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The development and progression of cardiovascular diseases (CVD) are strongly linked with diabetes, which acts as a significant risk factor. The relationship between the two conditions is complex and multifaceted, primarily due to the metabolic disturbances that are characteristic of diabetes.
Dr. Varun Bansal, Consultant, MICS and Robotic Cardiac Surgery, Indraprastha Apollo Hospitals, says, “Individuals with diabetes often exhibit elevated levels of blood glucose, insulin resistance, and dyslipidemia, collectively contributing to endothelial dysfunction and inflammation. These metabolic abnormalities accelerate the atherosclerotic process, a hallmark of CVD. Atherosclerosis, characterized by the accumulation of plaques within arterial walls, is a common precursor to conditions such as coronary artery disease, peripheral arterial disease, and cerebrovascular disease.”
“Moreover, diabetes heightens the risk of myocardial infarction and stroke, as the compromised vascular integrity associated with diabetes exacerbates the consequences of atherosclerosis. The prothrombotic state induced by diabetes further amplifies the likelihood of adverse cardiovascular events,” he further added.
The relationship between diabetes and cardiovascular health is complex. Diabetes, a metabolic disorder, affects the cardiovascular system and increases the risk of complications. High blood sugar levels, which are often seen in diabetes, can lead to atherosclerosis, a condition where plaque builds up in the arteries, causing them to narrow.
Dr. Priyamvada Tyagi, Consultant – Endocrinologist, Endocrinology & Diabetes, Max Super Speciality Hospital, Patparganj, stated, “As diabetes tightens its grip, the cardiovascular system bears the brunt. The compromised blood vessels become a breeding ground for hypertension and dyslipidemia, igniting a cascade of events that conspire against heart health. The heart, resilient yet vulnerable, succumbs to the strain, leading to an increased risk of heart attacks and strokes.”
She went on to add, “Conversely, the cardiovascular system’s struggles exacerbate diabetes. Impaired blood flow hampers insulin delivery, aggravating glucose intolerance. This intricate relationship underscores the importance of holistic management. Lifestyle modifications, meticulous blood sugar control, and cardiovascular vigilance become the protagonists in this narrative, striving to break the cycle of mutual detriment.”
The experts also spoke about how in this story of intertwined fates, those battling diabetes and safeguarding cardiovascular health—navigate a challenging plot, where each decision shapes the outcome. It’s a tale of resilience, where understanding the delicate balance between diabetes and cardiovascular well-being becomes the key to a healthier, more harmonious ending.
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