Nora Eccles Harrison Cardiovascular Research & Training Institute

Can Diabetes Cause Heart Failure? Understanding the Key Links

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Diabetes and heart failure often coexist because one health condition feeds off another, becoming a complex cycle of medical turmoil that requires meticulous management. Together, these chronic conditions amplify complications and the intensity of symptoms, making it more challenging to pinpoint proper treatment.

Innovative Approaches to Managing Heart Failure with Diabetes

Luckily, medical science advances more every day, offering new hope to diabetic patients suffering from heart failure. Managing heart failure and diabetes simultaneously sometimes requires innovative approaches, requiring patients and healthcare professionals to think outside the box for treatment options.

Read on to learn about innovative approaches to treatment and care, how heart failure and diabetes interplay, the impact of one chronic disease on another, and the drugs to avoid if you live with both.

Diabetic Patients With Heart Failure Require Comprehensive Care That Combines Medication With Lifestyle Changes.

  • A heart-healthy diet is crucial. It steers patients from refined sugars and excessive sugar and encourages high protein, healthy fats (like olive oil, walnuts, and avocado), and fresh, low-sugar fruits and vegetables.

With the proper diet, patients can increase cardiovascular exercises, strengthening their heart and lungs to combat failure. Proper nutrition and exercise promote weight management, decreasing diabetes symptoms, especially for those with Type 2.

Smoking And Alcohol Are Strongly Discouraged

  • Medication regimens are complex for diabetics with heart failure. Meds must control blood pressure and reduce fluid retention while regulating blood glucose levels. Finding the right combination of medications is trial and error. Most medication combinations take 4 to 6 weeks to work, so patients require close monitoring of heart and kidney functions, electrolyte balances, and glucose levels.

Heart failure and diabetes are challenging but manageable. Treatment and care are a matter of finding what works best, and every patient is different in how their bodies respond to different healthcare routines.

How Do You Manage Your Health if You Are Currently Dealing With Heart Disease and Diabetes?

Health isn’t linear, and different people have different needs for making their bodies and minds healthier and happier. However, the general outline for better health follows lifestyle changes, including a heart-healthy, low-sugar diet, plenty of exercise and beneficial movement, and eliminating toxic habits like smoking, excessive junk food, and alcohol.

Lifestyle changes are vital for diabetics with heart disease. They could be the difference between life or death for those with severe symptoms. Alongside medications, healthcare follow-ups should be taken seriously. Go to every appointment. Providers can help adjust medication and suggest lifestyle changes based on symptoms and side effects, customizing treatment plans to ensure optimal control of both chronic diseases.

Common Questions About Diabetes and Heart Failure (HF)

Why Does Diabetes Make Heart Failure Worse?

High blood sugar affects the cardiovascular system and vice versa, causing one to worsen the other’s symptoms. Chronic high blood sugar damages blood vessels, narrowing and hardening them and reducing blood flow to the heart. This worsens heart failure, causing inflammation and insulin resistance, which worsens diabetes. It becomes a cycle of health problems, leading to severe and intense symptoms from both illnesses.

One chronic disease worsening another is also why diabetics are at higher risk for developing heart failure. If diabetes persists without intervention for long enough, it can cause scarring on the heart, making it harder for the muscle to pump blood. This increases the likelihood of heart attacks, some of which could be fatal.

Which Drug Should Be Avoided in Diabetic Patients with Heart Failure?

For diabetics with heart failure, finding the right combination of medications can be challenging, requiring months of adjustments. Some diabetes medications don’t work well with heart failure, and some medicines for heart failure don’t work well with diabetes. Ergo, finding meds that work simultaneously for both conditions is difficult.

  • TZDs are medications used to improve insulin sensitivities, like resistances. However, for diabetics with heart failure, drugs like rosiglitazone and pioglitazone can worsen fluid retention and inflammation, causing a flare-up of heart failure symptoms.
  • Dronedarone and some other antiarrhythmic drugs can be detrimental to diabetics with heart failure. These medications are meant to treat arrhythmias (irregular heartbeats), but their chemical compounds can worsen both chronic conditions, increasing the risk of stroke or heart attack.
  • NSAIDS (ibuprofen and other non-steroidal anti-inflammatory drugs) cause narrowing of the arteries, fluid retention, and increased blood pressure—all negatives for diabetics suffering from heart failure.

Managing heart failure and diabetes simultaneously is challenging but possible with patience, lifestyle changes, and advancements in innovative medications. Talk to your healthcare provider about a customized treatment and care routine to enhance your quality of life.