People with diabetes have an increased risk of death from several causes, including cardiovascular disease and cancer.
In order to reduce the risk of heart attack and stroke in people with diabetes, you need better management of three critical factors. The National Diabetes Education Program (NDEP) has nicknamed these the ABCs:
Short for hemoglobin A1C, the A1C test is a blood test that measures how your blood sugar levels have been averaging over the past couple months. Depending on the severity of your disease, your A1C level should be checked about 3-4 times a year. Generally, your goal A1C should be under 7%, but goals can be tailored individually.
To reduce your risk of diabetes complications, NDEP points out that the goal should be to keep your blood pressure below 140/80 mmHg, unless your doctor sets a different goal for you.
LDL (bad) cholesterol levels should be less than 100. People with diabetes should also try to raise HDL (good) cholesterol to above 40 and lower triglyceride levels.
People with diabetes in the United States may not be getting the kind of care they need to prevent heart disease. But NDEP urges people with diabetes to gain control of their A1C, blood pressure, and cholesterol. A good place to begin is by asking your doctor three important questions about your ABCs:
Having diabetes doesn't mean you will develop other complications. You may be able to prevent them and add years to your life by managing your ABCs and following the treatment plan you worked on with your doctor.
American Diabetes Association
National Diabetes Education Program
Canadian Council on Food and Nutrition
Canadian Diabetes Association
All about cholesterol. American Diabetes Association website. Available at: http://www.diabetes.org/diabetes-basics/prevention/checkup-america/cholesterol.html. Accessed November 11, 2013.
Diabetes mellitus type 2. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated October 14, 2013. Accessed November 11, 2013.
For people of African, Mediterranean, or Southeast Asian Heritage: important information about diabetes blood tests. National Diabetes Information Clearinghouse (NDIC) website. Available at: http://diabetes.niddk.nih.gov/dm/pubs/traitA1C/index.aspx. Updated November 4, 2011. Accessed November 11, 2013.
High blood pressure (hypertension). American Diabetes Association website. Available at: http://www.diabetes.org/living-with-diabetes/complications/high-blood-pressure-hypertension.html. Accessed November 11, 2013.
Step 2: know your diabetes ABCs. (A1C, blood pressure, and cholesterol). National Diabetes Education Program website. Available at: http://ndep.nih.gov/i-have-diabetes/KnowYourABCs.aspx. Accessed November 11, 2013.
Last reviewed November 2013 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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