Diabetes raises the risk of heart disease by four to five times compared with people without the disease.
For this reason, in addition to completely reversing blood sugar, people with diabetes need to pay close attention to controlling their blood pressure and cholesterol levels.
The treatment goals for people with diabetes are more stringent than those for people without diabetes.
The good news is that lifestyle changes—and weight loss in particular—to improve your blood sugar usually will have a beneficial effect on the other values as well.
Your blood pressure reading has two parts, the systolic blood pressure (the first number) and the diastolic blood pressure (the second number).
The systolic number represents the pressure while the heart is contracting and pushing blood into your vessels, and the diastolic number represents the pressure while the heart is refilling with blood between beats.
People with high blood pressure (known medically as hypertension) are more than twice as likely to suffer a heart attack or stroke than those with normal blood pressure.
For that reason, people with diabetes are advised to keep their blood pressure as close to the ideal as possible, and always less than 130/80 millimeters of mercury
Much of the dietary advice commonly recommended for people with diabetes—such as restricting salt intake, increasing physical activity, and losing weight—should help to lower your blood pressure.
Make sure your health care provider tests your blood pressure regularly. If diet and exercise alone do not bring your blood pressure into a healthy range, medications may be necessary to lower it.
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