By James R. Dudi, M.D.
Internal Medicine, Kaiser Permanente, San Diego, CA
Diabetes and Heart Disease – A heart attack occurs when the arteries that carry blood to the heart muscle become blocked or damaged.
There is good news and bad news about diabetes and heart disease. The bad news is that heart attacks are the main diabetes-related complication in six of ten people with diabetes. However, the good news is that it can be prevented up to 75% of the time.
You might be wondering, why do heart attacks occur so often in people with diabetes and what contributes to the problem?
To prevent a heart attack, it’s important to find out how to modify or change any or all of the AABCs listed above. Again, it’s as simple as the ABCs:
• Aspirin: Taking small doses of aspirin, such as one baby aspirin daily, can reduce the risk of heart attack by more than 15% by decreasing aggregation (clotting).
• ACE inhibitor: A medication such as lisninopril (Zestril and Prinivil) reduces heart attacks more than 30% by decreasing angiotension, a substance that hurts the heart.
• Blood pressure: Medications such as beta-blocker (Atenolol or hydrochlorothiazide) lower blood pressure which decreases stress on arteries.
• Cholesterol-lowering medication: A number of medications such as Lovastatin, Simvastatin, or Lopid reduce artery disease 10-50% by decreasing the plaque buildup in the arteries.
• Smoking cessation: By stopping smoking, the risk of heart attack is reduced 25% by strengthening the inside lining of the artery.
If you answered yes to two or more of the questions, you are probably at a higher risk for heart disease. You and your health care professional should consider treatment with any of the AABCs that apply to you. Once you have maximized your treatment options, you can rest knowing that you and your health care professional have contributed to helping you live longer and healthier.
Vtla Kaliseji’s note: Diet and exercise also go hand in hand with helping to fight heart disease. Talk to your physician about setting up a good diet and exercise program in addition to discussing the issues in the above article.