Good diabetes management is associated with a good outcome. That prognosis is positively influenced by improving diabetes control is beyond doubt. What remains after that is to focus attention on cardiovascular health.
This means taking a wider view of risk factors and managing these on all fronts. This is why most diabetes clinics have targets for the management of blood sugar, blood pressure and blood cholesterol. Adequate control of these parameters is designed to reduce the burden of coronary artery disease and stroke. It is worthwhile remembering to attend for check ups in this area.
Controlling three basic parameters will inevitably mean that many people will not only take diabetes medication but also anti-hypertensive tablets for blood pressure and statins to control cholesterol.
Control your blood sugar to normal HbAc values
Control your blood pressure to below 130/80
Control your cholesterol including good ‘HDL’ and bad ‘LDL’
Heart protection is the main priority in the management of Type 2 diabetes. Diabetes UK states that people with diabetes are two to four times more likely to develop cardiovascular disease. Heart attacks and stroke are by far the most common causes of premature death in diabetic patients. Risk factor analysis is well established. Methods for early detection and early treatment are highly advanced.
The technology for investigation includes many of the traditional cardiac tests such as ECG, ECHO and treadmill tests. In addition we are nowadays using more complete methods of investigation such as predictive coronary calcium scans and CT angiograms, Cardiac MRI, carotid ultrasound and a variety of blood tests designed to pick out an undesirable pattern of inflammatory markers. Prevention and treatment strategies are now highly effective in this area.