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Diabetic Cardiomyopathy-The Intersection of Heart Disease

Diabetic Cardiomyopathy is a condition which limits the heart’s ability to pump blood through your body.

It involves thickening, stiffening and other changes in the heart muscle.

Recognizing the symptoms may save your life.

Cardiomyopathy develops as a result of blockages in the small and large vessels of the heart. Although doctors can detect and treat it, cardiovascular disease remains a major cause of mortality for people with diabetes. 

In fact, heart disease or stroke claim the lives of two out of three people with diabetes.

So it’s good to understand what causes Diabetic Cardiomyopathy, what its symptoms are, how to cut your risk, and what treatments are available.

How Diabetic Cardiomyopathy develops:

  • Diabetes can cause changes in the body and the heart over time.

You may know that diabetes increases the risk of coronary artery disease, heart attack, and stroke. But you may not know that research links diabetes to a higher risk of cardiomyopathy.

Those who don’t manage their diabetes well may experience long periods of high blood sugar, which damages blood vessels and nerves.

  • Obesity — often a reason for type 2 diabetes — strains the heart. 

Researchers link both issues to three reactions that take a toll on your body:

  • Increased release of hormones such as leptin, the “obesity hormone”
  • Chronic inflammation
  •  Oxidative stress, which can damage DNA

Over time, these responses by your body can cause heart problems, including diabetic cardiomyopathy.

Prevention – Prevention –Prevention

Multiple studies have shown that the damage diabetic cardiomyopathy inflicts relates directly to blood glucose levels. So it’s important to keep those levels under control. Here are key tips to help you:

1. Get 30 minutes of moderate physical activity at least five days a week.

2. Monitor your blood sugar levels.

If you keep your A1C levels below 7, you can dramatically lower your chances of heart-related complications.

3. Eat a healthy diet (and limit your carbohydrate intake). Learn to use the Glycemic Index when planning or choosing foods.

4. Take all medications/insulin as prescribed by your doctor.

5. See your doctor regularly.

Signs to watch for:

It’s important to watch for signs of cardiomyopathy and get treated quickly. The condition can occur even when diabetes is well-controlled, so see your doctor if you notice:

• Unusual shortness of  breath with minimal or no exertionDiabetic Cardiomyopathy-The Intersection of Heart Disease

• Swollen ankles, legs, and feet

• Chronic fatigue

• A cough not related to a cold or flu

• Abdominal bloating

• Chest pain

• Irregular heartbeat

Screening and treatment

Screening for Diabetic Cardiomyopathy usually involves an echocardiogram (heart ultrasound), which provides a detailed picture of the heart.
If you have Diabetic Cardiomyopathy, speak with your doctor about treatment options. It’s important to follow his or her suggestions to lower your chances of heart failure.

Depending on how serious or advanced your condition, your doctor may recommend:

• Lifestyle changes (stop smoking, exercise regularly, and eat a healthy diet)

• Medications (including beta blockers and ACE inhibitors)

• Procedures such as cardiac catheterization (to look at the blood vessels of the heart)

• Bypass surgery or a heart transplant (for severe cases)

The best advice is to follow the tips for avoiding complications and be alert for signs of trouble.

Prevention is better than needing intervention.




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