Type 2 diabetes need not mean a higher risk of a heart attack or stroke.
Swedish researchers compared five risk factors for heart attack or stroke in 271,000 people with diabetes and 1,356,000 without the disease:
Blood sugar: hemoglobin A1c of at least 7 percent
LDL (Bad) cholesterol: 100 or more
Blood Pressure: at least 140 systolic or 80 diastolic
albumin in the urine (a marker of kidney disease)
Whether the person smokes
During the 5 1/2 year study, people who had diabetes but none of those risk factors were no more likely to die or have a heart attack or stroke than those without diabetes. However, they still had a 45% higher risk of heart failure. Smoking had the most impact on the risk of dying. High blood sugar had the most impact on the risk of heart attacks and strokes.
What to do: Get rid of your risk factors with diet or, if necessary, drugs.
Source: Nutrition Action Health Letter October 2018
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