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If diabetic patients have these five signs, it may imply that there could be something wrong with your heart!

Dec 30, 2024
Research by the World Health Organization on the causes of death among elderly people aged 64 and above with diabetes shows that approximately two-thirds of diabetic patients die from heart diseases. Therefore, every diabetic patient should pay attention to diabetic cardiovascular diseases.


Diabetes can affect the heart in three ways: coronary heart disease, diabetic cardiomyopathy, and cardiac autonomic neuropathy. Besides some common typical symptoms of heart diseases, diabetic patients need to pay attention to the following five signs!


Sign 1: Atypical Chest Pain
When angina pectoris or myocardial infarction occurs due to coronary heart disease, chest pain is the most common symptom, usually manifested as a dull pain, a sense of tightness, or oppression in the precordial area and behind the sternum. Chest pain can radiate to the back, left arm, neck, and jaw, resulting in back pain, left arm pain, neck pain, and toothache.
Due to damage to the cardiac nerves, more than one-third of patients with diabetic heart disease do not experience chest pain when having a myocardial infarction, which is easily overlooked.


Sign 2: Abnormal Sweating
When acute myocardial infarction occurs, patients often experience abnormal sweating. If there is no high temperature or strenuous exercise, but suddenly excessive sweating occurs in areas such as the head, face, front chest, back, palms, and soles of the feet, especially when accompanied by symptoms such as chest pain, chest tightness, and palpitations, special attention should be paid.


Sign 3: Nausea and Vomiting
Gastrointestinal symptoms such as nausea, vomiting, and abdominal pain can also be caused by heart diseases. When diabetic patients experience the above symptoms, they cannot be ignored. When ruling out some gastrointestinal problems, the possibility of heart diseases should be considered.


Sign 4: Palpitations
In normal people, the heart rate increases during exercise and decreases during rest. However, some diabetic patients are different. Instead, their heart rate increases in a resting state, with the heart rate mostly above 90 beats per minute, accompanied by symptoms such as palpitations, heart flutters, chest tightness, and dizziness. This is also due to the impairment of the vagus nerve function caused by long-term hyperglycemia.
In addition, some diabetic patients show a "fixed heart rate", that is, the heart rate does not increase or decrease with activity or rest. This is because both the vagus nerve and the sympathetic nerve of the patients are affected, and the heart completely loses the control of the autonomic nervous system.


Sign 5: Orthostatic Hypotension
Many diabetic patients often feel dizzy, have blurred vision, feel flustered, sweat, and experience blackouts in front of their eyes after getting up. In severe cases, they may even faint. When measuring blood pressure, it is found that the systolic blood pressure drops by more than 30 mmHg and the diastolic blood pressure drops by more than 20 mmHg when the patient changes from a lying position to a standing position. This condition is clinically called "orthostatic hypotension". However, the manifestation of cardiovascular diseases in diabetic patients may be low blood pressure. Orthostatic hypotension is one of the characteristics of diabetic heart disease.


However, many diabetic patients have stable blood sugar levels but still develop heart diseases. In fact, many people have overlooked the following points. So, how should diabetic patients prevent heart diseases?


Attach Importance to Blood Glucose, Blood Lipids, and Blood Pressure
For diabetic patients, stable blood glucose is the key factor in controlling and preventing complications. However, in addition to hyperglycemia, abnormal blood lipids and hypertension are also important risk factors for cardiovascular diseases. Diabetic patients should not only control blood sugar stably but also ensure that their blood lipids and blood pressure meet the standards.


Regular Cardiovascular Examinations
Diabetes patients belong to the high-risk group for cardiovascular diseases and need to go to the hospital regularly for examinations of the cardiovascular system. In order to detect diabetic heart diseases early, it is very necessary to have electrocardiogram examinations regularly. In addition, it is also necessary to check blood lipids and measure blood pressure.


Maintain Good Living Habits
In addition to controlling the "three highs" for the control of diabetic cardiovascular complications, not smoking, having a normal diet and routine, and relieving stress are also important. Exercise at least several times a week, with a total of 150 minutes of moderate regular exercise. Quitting smoking can avoid the harmful substances in tobacco from accelerating the hardening of blood vessels. Having a normal diet and routine and maintaining a good mental state are also good ways to prevent cardiovascular complications.
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