Diabetes And Heart

  • 593 views
Uploaded on

 

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
No Downloads

Views

Total Views
593
On Slideshare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
102
Comments
0
Likes
1

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Diabetes & Heart
  • 2. Conventional Cardiac risk factors… superimposed on the diabetic state … Hypertension Microalbuminuria Inactivity South Asian origin Dyslipidaemia Obesity … further accentuate atherosclerosis in the diabetic state…accounting for the excess Cardiac risk
  • 3. Why does diabetes predispose to atherosclerosis?
    • Metabolic abnormalities…in diabetes
    High blood sugar High lipid Insulin resistance Alter the normal function of 3 different cell lines ARTERY … and their destruction leads to atherosclerosis Endothelial cell Platelet Smooth muscle cell
  • 4.  
  • 5. Heart Attack Which patient is at greater risk of future attack? An attack survivor A typical Type 2 diabetic
  • 6. Risk Factors and C.H.D. Adapted from : Stamler; Diabetes Care,12,573 (1989) Cholesterol. Smoking. Hypertension .
  • 7. Heart Attack Equal risk An attack survivor A typical Type 2 diabetic Without heart problem
  • 8. Atherosclerosis in T 2 DM
    • ~80% of all people with Diabetes dying
        • 75% from coronary atherosclerosis
        • 25% from cerebral or peripheral vascular disease
    • >75% of all hospitalizations are for diabetic complications .
    National Diabetes Data Group. Diabetes in America. 2nd ed. NIH;1995.
  • 9. Death after MI Herlitz J et al, Acta Med Scand 1988
  • 10. Managing Diabetes : 4 Cardinal Rules for the Patient
    • 1. Follow a healthy meal plan 2. Regular exercise
    3. Take your medication 4. Test your blood glucose regularly