attacks are caused by a blood clot that blocks one of the coronary arteries, the arteries that carry blood and oxygen to the heart muscle. A clot most often forms in a coronary artery that has been narrowed by atherosclerotic plaque. Risk factors for heart attacks include a family history of heart attack, being male, diabetes, older age, high blood pressure, smoking, and blood lipid abnormalities, especially high LDL (“bad”) cholesterol levels and low HDL (“good”) cholesterol levels. Typically, a heart attack produces chest pain, which may radiate to the arms, shoulders, neck, teeth, jaw, abdomen, or back. Other common symptoms include shortness of breath, nausea or vomiting, and anxiety. Anyone experiencing these symptoms should seek medical care immediately. But people with diabetes may not feel these symptoms due to diabetic neuropathy (nerve disease), which can damage the nerves that control the heart, as well as mask the chest and back pain that usually accompanies an attack. Continue reading >>

Heart Disease: The Diabetes Connection

Heart Disease: The Diabetes Connection

Most people living with diabetes are aware that they have an increased risk of cardiovascular disease. But the statistics can be truly staggering: Nearly two-thirds of people with diabetes have high blood pressure, and, according to the American Diabetes Association, people with diabetes are two to four times more likely to die of heart disease or have a stroke than people who don't have the condition. The good news: Learning more about the link between heart disease and diabetes can help you take steps to help protect your heart and manage your diabetes. How Diabetes and Heart Disease Are Related The connection between diabetes and heart disease starts with high blood sugar levels. Over time, the high glucose in the bloodstream can damage the arteries, causing them to become stiff and hard. Fatty material that builds up on the inside of these blood vessels, a condition known as atherosclerosis. This can eventually block blood flow to the heart or brain, leading to heart attack or stroke. Your risk of heart disease with diabetes is further elevated if you also have a family history of cardiovascular disease or stroke. Other heart facts to consider: People with diabetes develop cardiovascular disease at a much earlier age than others. Heart disease that leads to heart attack or stroke is the leading cause of death among people with diabetes. A person who has diabetes has the same risk of heart attack as someone who is not diabetic, but already had a heart attack. Protecting Your Heart When You Have Diabetes If you believe you are at a higher risk for heart disease, don’t despair. There are several small lifestyle changes you can make to not only help prevent heart disease, but also manage your diabetes more effectively. Be active. The American Heart Association recomme Continue reading >>

Diabetic Heart Disease

Diabetic Heart Disease

If you have diabetes or pre-diabetes you have an increased risk for heart disease. Diabetic heart disease can be coronary heart disease (CHD), heart failure, and diabetic cardiomyopathy. Diabetes by itself puts you at risk for heart disease. Other risk factors include Family history of heart disease Carrying extra weight around the waist Abnormal cholesterol levels High blood pressure Smoking Some people who have diabetic heart disease have no signs or symptoms of heart disease. Others have some or all of the symptoms of heart disease. Treatments include medications to treat heart damage or to lower your blood glucose (blood sugar), blood pressure, and cholesterol. If you are not already taking a low dose of aspirin every day, your doctor may suggest it. You also may need surgery or some other medical procedure. Lifestyle changes also help. These include a healthy diet, maintaining a healthy weight, being physically active, and quitting smoking. NIH: National Institute of Diabetes and Digestive and Kidney Diseases Continue reading >>

Whats Behind Heart Attacks In Type 1 Diabetes?

Whats Behind Heart Attacks In Type 1 Diabetes?

Whats Behind Heart Attacks in Type 1 Diabetes? Type1 diabetes puts patients at huge risk for heart disease: Heart attacks and other cardiovascular complications cause the death of nearly 3out of every 4people with type1 diabetes , compared with just 1in 4people in the general population. And while treatments for other complications of type1 diabetes have come a long way in the past 30years, these grim numbers havent budged a bit. Researchers have long speculated that theres something specific to type1 diabetes that puts patients at such high risk, but what that something might be has been elusive. Its been a mystery why patients with type1 diabetes do so poorly, says Myra Lipes, a researcher at the Joslin Diabetes Center in Boston. Lipess research, conducted with the support of the American Diabetes Association, suggests the problem may be the same one that triggers type1 in the first place: an out-of-control immune response. Immune system cells designed to go after specific targets are called T-cells. Their presence in the body is an indication that the immune system has been exposed to invadersor that it has developed sensitivity to proteins in the body itself. Thats called autoimmunity, and its no good. Type1 diabetes, for example, is caused when the bodys immune systemdesigned to attack invaders such as bacteriaturns instead on the beta cells in the pancreas that produce insulin. People whose immune systems go haywire once are at greater risk for future problems, such as when a person with type1 also develops celiac disease, another autoimmune condition. Lipes suspects this sort of autoimmune attack may be behind the increased rates of heart disease faced by people with type1 diabetes. After a heart attack, dead and dying cells release proteins. In people with a ha Continue reading >>

