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Article #100: Heart Disease Prevention │ The Diabetes-Heart Disease Connection

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If you saw a tiger, you'd run for your prevention is even more urgent. Keep your
life. But what if you didn't see it? For heart healthy by following the ABCs of
those of you with type 1 or type 2 diabetes prevention: Aim for A1C levels
diabetes, heart disease is that unseen below 7 percent, blood pressure below 130
tiger. You're two to four times more 80 mm Hg and LDL cholesterol below 100 mg
likely to develop a heart condition than dl. "Everyone with diabetes should know
people without diabetes? Even more their numbers and goals, and get checked
shocking, those individuals are more regularly," says John Buse, M.D., lead
likely to die from heart disease or other author of the ADA and American Heart
cardiovascular ills than from the Association's new joint statement on
complications of diabetes itself. Yet preventing cardiovascular diseases in
surveys show that 68 percent of Americans people with diabetes. Start with a
with diabetes are unaware of their healthy lifestyle: * Nutrition Eat less
increased cardiovascular risk. If you fatty red meat, cheese, butter, processed
have diabetes, now is the time to take foods and fast food; instead, choose more
steps to protect your heart. "High blood beans, vegetables, fruits and whole
glucose alters cell metabolism," says grains, along with lean meats and
Richard Kahn, Ph.D., chief scientific and poultry, seafood, low-fat dairy and nuts.
medical officer of the American Diabetes If you're overweight, cut some 250 to 500
Association (ADA). When the function of calories a day until you've lost about 7
platelet cells changes, the likelihood of percent of your weight. "To do this
blood clots increases and the risk of right, ask your doctor to refer you to a
heart attack rises. Cells that line the registered dietitian," Dr. Buse says. *
artery walls are also affected; the Exercise Each week, be sure to do a
ability of blood vessels to dilate is minimum of 150 minutes of
impaired, which can lead to high blood moderate-intensity aerobic
pressure. One pivotal phenomenon activity-swimming, biking, walking
underlying these changes is inflammation, briskly. Exercise at least every other
already known to promote heart disease. day. Even if your doctor prescribes
Researchers at the University of Virginia medication, don't give up on diet and
School of Medicine in Charlottesville, exercise: A healthy lifestyle not only
for example, found high blood glucose has broad positive effects on blood
linked to chronic inflammation in the glucose levels, blood pressure and
blood vessel walls of mice. Prevention cholesterol levels, says Dr. Buse, but
Works The first step to protecting your also helps you fight depression, function
heart? Control your glucose. In the at your best and maintain your energy.
groundbreaking Diabetes Control and Sources: "Journal of the American College
Complications Trial to determine the of Cardiology," November 20, 2002;
effects of glucose on complications, type "Journal of the American Medical
1 patients underwent intensive glucose Association," November 27, 2002, and
control. A later study found these January 21, 2004; "Arthritis and
participants were 57 percent less likely Rheumatism," 2005 supplement, Abstract
to die from cardiovascular disease over 149; "New England Journal of Medicine,"
the next 16 years. Although the findings December 22, 2005. If you have diabetes,
haven't been confirmed in those with type you can stem your risk for heart disease
2, high blood glucose levels have been by controlling your glucose levels and
proven to increase the risk of heart adopting a healthy lifestyle--and enjoy
disease in both kinds of diabetes. Says the years ahead in better health. Writer:
David Nathan, M.D., professor of medicine Diana Benzaia ©MDminute: Diabetes Issue
at Harvard Medical School and co-chair of 1, 2007
the type 1 study, "The major difference Get a FREE 2-year health magazine
is that people with type 2 are generally subscription to REMEDY. Sign up today!
older, heavier and more likely to have Also, check out HealthyUpdates.com, a
hypertension and abnormal cholesterol health education website produced by
levels, all of which puts them at much MediZine, LLC.
higher risk for heart disease." For them,






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