A leading consequence of DIABETES (type 1 or type 2) is CARDIOVASCULAR DISEASE (CVD), and diabetes is a leading cause of cardiovascular disease. The extent to which diabetes and cardiovascular disease intertwine has caused some health experts to view diabetes as a form of cardiovascular disease. Among people with diagnosed diabetes, more than 95 percent have some form of cardiovascular disease, the most common being HYPERLIPIDEMIA (elevated BLOOD levels of cholesterol and triglycerides) and HYPERTENSION (high BLOOD PRESSURE).
Diabetes causes numerous changes in the body that influence or accelerate the development of cardiovascular disease. Key among them are
Cigarette smoking, itself a significant risk factor for cardiovascular disease, doubles the cardiovascular risk of diabetes in people who smoke and have diabetes. Increasing age is a risk factor for both diabetes and cardiovascular disease. As well, diabetes slows HEALING, increasing the risk for complications with surgical treatment options for forms of cardiovascular disease such as CORONARY ARTERY DISEASE (CAD).
Early diagnosis of INSULIN RESISTANCE with lifestyle and medication, if appropriate, to delay its progression to type 2 diabetes, improves the cardiovascular risk. Once diabetes develops, meticulous control of blood glucose levels slows many of the changes that create increased risk for cardiovascular disease. Aggressive medical interventions such as lipid-lowering medications, ASPIRIN THERAPY, and antihypertensive measures (lifestyle, medication, or both) help moderate risks related to changes in lipid, clotting, and blood pressure mechanisms.
Health experts recommend these targets for people who have diabetes to lower their risk for cardiovascular disease:
With diligent control of diabetes and efforts to reduce cardiovascular disease risks, most people who have diabetes can achieve near-normal cardiovascular health for years to decades.
Resource: Facts On File Encyclopedia Of Health And Medicine
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