Heart Disease Prevention - The Diabetes-Heart Disease Connection
by: Diana Benzaia
If you saw a tiger, you’d run for your life. But what if you didn’t see it? For those of you with type 1 or type 2 diabetes, heart disease is that unseen tiger. You’re two to four times more likely to develop a heart condition than people without diabetes? Even more shocking, those individuals are more likely to die from heart disease or other cardiovascular ills than from the complications of diabetes itself. Yet surveys show that 68 percent of Americans with diabetes are unaware of their increased cardiovascular risk.
If you have diabetes, now is the time to take steps to protect your heart.
“High blood glucose alters cell metabolism,” says Richard Kahn, Ph.D., chief scientific and medical officer of the American Diabetes Association (ADA). When the function of platelet cells changes, the likelihood of blood clots increases and the risk of heart attack rises. Cells that line the artery walls are also affected; the ability of blood vessels to dilate is impaired, which can lead to high blood pressure.
One pivotal phenomenon underlying these changes is inflammation, already known to promote heart disease. Researchers at the University of Virginia School of Medicine in Charlottesville, for example, found high blood glucose linked to chronic inflammation in the blood vessel walls of mice.
Prevention Works
The first step to protecting your heart? Control your glucose. In the groundbreaking Diabetes Control and Complications Trial to determine the effects of glucose on complications, type 1 patients underwent intensive glucose control. A later study found these participants were 57 percent less likely to die from cardiovascular disease over the next 16 years.
