Although many people with type 2 diabetes worry about losing their vision or having an amputation, the greater risk is to the heart and brain.
About 65% of people with type 2 diabetes die of heart disease or stroke. They are two to four times more likely to die of heart disease than people without diabetes.
When someone does get a diagnosis of diabetes, they probably have had prediabetes for as long as 10 years.
By the time their diagnosis is made, their risk for cardiovascular disease is extremely high. And then 10 years later, they will have their first cardiovascular event.
An enormous challenge
People with type 2 diabetes are faced with an enormous challenge. Because they not only have the problem of glucose metabolism that has gone astray, but in most patients, they have an associated problem related to their cholesterol and to their blood pressure, and obviously their weight.
All of these things have to be attacked with the same vigor.
To help prevent heart attacks and stroke, the National Institute of Diabetes and Digestive and Kidney Diseases recommends the following:
Control your blood sugar
If you’ve been prescribed medication, take it. To make sure your blood sugar is in the safe zone, get a hemoglobin A1C test at least twice a year.
This test measures the amount of glucose stuck to red blood cells, which is a sign of blood sugar control in the previous three months. (Aim for below 7%).
For a better sense of your daily blood sugar or how food affects it, you can prick your finger and use a blood glucose monitor to get a reading. (It should be 90 to 130 mg/dL before meals and less than 180 mg/dL one to two hours after eating.)
Get active 30 minutes a day
Try to fit at least 30 minutes of physical activity into your daily routine. Walk a half hour every day, or 10 minutes after each meal. Skip the elevator or escalator and take the stairs instead. Park at the far end of the lot and hoof it to your destination.
Eat heart-healthy foods
Enjoy whole-grain breads and cereals, fruit, and vegetables, and cut back on foods loaded in saturated fat and cholesterol.
Also avoid processed foods with trans fat.
Check your blood pressure
Have your blood pressure checked regularly. It should be below 130/80 for most people.
Shed pounds if you are overweight
A registered dietitian can help you—safely—lose weight. You need to plan meals carefully to get the nutrients you need, while keeping your blood sugar in the safe range.
Kick the habit
If you smoke, try to quit. If you fail, don’t give up or assume you just can’t do it.
There are many ways to quit smoking, but one thing is for sure—most people must try over and over until they succeed.
Have your cholesterol checked
You should have your cholesterol tested at least once a year.
Aim for an LDL, or bad cholesterol, level that is below 100; an HDL, or good cholesterol, level that is above 40 if you’re male and above 50 if you’re female; and triglyceride level that is below 150.
Ask about a daily aspirin regimen
Taking a low dose of aspirin every day may help reduce your risk of heart disease and stroke.
Daily aspirin isn’t safe for everyone, so make sure to consult your doctor before taking it.
For more information about the link between diabetes and heart disease, or to schedule a consultation call Cardiac Care Group today 239-574-8463.
This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.
Dr. Joseph Freedman MD, MBA
Dr. Freedman brings many years of experience as a cutting edge cardiologist specializing in the prevention, diagnosis, and treatment of all cardiac disease. He trained at the prestigious Cleveland Clinic, continually ranked #1 in Cardiovascular Care, where he focused on cardiac imaging. He achieved five board certifications in Internal Medicine, Cardiology, Comprehensive Adult ECHO, Nuclear Cardiology, and Cardiac CT. During his tenure as the lead noninvasive cardiologist at Florida Medical Center in Ft. Lauderdale, he helped lead the hospital to achieve Level 5 chest pain certification, the highest designation of cardiac excellence. This is still the only hospital in Broward County that has achieved this esteemed accolade.
He has spoken on national health care radio programs and has appeared on local news, highlighting the latest in cardiovascular care. Dr. Freedman prides himself on being an advocate for the patient. Every patient is unique, and he works carefully with leading local and national experts to make sure patients receive the best specialty procedural care possible for that specific case. Dr. Freedman has done research in cardiac MRI studies of the heart, in nuclear scanning, and has participated in the research trials of several leading cholesterol lowering drugs. Dr. Freedman also has extensive experience in pulmonary hypertension, and ran a large clinic in Broward County for these specific and often undiagnosed patients. Dr. Freedman speaks Spanish as well.
“I specialize in combining old fashioned personalized medicine with the latest diagnostic technology and treatments. I look forward to helping you stay healthy and making sure that your heart is the last thing you need to worry about in your busy daily routine.”
(239) 574-8463
www.flccg.com