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Diabetes and Heart Disease
Diabetes and Heart Disease facts
• More than 55% of all deaths in people
  with Diabetes are due to
  Cardiovascular disease.
• Heart disease occur at an earlier age
  in people with Diabetes and often
  result in premature death.
• People with Diabetes are twice as
  likely to have Heart disease as people
  who do no have Diabetes.
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     Diabetes & Heart Health
      Diabetes & Heart Health
• People with Diabetes have same risk of a
  Heart attack as the person with out
  Diabetes who has had a previous Heart
  attack.
• Women who have not gone through
  menopause usually have less risk of Heart
  disease than men of the same age.
• People with Diabetes who have already
  had one heart attack run an even greater
  risk of having second one.

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     Diabetes & Heart Health
      Diabetes & Heart Health
Types of Heart Disease
Two main types of Heart disease common in
people with Diabetes:
1.Coronary Artery Disease
2.Chronic Heart Failure

Coronary Artery Disease
•Is hardening or thickening of the walls of blood
vessels that go to the heart
•Result of accumulation of atheromatous
  plaques within the walls of the arteries of the
heart
1.Blood supply is reduced or
  cut off , resulting in Heart attack
Types of Heart Disease
2. Heart Failure

• 2 to 3 times more common in diabetes
• Chronic condition in which heart cannot
     pump blood properly
• It develop over a period of years and
     symptoms can get worse over time
• One type of heart failure is congestive heart
  failure, in which fluid builds up into the body
  tissue
• Shortness of breath on exertion and leg
  swelling are the main symptoms of Heart
  failure
Risk factors for Heart Disease
 •   Family History of Heart disease
 •   Sedentary Lifestyle
 •   Hypertension
 •   Dyslipidemia
 •   Poor glycemic control
 •   Central Obesity
 •   Smoking
Signs & Symptoms of heart attack
• Chest pain or discomfort (Angina)
• Pain or discomfort in arms, back,
    neck, jaw or stomach
• Shortness of breath
• Nausea or Abdominal discomfort
• Sweating
• Light headedness

Due to nerve damage symptoms may be mild or
 absent in Diabetes.
Hence Heart attack is also called as Silent
 Killer.
Steps to prevent or delay Heart
disease
1. Be sure to have Heart Healthy Diet
• Include at least 14 grams of
fibers daily for every 1000Kcal.
• Have lots of fruits and vegetables
    ( at least 5 – 10 servings a day)
1. Limit salt intake
2. Cut down on saturated fats and cholesterol
   (animal fats and trans fats)
3. Use low fat dairy products
4. Limit alcohol
Steps to prevent or delay Heart disease

2. Regular Physical activity
• Aim for at least 30 mins of
Exercise for most days of the week
• Choose different ways to increase
    physical activity such as walking instead of
    driving whenever possible or walking around
   while talking on phone
3. Reach and maintain a healthy body weight.
• Diet control and regular physical activity can
   help
• Aim for loss of not more than 1 to 2 pounds a
   week
Steps to prevent or delay Heart
disease
• Waist circumference :
     In males > 90 cm
     In females > 80 cm have Central obesit
• Abdominal fat increases production of bad
     cholesterol there by increasing the risk of
   heart disease
4. If you smoke, quit smoking
5. Talk to your doctor whether you require to
   take Aspirin
Steps to prevent or delay Heart
disease
a)HbA1c
• It measures the average blood sugar over
     last three months
• Get it checked at least twice a year
• Recommended HbA1c < 7

b) Blood Pressure
• High blood pressure raises the risk of heart
   attack, stroke, eye problem and kidney
  problems
• Check your blood pressure at every visit
• Recommended blood pressure < 130/80 mm
  Hg
Steps to prevent or delay Heart
disease
c)Cholesterol
•LDL a bad type of cholesterol can narrow or
block blood vessels

•HDL a good type of cholesterol helps remove
cholesterol deposits

•Triglycerides can raise the risk of heart attack
or stroke

•Recommended lipid targets
    LDL < 100
5. Check  if your Diabetes treatment is
  working by knowing the ABCs of
  Diabetes
    A stands for HbA1c
    B stands for Blood Pressure
    C stands for Cholesterol
Treatment for Heart disease
• Treatment for Heart disease includes
  planning a Heart Healthy diet and Regular
  Physical Activity
• You may require medications to treat heart
  damage, or to lower your blood glucose,
  blood pressure or cholesterol
• You also may need surgery or some other
  medical procedure
Key Points Review
• People with diabetes are at very high risk
  of Heart disease
• Diabetes is more than managing blood
  glucose. It is management of blood glucose
  and blood pressure and blood cholesterol
• Strict monitoring of the ABCs of Diabetes
  can prevent you from heart disease
• Screening for risk factors of heart disease
  should occur in people who are risk of
  diabetes, at diagnosis and periodically
  thereafter
• Talk to your doctor about your symptoms
  and medications

