Diabetes cardiovascular disease
Posted on October 10, 2009
Filed Under Dilated cardiomyopathy | Leave a Comment
Diabetes, heart disease is complicated by diabetes or associated with heart disease, is in sugar, fat and other metabolic disorders that occurred on the basis of the heart and great vessels, capillaries and nerve disease. Diabetes, heart disease included in the broader, including diabetes, based on the concurrent or associated with coronary atherosclerotic heart disease, cardiac microvascular disease and cardiac autonomic neuropathy. Cardiovascular complications are the primary cause of death in patients with diabetes, etiology, epidemiology of diabetes mellitus and coronary heart disease showed more of the same age, same sex non-diabetic patient population is about 4 times higher mortality rate increased 5 ~ 6 times. For this reason, the real purpose of diabetes treatment is to reduce complications, mortality reduction, is only a means of lowering blood glucose. As with diabetes, good blood glucose control than to achieve their goals on the thought, and at the same time concerned about the blood sugar and should learn more about the complications.
First, we must always do the heart-related examination and electrocardiogram. As a result of diabetic neuropathy, pain is not sensitive to a lot of diabetic patients with coronary heart disease often do not have any clinical symptoms or only a slight sense of feel oppressed, which makes many patients ignore their own illness, missed the best time of their treatment, even cause death other serious consequences. So, regardless of whether there is chest tightness, chest pain and other symptoms, are sure to have regular electrocardiogram examination. If necessary, may also need to confirmed by coronary angiography.
Second, the treatment must try to avoid low blood sugar. For patients with coronary heart disease, low blood sugar more dangerous than high blood sugar because of low blood sugar may aggravate myocardial ischemia-induced myocardial infarction lead to serious consequences. Therefore, diabetic patients with coronary heart disease should avoid hypoglycemic effect choose strong, long-lasting drugs. Try to choose a more moderate role of drugs, such as glycosidase inhibitors.
Finally, careful selection of hypoglycemic agents. For diabetic patients with coronary heart disease when taking medicine, paying particular attention to avoid affecting the choice of the heart drugs, such as glitazones drugs could be increased in some patients with edema, congestive heart failure patients need to be cautious to take. Study confirmed that glycosidase inhibitor acarbose a definite role in the protection of the heart, can reduce the occurrence of events such as myocardial infarction, more applicable to patients with coronary heart disease.
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