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We Need A Moonshot For Diabetes Prevention, Part One: The Case For Action
About two years ago, my friend Tony lost three toes. The cause of this tragedy was type 2 diabetes, even though the disease is manageable and often preventable.
Tony then fought a host of complications. Small wounds would not heal and became life-threatening. Another amputation was necessary, and more were a looming threat. Comorbidities, including infection, high blood pressure and heart disease, waylaid him.
Tony was challenged on many other fronts. He was in and out of doctors’ offices, emergency rooms, hospitals and rehabilitation centers. He was financially stretched. He used up his short-term disability. He struggled to continue working in order to maintain…
Resources
Diabetes Heart Connection
There is significant room for improvement in the management of chronic conditions, but what we must not lose sight of is that greater awareness can motivate change - SAVED LIVES, increased prevention, earlier detection, better management & quality of life, saved health care dollars! There is a great deal of work still to be done.
My Heart Matters
The symptoms can be silent. But the impact can be life-changing. Learn more about the connection between type 2 diabetes and heart disease.
Know Diabetes by Heart
The American Heart Association and the American Diabetes Association, along with industry leaders, have proudly launched the groundbreaking collaborative initiative Know Diabetes by Heart™ to reduce cardiovascular deaths, heart attacks and strokes in people living with type 2 diabetes.
Taking Diabetes to Heart
Diabetes and cardiovascular disease (CVD) are both global epidemics. They are currently among the leading causes of morbidity and mortality worldwide, particularly affecting populations in low- and middle-income populations. Their negative effects are accelerated by globalization, rapid unplanned urbanization and increasingly sedentary lifestyles.
Assessing Cardiovascular Risk Factors with Computer Vision
Using deep learning algorithms trained on data from 284,335 patients, we were able to predict CV risk factors from retinal images with surprisingly high accuracy for patients from two independent datasets of 12,026 and 999 patients.
Behind the headlines: Type 1 diabetes and heart disease
We have to face the fact that people with diabetes are more likely to develop harmful complications, like heart or kidney disease, than people without diabetes. But why?
Diabetes may be a major, overlooked reason Americans are now dying earlier
Diabetes’ prevalence has exploded in the US over the past 20 years. Nearly 30 million Americans live with the disease today — more than three times the number in the early 1990s. And researchers have long known that diabetes is an underreported cause of death on death certificates, the primary data source for determining life expectancy trends. That’s because people with diabetes often have multiple health conditions, or “comorbidities,” such as cardiovascular disease, high blood pressure, high cholesterol, obesity, and even cancer.
Opinion: Getting to the heart of America's diabetes crisis
People living with diabetes are more than twice as likely to develop a heart problem and up to four times as likely to die from cardiovascular disease. Yet half of people living with diabetes aren't aware of this risk.
Type 2 Diabetes Is Also Cardiovascular Disease
We have a national epidemic of obesity and diabetes and, perhaps soon, cardiovascular death. Look at the path: "Patients who gain weight tend to increase their blood pressure. It only takes a small blood pressure increase, about 3 mm" according to Chilton, "to significantly increase the chance of a heart attack."
Why So Many of Us Die of Heart Disease
...even though our nutrition has changed a lot, adaptive mechanisms that were meant to protect us from starvation have now, in fact, led to the dual epidemics of obesity and diabetes, which are some of the main reasons why heart disease remains the number-one killer of people around the world.
Diabetes and cardiovascular disease: A deadly duo
Coexisting diabetes and CVD make for a deadly duo. Not only is CVD the most common complication of diabetes but it’s also the leading cause of mortality from the disease, responsible for an estimated 80% of deaths.
Clinical Update: Cardiovascular Disease in Diabetes Mellitus
Reducing atherosclerotic cardiovascular disease (ASCVD) burden in diabetes mellitus is a major clinical imperative that should be prioritized to reduce premature death, improve quality of life, and lessen individual and economic burdens of associated morbidities, decreased work productivity, and high cost of medical care.
Diabetes and cardiovascular disease: Epidemiology, biological mechanisms, treatment recommendations and future research
A close link exists between DM and cardiovascular disease (CVD), which is the most prevalent cause of morbidity and mortality in diabetic patients. Cardiovascular (CV) risk factors such as obesity, hypertension and dyslipidemia are common in patients with DM, placing them at increased risk for cardiac events.
Diabetes Is the Price Vietnam Pays for Progress
In a country where limbs were once shattered by ordnance and land mines, hospitals in Vietnam are treating an alarming caseload of “diabetes foot,” an infection that often begins as a minor scrape but then develops into a gangrenous wound because the disease desensitizes patients and compromises the healing process. In the most severe cases, legs are amputated. If the limb can be spared, doctors perform a debridement, a grisly operation that seems more fitting for the trenches of Verdun than for a dynamic, modern metropolis like Ho Chi Minh City.
Heart in Diabetes: A Microvascular Disease
Although much of the excess risk of CAD among patients with diabetes is accounted for by the presence of diabetes-associated CVD risk factors such as LDL cholesterol, elevated blood pressure, and smoking, a substantial proportion remains unexplained. A deleterious effect of the diabetic state on vascular and endothelial function is likely to be important via its ability to increase the potential for vasoconstriction and thrombosis.
How Diabetes Can Mask the Symptoms of a Heart Attack
Weird, whispering symptoms are easy to overlook; how to prevent and recognize this risk for people with diabetes.
How Do People Die From Diabetes?
Heart disease strikes people with diabetes at significantly higher rates than people without diabetes, “and we don’t fully know why,” said Dr. Robert Gabbay, chief medical officer at Joslin Diabetes Center in Boston. People with diabetes develop heart disease at younger ages and are nearly twice as likely to die of heart attack or stroke as people who do not have diabetes.
Should Patients with Type 2 Diabetes Take Aspirin to Prevent Stroke and Coronary Events?
What is the role of aspirin in primary prevention — preventing the first cardiovascular event in our patients? This has been an area of changing recommendations leading to considerable uncertainty among practitioners.
Unlocking the Diabetes-Heart-Disease Connection
For many years now, researchers have known that high blood sugar levels are somehow bad for the heart. A person with diabetes has a risk of dying of a heart attack or stroke two to four times as great as someone who has already survived a heart attack.
We Need A Moonshot For Diabetes Prevention, Part One: The Case For Action
Tony was diagnosed with diabetes in his 40s. He episodically managed his condition with better diet, exercise and medications. But life—demanding jobs, travel, dinners out and no time for exercise—got in the way. It all caught up with him. His diabetes worsened and led to other complications, including cardiovascular disease.
Diabetes and Vascular Disease Research
The first international peer-reviewed journal to unite diabetes and vascular disease in a single title. The journal publishes original papers, research letters and reviews. This journal is a member of the Committee on Publication Ethics (COPE)
CDC
Having diabetes raises your risk for developing other dangerous conditions, especially heart disease and stroke. November is National Diabetes Month, a time to raise awareness about preventing and managing diabetes and protecting yourself from its complications.
Diabetes.co.uk
Heart disease is a complication that may affect people with diabetes if their condition is not managed well for a prolonged period of time.. Coronary heart disease is recognized to be the cause of death for 80% of people with diabetes, however, the NHS states that heart attacks are largely preventable.
Heart.org
The American Heart Association considers diabetes to be one of the seven major controllable risk factors for cardiovascular disease.
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Last Updated : Friday, July 12, 2019