Intellectuals become a high-risk group for cardiovascular disease
According to statistics, one out of every 100 people in China has diabetes, and the number of obese people with diabetes is four times higher than that of non-obese people. Moreover, the incidence of diabetes increases with the increase of obesity. Among diabetic patients over 40 years old, about 70%~80% of them are already obese before they develop diabetes. Obesity is the killer of cardiovascular and cerebrovascular diseases. It is known that about 2.6 million people die of cardiovascular and cerebrovascular diseases in China every year, and many of these patients suffered from diabetes before they died.
In recent years, the incidence of diabetes is rising, the vast majority of them are type 2 diabetes patients, 80% of patients have different degrees of obesity, and type 2 diabetes can cause cardiovascular disease, 60%-70% of patients will eventually die of cardiovascular disease, so diabetes and cardiovascular disease have a close relationship.
Some data show that the incidence of cardiovascular disease among intellectuals is significantly higher than that of the normal population. Intellectuals usually use their brains frequently and work under high pressure, and if they neglect their own health care and lack sufficient awareness of self-prevention in lifestyle and diet, they are prone to hypertension, hyperlipidemia and hyperglycemia, which also provide an opportunity for diabetes to take advantage of.
High mortality rate of diabetes combined with cardiovascular disease
Diabetes is a systemic metabolic disorder, which not only affects the metabolism of sugar, leading to hyperglycemia, but also affects the metabolism of protein and lipid, leading to disorders of lipid metabolism and hyperlipidemia, inducing coronary artery sclerosis and coronary heart disease, and the incidence and mortality of coronary heart disease and myocardial infarction is much higher than that of patients without diabetes, and the onset is early.
Diabetic patients tend to have hyperlipidemia, which accelerates the formation of atherosclerotic thrombosis and causes arterial blockage. The increasing number of diabetic patients also leads to more cardiovascular patients.
According to statistics, diabetic patients are four times more likely to develop cardiovascular disease than non-diabetic patients, and when diabetes is combined with cardiovascular disease it is often more severe and has a higher mortality rate. Among them, 80% of diabetic patients may die due to coronary heart disease, and because of this, “diabetes is cardiovascular disease” is being called as a new clinical concept at home and abroad.
Diabetic patients often have insulin resistance, that is, these people’s bodies are resistant to insulin, in order to ensure normal blood sugar levels, the pancreatic beta cells must secrete several times or even dozens of times more insulin than normal people, resulting in hyperinsulinemia, which ultimately leads to increased blood sugar, increased triglyceride levels, increased plasma fibrinogen, and reduced high-density lipoprotein (HDL), all of which are not risk factors for atherosclerosis. At the same time, insulin itself has a pro-atherosclerotic effect; therefore, raising insulin levels in blood through different pathways may further aggravate the lesions of sclerotic vessels.
The higher glucose concentration and increased glycated hemoglobin in the blood of diabetic patients reduce the oxygen-carrying capacity of red blood cells and make the myocardium susceptible to hypoxia. Diabetic patients have increased platelet adhesion and aggregation, increased blood viscosity, and reduced red blood cell deformability, making them prone to thrombosis.
Diabetes combined with coronary artery disease is not easily detected
More and more people are becoming cardiovascular patients, many of whom are intellectuals. Most people only know they have the disease when they have symptoms or a physical examination, especially in cases such as coronary artery disease combined with diabetes, which is not easily detected because there is no obvious pain.
When diabetes is combined with coronary heart disease, the disease is often more severe, with a poorer outcome and a higher mortality rate. This is because people with diabetes combined with coronary artery disease often have multiple coronary arteries with atherosclerosis and more severe stenosis. Moreover, due to diabetic neuropathy, the pain threshold is elevated when the patient’s nerve endings are damaged, resulting in mild and atypical pain even when severe myocardial ischemia occurs, or even no angina symptoms, causing a high incidence of painless myocardial infarction.
Painless myocardial infarction in diabetic patients is about twice as common as in non-diabetic patients with combined coronary artery disease, and these patients are easily misdiagnosed because they do not have obvious chest pain myocardial infarction; when diabetes is combined with myocardial infarction, the infarct area is generally larger and prone to severe cardiac insufficiency, cardiogenic shock, cardiac rupture, sudden death and severe rhythm disturbance.
Therefore, diabetic patients should control blood sugar scientifically under the guidance of doctors, and regularly go to the hospital for heart examination, plus a reasonable dietary structure and physical exercise to reduce the incidence of coronary heart disease.
Five aspects of cardiovascular disease prevention
Whether diabetic or not, it is necessary to prevent cardiovascular disease. Pay attention from the following aspects.
1, pay attention to diet, weight control: do not overeat, control the intake of cholesterol, fat and sugar. Eat a balanced diet with plenty of fruits and vegetables. Through appropriate diet and exercise to remove excess fat, reduce the burden on the heart.
2, appropriate activity: appropriate exercise can not only make life more energetic, but also can reduce weight and improve heart function. It is recommended to walk more in life, but the amount of exercise must be moderate, too much exercise will increase the load on the heart.
3, reduce mental stress: seek various ways to mediate the stress in life. Can cultivate hobbies or through exercise to loosen the tension in daily life.
4, control high blood pressure, high blood cholesterol and diabetes: regular health checks and follow the instructions of the doctor to do.
5, quit smoking: non-smokers, do not start smoking. Smokers, start quitting now.