Cardiovascular Disease Screening and Management
You've probably heard that people with diabetes are at risk for multiple health complications, including cardiovascular disease. As it turns out, cardiovascular disease is especially common among people with diabetes: The majority of people with type 2 diabetes will eventually develop it.
Although most people have heard of cardiovascular disease, few understand exactly what it involves. Doctors use the term "cardiovascular disease" to describe many conditions that affect blood circulation in the body:
Heart disease happens when blood circulating to the heart is slowed or stopped because of a blocked artery. Heart disease can result in chest pain, a heart attack, or even sudden death.
Heart failure occurs when the heart loses its ability to pump blood as it should. Heart failure can be caused by a number of factors. These include damage to the heart or blocked arteries.
Stroke happens when blood flow to the brain is blocked. This is often because of a blood clot or blockages within arteries.
What causes cardiovascular disease?
Most people think of obesity when they think of cardiovascular disease, but another strong risk factor is age. Your risk of developing cardiovascular disease goes up at age 40, but is highest after age 70.
People with diabetes are 2 to 4 times more likely than others to develop cardiovascular disease. Because this risk is so high, cardiovascular disease remains the most common cause of death in people with diabetes.
Seek medical attention if:
You have chest discomfort when you walk or exercise.
You have chest pain along with tiredness (fatigue) or shortness of breath.
Your resting heart rate is usually faster than 100 beats per minute.
You are a young man with erectile dysfunction.
How is cardiovascular disease detected?
If your doctors suspect cardiovascular disease, they will first look to your family health history for more information. Did your mother, father, brothers, or sisters have heart trouble? Your risk of developing cardiovascular disease is higher if you have family members with the disease. Other risk factors include bad cholesterol, obesity, and diabetes.
Doctors use a variety of tests to detect cardiovascular disease. A routine blood test can show whether you have high levels of c-reactive protein. This is a marker that you’re at higher risk. An ECG will show whether your heart’s electrical activity is normal. If it's not, a stress test on a treadmill, for example, will give more information that may lead to diagnosis. If you are not able to walk on a treadmill, your doctor may "stress" your heart by injecting medicine through an IV. This medicine can cause the heart to beat fast and mimic the stress of exercise. Some people will be asked to have an echocardiogram. This makes pictures of the heart to show how well the muscles of the heart can squeeze and pump blood.
Protect your heart!
If your risk of developing cardiovascular disease is high, now is the time for action. You can reduce your risk, starting today, by making the following lifestyle changes.
Ask your doctor to help you:
Eat a healthy, balanced diet
Control your blood pressure
Improve your cholesterol
Find out if using aspirin therapy would help you
Set an appropriate HbA1c goal with your doctor and work toward that goal
- Grantham, Paula, RN, BSN
- MMI board-certified, academically affiliated clinician