A CONNECTION THAT’S FATAL – DIABETES AND HEART DISEASES

Things that come in pairs are sometimes beneficial and other times fatal. Day followed by night, sadness followed by happiness are some beautiful pairs. But there are some distressing ones as well. One such pair is diabetes followed by coronary artery diseases (CAD) because once diabetes attacks, CAD are bound to follow; the chances increases exponentially.

Hence, it is significant to detect diabetes in the early stage so that proper precautions can be taken and it doesn’t become fatal.

Your health is your greatest treasure. Be involved in taking care of your treasure.

Diabetes mellitus, commonly known as diabetes, is a metabolic disease that causes high blood sugar. The hormone insulin moves sugar from the blood into your cells to be stored or used for energy. With diabetes, your body either doesn’t make enough insulin or it can’t effectively use the insulin That the body has made.

Untreated high blood sugar from diabetes can damage your nerves, eyes, kidneys, and other organs.

Different types of diabetes include -

  • Type 1 diabetes is an autoimmune disease. The immune system attacks and destroys cells in the pancreas, where insulin is made. It’s unclear what causes this attack. About 10 percent of people who have diabetes, have the type 1 diabetes.
  • Type 2 diabetes occurs when your body becomes resistant to insulin, and sugar builds up in your blood. The most common type of diabetes, in a few cases it also goes unnoticed. Symptoms usually include feeling tired and thirsty, the urge to repeatedly pee, feeling cranky etc.

Just think. If your liver and pancreas won't work appropriately due to diabetes, how will you heart function correctly?

The incidence of DM continues to rise and has quickly become one of the most prevalent and costly chronic diseases worldwide. A close link exists between DM and cardiovascular disease (CVD), which is the most prevalent cause of morbidity and mortality in diabetic patients.

Higher is your diabetes, higher are the odds that you will suffer from a cardiovascular disease

Let’s know about the relationship between Diabetes and CVD to take smart steps and improve heart health:

  • The atherosclerotic burden in diabetes, particularly endothelial dysfunction, inflammation, and the prothrombotic state, may have a major impact on prognosis.
  • Particular clinical and angiographic features of the diabetic patient may point to a worse prognosis following revascularisation procedures. Older age, female sex, low body mass index, hypertension, peripheral arterial disease, and renal failure are some of the main clinical adverse features seen in diabetics. Smaller vessel size, more severe and diffuse pattern of disease, and increased coronary artery calcification have all been reported in diabetics.
  • When needed, selection of the best coronary revascularisation strategy for diabetics should be individualised, taking into account the patient’s angiographic profile, tolerability to long term dual antiplatelet treatment, and preferences and current progress with percutaneous coronary intervention (PCI) techniques and coronary artery bypass graft surgery (CABG).
  • With PCI, diabetics are known to have higher restenosis rates, a greater need for new interventions, and a worse prognosis than non-diabetic patients.
  • The most recent advance in PCI routine clinical practice is the introduction of drug eluting stents (DES), with remarkable reductions in restenosis and need for further revascularisations of the target lesions.
  • Newer generation DES may be particularly suitable for diabetics. Long term dual antiplatelet treatment with aspirin and clopidogrel is strongly advised.

POST OPERATIVE CARE FOR DIABETICS

  • Self-monitor your blood glucose level
  • Quit smoking as Diabetes increases the chances of you getting a heart disease.
  • Keep your blood pressure and cholesterol under control
  • Schedule regular physical and eye exams.
  • High blood sugar can reduce blood flow and damage the nerves in your feet. If left untreated, cuts and blisters can lead to serious infections. Diabetes can lead to pain, tingling or loss of sensation in your feet.
  • Eat healthy food
  • Get regular exercise
  • Manage stress

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