Diyabet ve kalptwo conditions best managed together.
Diabetes raises the risk of heart attack, stroke and heart failure, and heart disease is the leading cause of death in people with diabetes. The right treatment protects both, and some diabetes medicines now protect the heart directly.
At a glance
- Often noticed as
- Often no heart symptoms at all
- Confirmed with
- A cardiac risk assessment and an ECG
- Aim of care
- Lower heart risk, not just blood sugar
- Followed up in
- Kardiyometabolik poliklinik
Symptoms
Symptoms vary from person to person, and some people have none. These are the most common.
- Heart disease in diabetes is often silent
- Breathlessness or tiredness instead of typical chest pain
- Chest discomfort on exertion
- Swollen ankles
Causes and risk factors
- Type 2 diabetes, especially of long standing
- High blood pressure and high cholesterol, which often come with it
- Excess weight, particularly around the waist
- Smoking
- Kidney disease
How it is diagnosed
The diagnosis starts with your history and an examination. These are the tests most often used to confirm it.
- Kardiyak risk değerlendirmesiKlinikte yapılır
- EKGKlinikte yapılır
- Efor testiKlinikte yapılır
- Vücut kompozisyonu analiziHastaneye sevk
How it is managed
Assess the whole risk
Blood pressure, cholesterol, kidneys and weight are reviewed together with blood sugar.
Heart-protecting diabetes medicines
Some newer diabetes medicines lower the risk of heart failure and heart attack, as well as sugar.
Blood pressure and cholesterol
Targets are usually stricter with diabetes, and most people benefit from a statin.
Weight, food and activity
Small, lasting changes improve sugar, pressure and cholesterol at the same time.
General information, not a treatment plan. Your treatment is decided with you after an assessment.
Get emergency help now if you have
Call emergency services or go to the nearest emergency department. Do not wait for a clinic appointment.
- Chest pain or tightness, even if mild
- Sudden breathlessness
- Sweating, sickness or feeling faint without a clear cause
- Weakness of the face, arm or leg, or difficulty speaking
Common questions
I have diabetes but no heart symptoms. Should I be checked?
It is worth having your heart risk assessed, because heart disease in diabetes is often silent. The assessment decides whether further tests are needed.
Which diabetes medicines protect the heart?
Some SGLT2 inhibitors and GLP-1 medicines have been shown to lower heart risk. Whether they suit you depends on your overall health.
Is controlling my sugar enough?
No. Blood pressure, cholesterol and not smoking matter as much for the heart as sugar control.
Other conditions
All conditions- Kalp yetmezliğiKalp kası olması gerektiği kadar iyi pompalamaz ya da dolmaz; bu yüzden vücut ihtiyacından azını alır.
- Atriyal fibrilasyonKalbin üst odacıklarından başlayan, düzensiz ve çoğu zaman hızlı bir kalp atışı; inme riskini artırır.
- Yüksek tansiyonAtardamarlardaki basınç sürekli yüksek kalır. Nadiren belirti verir, ancak zamanla kalbi ve damarları yorar.
- Yüksek kolesterolKanda fazla kolesterol bulunması; yıllar içinde atardamar duvarlarında birikebilir.
- Koroner arter hastalığıKalp kasını besleyen atardamarlar yağlı plaklarla daralır.
- KardiyomiyopatiKalp kasının kendisinin hastalığı; kas kalınlaşabilir, genişleyebilir veya sertleşebilir.
- Kalp kapağı hastalığıKalbin dört kapağından biri tam açılmaz ya da düzgün kapanmaz.
- AnjinaKalp kası kısa süreliğine yeterince kan alamadığında, genellikle efor sırasında ortaya çıkan göğüs rahatsızlığı.
- AritmiKalbin elektrik sistemindeki bir sorundan kaynaklanan, çok hızlı, çok yavaş veya düzensiz kalp atışı.
Living with this, or worried you might be?
Book a consultation or send a question on WhatsApp. Your history, results and treatment are reviewed in person, and the plan is explained to you before you leave.
This page explains a condition in general terms. It cannot diagnose you or replace an examination, and it is not a treatment plan. Do not change or stop a medicine without talking to your doctor. If your symptoms are severe, sudden or happening now, seek emergency care immediately.