Cardiovascular Disease & Diabetes

Cardiovascular Disease & Diabetes

The following statistics speak loud and clear that there is a strong correlation between cardiovascular disease (CVD) and diabetes. At least 68 percent of people age 65 or olderwith diabetes die from some form of heart disease; and 16% die of stroke. Adults with diabetes are two to four times more likely to die from heart disease than adults without diabetes. The American Heart Association considers diabetes to be one of theseven major controllable risk factors for cardiovascular disease. Why are people with diabetes at increased risk for CVD? Diabetes is treatable, but even when glucose levels are under control it greatly increases the risk of heart disease and stroke. That's because people with diabetes, particularly type 2 diabetes,may have the following conditions that contribute to their risk for developing cardiovascular disease. High blood pressure has long been recognized as a major risk factor for cardiovascular disease. Studies report a positive association between hypertension and insulin resistance. When patients have both hypertension and diabetes, which is a common combination, their risk for cardiovascular disease doubles. 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 triad of poor lipid counts often occurs in patients with premature coronary heart disease. It is also characteristic of a lipid disorder associated with insulin resistance called atherogenic dyslipidemia, or diabetic dyslipidemia in those patients with diabetes. Learn more about cholesterol abnormalities as they relate to diabetes. Obesity is a major risk factor for cardiovascular disease and has been strongly associated with insulin Continue reading >>

Does Diabetes Make A Heart Attack Feel Different?

Does Diabetes Make A Heart Attack Feel Different?

(Reuters Health) - People with diabetes may not always feel classic symptoms like acute chest pain when they have a heart attack, according to a small study that offers a potential explanation for why these episodes are more deadly for diabetics. Researchers examined data from detailed interviews with 39 adults in the UK who had been diagnosed with diabetes and had also experienced a heart attack. Most of the participants reported feeling some chest pain, but they often said it didn’t feel like they expected or that they didn’t think it was really a heart attack. “Long term diabetes damages your heart in many ways (increased blocking of the heart’s blood vessels), but it also damages your nerves,” said study co-author Dr. Melvyn Jones of University College London. “So a bit like a diabetic might not feel the stubbing of their toe, they also feel less pain from damaged heart muscle when the blood supply gets cut off, so they don’t get the classical crushing chest pain of a heart attack,” Jones said by email. People with diabetes are three times more likely to die from heart disease than the general population and possibly six times more likely to have a heart attack, Jones added. All patients in the study received care at one of three hospitals in London, and they ranged in age from 40 to 90. Most were male, and roughly half were white. The majority had what’s known as type 2 diabetes, which is tied to aging and obesity and happens when the body can’t properly use insulin to convert blood sugar into energy. Four of them had type 1 diabetes, a lifelong condition that develops when the pancreas produces little or no insulin, a hormone needed to allow blood sugar to enter cells. Many of the participants described heart attack symptoms such as chest pain Continue reading >>

How Diabetes Can Mask The Symptoms Of A Heart Attack

How Diabetes Can Mask The Symptoms Of A Heart Attack

Weird, whispering symptoms are easy to overlook; how to prevent and recognize this risk for people with diabetes. In a new study of more than 9,000 people, silent heart attacks—with warning signs so quiet or so unusual that people didn’t seek medical help—were nearly as common as classic heart attacks with well-known symptoms like crushing chest pain. And they were almost as lethal in the long run, tripling the odds of dying during the 9-year study compared to people who didn’t have a heart attack of any kind. It’s a wake-up call for anyone at risk for heart disease, but heart experts say people with type 1 and type 2 diabetes should pay particular attention. “People with diabetes are at higher risk for silent heart attacks for several reasons,” says Om P. Ganda, M.D., medical director of the Lipid Clinic at the Joslin Diabetes Center in Boston and an associate clinical professor of medicine at Harvard Medical School. “High blood sugar can lead to autonomic nerve damage that reduces the ability to feel pain, including heart-attack pain. Your only symptom might be shortness of breath. And people with diabetes are already at two to three time’s higher risk for heart disease than people without diabetes, which also increases the chances for a silent heart attack.” In a 2013 British study of 5,102 people with type 2, heart tests showed that 16%— about one in six—had likely had silent heart attacks. People with type 1 diabetes may also be at higher-than-average risk, Dr. Ganda says, due to nerve damage and overall heart-disease risk. Lead researcher Elsayed Z. Soliman, M.D., MSc., M.S., director of the epidemiological cardiology research center at Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, says silent heart attacks are dangerou Continue reading >>

What Does Diabetes Do To Your Heart Disease Risk?

