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 instruct 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.
?High blood glucose alters cell metabolism,??says Richard Kahn. Ph. D. chief scientific and medical command 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 lie the artery walls are also affected; the ability of blood vessels to widen is impaired which can lead to high blood pressure.
One pivotal phenomenon underlying these changes is inflammation already known to back up heart disease. Researchers at the University of Virginia School of Medicine in Charlottesville for example open high daub glucose linked to chronic inflammation in the blood vessel walls of mice.
The first step to protecting your heart? Control your glucose. In the groundbreaking Diabetes hold back and Complications Trial to cause the effects of glucose on complications type 1 patients underwent intensive glucose hold back. A later study found these participants were 57 percent less likely to die from cardiovascular disease over the next 16 years.
Although the findings haven?t been confirmed in those with type 2 high blood glucose levels undergo been proven to increase the risk of heart disease in both kinds of diabetes. Says David Nathan. M. D. professor of medicine at Harvard Medical School and co-chair of the write 1 study. ?The major difference is that populate with write 2 are generally older heavier and more likely to have hypertension and abnormal cholesterol levels all of which puts them at much higher assay for heart disease.??For them prevention is even more urgent.
Keep your heart healthy by following the ABCs of diabetes prevention: Aim for A1C levels below 7 percent blood pressure below 130/80 mm Hg and LDL cholesterol below 100 mg/dl.
?Everyone with diabetes should experience their numbers and goals and get checked regularly,??says John Buse. M. D. lead author of the ADA and American Heart Association?s new joint statement on preventing cardiovascular diseases in populate with diabetes. Start with a healthy lifestyle:
Nutrition Eat less fatty red meat cease cover processed foods and fast food; instead choose more beans vegetables fruits and whole grains along with bend meats and poultry seafood low-fat dairy and nuts. If you?re overweight cut some 250 to 500 calories a day until you?ve lost about 7 percent of your weight. ?To do this right ask your adulterate to have in mind you to a registered dietitian,??Dr. Buse says.
Even if your doctor prescribes medication don?t furnish up on diet and exercise: A healthy lifestyle not only has broad positive effects on blood glucose levels daub pressure and cholesterol levels says Dr. Buse but also helps you fight depression function at your beat and keep your energy.
Sources: Journal of the American College of Cardiology. November 20. 2002; Journal of the American Medical Association. November 27. 2002 and January 21. 2004; Arthritis and Rheumatism. 2005 supplement. Abstract 149; New England Journal of care for. December 22. 2005.
If you undergo diabetes you can stem your risk for heart disease by controlling your glucose levels and adopting a healthy lifestyle?and enjoy the years ahead in better health.
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