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Managing the Risk
The Link between Diabetes, Heart Disease and Stroke
By H. Krishna Susarla, M.D., Internal Medicine and Pediatrics
After being diagnosed with
diabetes, many people work
on improving their health to
decrease the likelihood of complications.
Kidney disease, skin disorders,
blindness and foot problems are wellknown
complications of the condition.
However, there is another risk that often
hides in the background, unbeknownst to
the patient.
"Heart disease and stroke are major
complications associated with diabetes,
yet nearly 70% of people with diabetes
aren't aware of the connection between
heart attack, stroke and diabetes," says
H. Krishna Susarla, M.D., double-boarded
in internal medicine and pediatrics and
on staff at Methodist Sugar Land Hospital.
"Because people with diabetes often
experience high blood pressure and
high cholesterol levels along with other
health problems, they are at an increased
risk of developing arterial disease —
a condition that can ultimately lead to
a stroke or heart attack." Although this
may seem dire, the long-term outlook for
diabetics can be positive if risk factors
are managed properly.
A Heart-to-Heart Matter
If you're wondering how diabetes
affects your heart, here's how: A
spike in blood sugar, blood pressure
or cholesterol can harm your blood
vessels by making it easier for fat
deposits to cling to the arteries.
Arteries and blood vessels can become
blocked, leading to a heart attack or
stroke. Fortunately, there are strategies
for warding off arterial disease.
"One of the first steps in determining
whether you are at risk for diabetes complications is to assess your overall
health," says Dr. Susarla. "If you smoke,
drink heavily and/or eat poorly, your
health may be at risk." These factors can
harm anyone's health, but are especially
dangerous for a person with diabetes.
Making changes to your lifestyle takes
effort, but can greatly reduce complications.
To help maintain heart health, the
American Diabetes Association suggests
following the ABCs of diabetes care.
Lower your Hemoglobin A1C. Keeping
your Hemoglobin A1C (a blood test that
indicates how your blood sugar control has
been over the past three months) below
7% can help prevent complications.
Monitor blood pressure. Have your
blood pressure checked regularly. If
your doctor tells you it's high, you may
need to work on reducing stress or
following an exercise routine. Medication
may also be an option for getting
blood pressure under control.
Tackle bad cholesterol. LDL cholesterol
is unhealthy for your heart. This type
of cholesterol can lead to fat build-up in
your arteries, increasing the chance that
you'll develop cardiovascular disease. By
lowering your cholesterol, you can help
keep your heart in working order.
Meet Dr. Susarla at Methodist Sugar Land
Hospital's Health Fair on Saturday, May 3,
from 9 a.m. to 1 p.m. He will be providing
free blood pressure checks. Everyone
attending the event will receive a free
cholesterol/glucose lab test gift certificate.
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