Relationship between Diabetes and Heart Disease

Can the experts elaborate on this. It will be very helpful.. more  


This is really good Dr. Vinayek. I will look up the books and get in touch if I need them. Meanwhile I need to make more people in Kendriya Vihar, where I live, about this circle. So many people in India suffer from diabetes and heart disease and awareness/action at right time can make big difference. It will be really nice if you can share daily or when possible tips with us for healthy heart and staying diabetes free...

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there is a whole chapter on diabetes and heart in my book "bedside clinics in heart and lung". briefly , diabetics have greater prevalence of heart disease like CAD.there is increased frequency of sudden death & mortality ie. death of CHD in diabetics.
1.cardiovascular mortality is twice as high in men and 4 times as high in women who have diabetes.
2.risk of heart attack is 50% greater in diabetic men and 150% greater in diabetic women.
3.sudden death is 50% more often in diabetic men and in diabetic women 300% more often than do non-diabetics.
u can have a copy of my book .another book has recently come out "bedside clinics in heart and lung and diabetes and hypertension-double trouble for the common man".
u can take both the books from me.first one is Rs 100 and 2nd is about Rs 450.
dr vikram
9818887977
E-9/15 vv more  
Good answer by Dr. Saumya Mittal in the Healthy Living and Diet Circle...

That's an interesting and an intelligent question :). Now i really don't know how to answer that in a non medico way,and an easy way for everyone to understand. I will try my best.

The risk of cardiovascular diseases increases in patients of diabetes, both type 1 and type 2 diabetes.

Organizations like American Heart association designate diabetes as “CHD risk equivalent”. In other words, if you have diabetes, the chances of having a cardiac event (don’t like to call it heart attack on this forum) is as high as someone who has had a previous cardiac event (and for the uninitiated, that’s quite a higher risk than the non-diabetic population).

The patients of diabetes should be properly evaluated for atherosclerosis (cholesterol deposited in arteries-for the initiated, I know it’s not scientifically accurate) of cardiac vessels. However such screening is not routinely advisable or found useful.

The prognosis of a patient with a cardiac event, who is a diabetic, is higher than for a non diabetic patient. Even treatment options like bypass are not as effective, in the long run, as they are in non-diabetic population.

Uncontrolled, or not so well controlled diabetes means raised blood sugars. Glucose binds to body cells forming glycosylated products. These glycosylated proteins cross link proteins like collagen. They also cause increased atherosclerosis, and reduce nitric oxide formation in the body (both causes reduce the calibre of the blood vessels).The blood of these patients is found to have a higher tendency to clot, and has a slower rate of dissolving the clot. It also alters the structure of the vessel walls, affecting all its layers.

The factors that may increase the chances of a cardiac event in cases of diabetes are-
1. Dyslipidemia (deranged lipid profile- or simply raised cholesterol)- the cholesterol in diabetes is potentially more ‘sticky’, and thus has a greater tendency to block vessels.
2. Hypertension- use medications that are protective.
3. Obesity
4. Reduced physical activity
5. Cigarette smoking
Diabetes is found to be in sync with almost all these factors.

A well controlled sugar reduces the risk of cardiac event in these cases. However, it should be well remembered that too tight a control may increase the risk of a cardiac event in cases of hypoglycaemia, which are better avoided.

Reduction of LDL cholesterol (<100), triglycerides (<150), and raised HDL (>40/50) helps. Use dietary modifications, lifestyle modifications, and increased physical activity before switching to tablets. Tablets may be an easy fix, but are not as healthy.

Similarly, diabetes also ups the risk of stroke and heart failure.


Hope that helps. Its not scientifically accurate or complete. Let me know if someone wants to know more, or maybe more clearly...
more  
Too much butter/ghee saturated fats can lead to both problems if I understand right. Eating too much sugar doesn't necessarily cause diabetes but if you diabetes you must avoid sugar. I will let experts like Dr. Vinayak share more. more  
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