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Dibetes and heart disease

  • 2. Diabetes and Heart Disease facts • More than 55% of all deaths in people with Diabetes are due to Cardiovascular disease. • Heart disease occur at an earlier age in people with Diabetes and often result in premature death. • People with Diabetes are twice as likely to have Heart disease as people who do no have Diabetes. Read More On Read More On Diabetes & Heart Health Diabetes & Heart Health
  • 3. • People with Diabetes have same risk of a Heart attack as the person with out Diabetes who has had a previous Heart attack. • Women who have not gone through menopause usually have less risk of Heart disease than men of the same age. • People with Diabetes who have already had one heart attack run an even greater risk of having second one. Read More On Read More On Diabetes & Heart Health Diabetes & Heart Health
  • 4. Types of Heart Disease Two main types of Heart disease common in people with Diabetes: 1.Coronary Artery Disease 2.Chronic Heart Failure Coronary Artery Disease •Is hardening or thickening of the walls of blood vessels that go to the heart •Result of accumulation of atheromatous plaques within the walls of the arteries of the heart 1.Blood supply is reduced or cut off , resulting in Heart attack
  • 5. Types of Heart Disease 2. Heart Failure • 2 to 3 times more common in diabetes • Chronic condition in which heart cannot pump blood properly • It develop over a period of years and symptoms can get worse over time • One type of heart failure is congestive heart failure, in which fluid builds up into the body tissue • Shortness of breath on exertion and leg swelling are the main symptoms of Heart failure
  • 6. Risk factors for Heart Disease • Family History of Heart disease • Sedentary Lifestyle • Hypertension • Dyslipidemia • Poor glycemic control • Central Obesity • Smoking
  • 7. Signs & Symptoms of heart attack • Chest pain or discomfort (Angina) • Pain or discomfort in arms, back, neck, jaw or stomach • Shortness of breath • Nausea or Abdominal discomfort • Sweating • Light headedness Due to nerve damage symptoms may be mild or absent in Diabetes. Hence Heart attack is also called as Silent Killer.
  • 8. Steps to prevent or delay Heart disease 1. Be sure to have Heart Healthy Diet • Include at least 14 grams of fibers daily for every 1000Kcal. • Have lots of fruits and vegetables ( at least 5 – 10 servings a day) 1. Limit salt intake 2. Cut down on saturated fats and cholesterol (animal fats and trans fats) 3. Use low fat dairy products 4. Limit alcohol
  • 9. Steps to prevent or delay Heart disease 2. Regular Physical activity • Aim for at least 30 mins of Exercise for most days of the week • Choose different ways to increase physical activity such as walking instead of driving whenever possible or walking around while talking on phone 3. Reach and maintain a healthy body weight. • Diet control and regular physical activity can help • Aim for loss of not more than 1 to 2 pounds a week
  • 10. Steps to prevent or delay Heart disease • Waist circumference : In males > 90 cm In females > 80 cm have Central obesit • Abdominal fat increases production of bad cholesterol there by increasing the risk of heart disease 4. If you smoke, quit smoking 5. Talk to your doctor whether you require to take Aspirin
  • 11. Steps to prevent or delay Heart disease a)HbA1c • It measures the average blood sugar over last three months • Get it checked at least twice a year • Recommended HbA1c < 7 b) Blood Pressure • High blood pressure raises the risk of heart attack, stroke, eye problem and kidney problems • Check your blood pressure at every visit • Recommended blood pressure < 130/80 mm Hg
  • 12. Steps to prevent or delay Heart disease c)Cholesterol •LDL a bad type of cholesterol can narrow or block blood vessels •HDL a good type of cholesterol helps remove cholesterol deposits •Triglycerides can raise the risk of heart attack or stroke •Recommended lipid targets LDL < 100
  • 13. 5. Check if your Diabetes treatment is working by knowing the ABCs of Diabetes  A stands for HbA1c  B stands for Blood Pressure  C stands for Cholesterol
  • 14. Treatment for Heart disease • Treatment for Heart disease includes planning a Heart Healthy diet and Regular Physical Activity • You may require medications to treat heart damage, or to lower your blood glucose, blood pressure or cholesterol • You also may need surgery or some other medical procedure
  • 15. Key Points Review • People with diabetes are at very high risk of Heart disease • Diabetes is more than managing blood glucose. It is management of blood glucose and blood pressure and blood cholesterol • Strict monitoring of the ABCs of Diabetes can prevent you from heart disease • Screening for risk factors of heart disease should occur in people who are risk of diabetes, at diagnosis and periodically thereafter • Talk to your doctor about your symptoms and medications