What Does Diabetes Do To Your Heart Disease Risk?

Many people with diabetes also have heart disease. When you do things to take care of your diabetes, like manage your blood sugar, exercise, and eat a healthy diet, that's also good for your heart. It's important to understand your risk and how you can lower it. Besides diabetes, do you also have: A waist that's larger than 35 inches in women or 40 inches in men? Low levels of "good" ( HDL) cholesterol? High levels of "bad" (LDL) cholesterol or triglycerides (another type of fat in the blood)? Even borderline elevated at 130/85 If you're not sure, your doctor can check all those numbers for you. Also, do you: Smoke? Have a family member with heart disease? Your doctor needs that information to work with you on a plan for better heart health. People with diabetes are at risk for: Coronary artery disease. Your coronary arteries are in your heart. Fatty deposits, called plaques, can narrow them. If plaque suddenly breaks, it can cause a heart attack. Exercise, eating a healthy diet, and not smoking are musts. It could be from coronary artery disease or from the diabetes. It can be dangerous and fatal, so aggressive management and follow up is essential Congestive heart failure. This is an ongoing condition in which the heart loses the ability to pump blood effectively. The main symptoms are shortness of breath when you're moving and leg swelling. Many people have both conditions. If you smoke, it's time to quit. Set a date and talk to your doctor. If you've tried to quit before, it's not too late. Many people try several times before they kick the habit for good. Nearly everyone with diabetes can benefit from getting more exercise. It's good for your heart and helps control your blood sugar. Even brisk walking counts, so you don't need a gym. If you're not active now, let Continue reading >>

Heart Disease And Stroke With Diabetes

Heart Disease And Stroke With Diabetes

Heart and blood vessel damage can affect anyone, but these problems occur more often in people with diabetes and can develop at an earlier age. If your family has a history of high blood pressure, stroke, or heart disease, you might carry some of the same genes that can lead to these problems. If you also have diabetes, the likelihood of blood vessel damage is even greater. No one knows exactly why people with diabetes are more likely to have these problems, but some possible reasons are: Blood-fat levels tend to be high when blood sugar levels are high. High levels of certain blood fats (especially cholesterol, LDL or bad cholesterol, and triglycerides) increase the risk of blood vessel damage and heart attack. High blood pressure, which is more common in people with diabetes than in other people, also increases the chances for heart disease and stroke. How Damage Happens Arteries, the blood vessels that carry blood from your heart to the rest of your body, are like flexible, elastic tubes. Inside the artery walls are slippery to let blood pass through quickly. When fat begins to build up on the artery walls, it makes the artery thick and less flexible. The lining of the artery wall becomes sticky instead of slippery, causing more fat to build up. The fat build-up clogs and blocks the artery. When the artery is blocked, the parts of the body beyond the blockage can't get the oxygen and nutrients they need. This causes damage that can lead to serious health problems including high blood pressure, heart attack, stroke, kidney damage, and poor blood flow to the arms, legs, and head. Preventing Heart Disease You can't change the fact that you have diabetes or a family history of high blood pressure, stroke, or heart disease. But there are many things you can do to lower yo Continue reading >>

The Connection Between Diabetes, Heart Disease, And Stroke

The Connection Between Diabetes, Heart Disease, And Stroke

Aaron contacted TheDiabetesCouncil with some questions related to diabetes and heart disease. Aaron is 57 years old. He has had Type 2 diabetes for 12 years. Aaron visited his doctor related to swelling in his ankles and feet, shortness of breath, and weight gain. After some tests, the doctor informed him that on top of his Type 2 diabetes, he now has congestive heart failure. He was now wondering why did he have heart disease now and was it because of his diabetes? In order to help Aaron and other people with diabetes understand the connection between diabetes and heart disease and how to prevent it, we decided to look into the specific link between the two diseases. What is the connection between diabetes and heart disease? According to the American Heart Association, there exist a relationship between cardiovascular disease and diabetes: 68% percent of people with diabetes who are aged 65 and older die from heart disease and 16% die of a stroke. People with diabetes are more likely to die from a heart disease than those without diabetes. The National Institute of Health states the following for people with diabetes: They have additional causes of heart disease They are at higher risk of heart disease than those who do not have diabetes They may develop heart disease at a younger age Risk assessment must take into account the major risk factors (cigarette smoking, elevated blood pressure, abnormal serum lipids and lipoproteins, and hyperglycemia) and predisposing risk factors (excess body weight and abdominal obesity, physical inactivity, and family history of CVD). Identification of risk factors is a major first step for developing a plan for risk reduction in persons with diabetes. – Scott M. Grundy et al, Diabetes and Cardiovascular Disease In two words, the conn Continue reading >>

