Why do people with diabetes often have coronary heart disease? What are they?

Many people with diabetes often have coronary heart disease at the same time. Is it true that heart disease can occur if you have diabetes?

Why do people with diabetes often have coronary heart disease? What are they?

The answer is yes, because the connection between diabetes and heart disease is like a brother-in-law, and it is closely linked.

In the outpatient department of cardiology, when patients diagnosed with heart disease such as coronary heart disease, doctors always ask patients whether they have diabetes or high blood pressure, because more than 70% of heart disease patients have diabetes and high blood pressure.

In the endocrinology clinic, as long as the diagnosis is diabetes, doctors will control blood sugar to prevent complications such as cardiovascular and cerebrovascular diseases, because most people with diabetes eventually die of heart disease.



It can be seen that diabetes is closely related to heart disease. For this reason, diabetes and coronary heart disease are called isochronism because the two diseases are fundamentally vascular lesions. From the perspective of diabetes, long-term hyperglycemia, especially blood sugar fluctuations, is very irritating to blood vessels, which will cause damage to the vascular endothelium, and damage will occur after the injury occurs, just like an obstacle in the river, blood Macromolecules such as fat in the body will deposit under obstacles, forming atherosclerosis and plaque.

In the case of heart disease, atherosclerosis of the large blood vessels of the heart causes thickening of the blood vessel wall, blood flow is not smooth, resulting in insufficient blood supply, and the heavier the atherosclerosis occurs, the more severe the ischemia. In particular, if the plaque ruptures, a large number of platelets will aggregate to form a blood clot, and a fatal myocardial infarction will occur when the blood clot blocks the large blood vessels of the heart.

Therefore, diabetes has the same fate as heart disease. The prevention and treatment of both are to avoid atherosclerosis and arterial plaque. From the perspective of treatment, whether it is lifestyle change or drug treatment, many aspects. They are all consistent, so the two are closely related and require patients to be treated equally.

In particular, fasting blood glucose should be controlled at least 7.0mmol/L, blood sugar should be controlled below 10.0mmol/L two hours after meal, low-density lipoprotein in blood lipid should be controlled below 1.8mmol/L, blood pressure should be controlled at 130/ 80mmol / L or less, is conducive to the prevention and treatment of cardiovascular and cerebrovascular diseases.