Diabetes And Heart Disease

Diabetes And Heart Disease

Tweet Heart disease is a complication that may affect people with diabetes if their condition is not managed well for a prolonged period of time.. Coronary heart disease is recognized to be the cause of death for 80% of people with diabetes, however, the NHS states that heart attacks are largely preventable. [48] How are heart disease and diabetes linked? People suffering from type 1 and type 2 diabetes are more likely to be at risk from heart attacks, strokes and high blood pressure. Vascular problems, such as poor circulation to the legs and feet, are also more likely to affect diabetes patients. Tweet Type 2 diabetes mellitus is a metabolic disorder that results in hyperglycemia (high blood glucose levels) due to the body: Being ineffective at using the insulin it has produced; also known as insulin resistance and/or Being unable to produce enough insulin Type 2 diabetes is characterised by the body being unable to metabolise glucose (a simple sugar). This leads to high levels of blood glucose which over time may damage the organs of the body. From this, it can be understood that for someone with diabetes something that is food for ordinary people can become a sort of metabolic poison. This is why people with diabetes are advised to avoid sources of dietary sugar. The good news is for very many people with type 2 diabetes this is all they have to do to stay well. If you can keep your blood sugar lower by avoiding dietary sugar, likely you will never need long-term medication. Type 2 diabetes was formerly known as non-insulin-dependent or adult-onset diabetes due to its occurrence mainly in people over 40. However, type 2 diabetes is now becoming more common in young adults, teens and children and accounts for roughly 90% of all diabetes cases worldwide. How serious i Continue reading >>

Diabetic Heart Disease: What You Need To Know

Diabetic Heart Disease: What You Need To Know

Heart disease is the leading killer of both men and women in the United States, taking the life of one in four people every year. But if you have type 2 diabetes , your risk of developing heart disease is even higher. When compared with people without the disease, men with diabetes are twice as likely to have heart attacks, while women have three times the risk. People with diabetes also have more complications after a heart attack and are more likely to die from heart disease. Diabetic heart disease is the term used to describe heart disease in people who have diabetes. However, even people who have prediabetes blood sugar levels that are higher than normal but not yet high enough to qualify as diabetes can have a greater risk of cardiovascular problems. Why Type 2 Diabetes Increases Your Cardiovascular Risk and What to Do About It It is important to understand why diabetes increases your risk of heart disease and learn what you can do to keep your heart as healthy as possible. Some people with diabetes have high levels of bad LDL cholesterol and low levels of good HDL cholesterol . This combination, along with high levels of blood fats called triglycerides, is known as diabetic dyslipidemia and contributes to coronary heart disease. Additionally, chronically high blood glucose levels can cause plaque to build up along the walls of the blood vessels, reducing or even blocking the flow of blood to the heart and causing damage to the heart muscle. If you have other risk factors for heart disease, such as high blood pressure , high cholesterol , obesity , a family history of heart disease or tobacco use, diabetes further increases your risk. Among women, additional risk factors include gestational diabetes, preeclampsia, migraines with aura, and autoimmune diseases such Continue reading >>

How Your Diabetes Can Mask Heart Disease Or A Heart Attack

How Your Diabetes Can Mask Heart Disease Or A Heart Attack

If you have diabetes, you likely know that it sometimes causes neuropathy or nerve damage. But you may not realize that diabetes-related neuropathy can sometimes mask the signs of heart disease or cause you to miss important signs of a heart attack. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy More than two-thirds of people with diabetes will end up having some form of neuropathy . The most common type is peripheral nerve damage , which creates numbness, tingling or weakness in the hands and feet. But there is another, more serious type — autonomic neuropathy — that can damage the nerves that lead to your heart, bladder, intestines and blood vessels. When this occurs, the body is sometimes unable to regulate functions like urination or feel sensations like pain in these areas. This is a double-whammy if you have diabetes. Not only are you at higher risk for neuropathy, but you’re also more likely to have heart disease. If the neuropathy dulls the nerves leading to your heart, you may not notice symptoms of heart disease  such as chest pain. If you have diabetes, get in tune with your body. Learn to listen closely and act on what it’s telling you. If you have any symptoms of a heart attack, report them to your doctor. Don’t wait to see if the pain goes away. For instance, indigestion that doesn’t pass quickly is sometimes a sign of a heart attack. Make sure to visit your doctor for regular checkups. Annual tests can reveal a problem before symptoms occur. Early treatment can reduce the likelihood that small issues turn into larger ones. If you have neuropathy, symptoms that might be very apparent in someone else a Continue reading >>

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