is cholesterol important or how important is it for diabetics hello everyone if you
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blood sugar control issues might exacerbate the cholesterol levels we already know that right
there's something called diabetic dyslipidemia that occurs when you have diabetes and have low
amounts of good cholesterol but high levels of bad cholesterol and high triglycerides remember
bad cholesterol is your ldl and good cholesterol is your hdl now this diabetic dyslipidemia affects
up to 70 percent of people with diabetes sometimes even if blood sugar control is satisfactory
some diabetic patients will still have elevated triglycerides or low hdl and sometimes higher low
density lipoproteins such as ldl which is the bad cholesterol due to underlying insulin resistance
or genetic factors so why does that matter well the national cholesterol education program report
from the u.s and european guidelines actually state that type 2 diabetics is almost at the
same risk or almost they're considered having a cardiovascular disease to begin with they
are at the highest risk cathetery that's based on the fact that people with type 2 diabetes
never had an mi like heart attack before had the same risk of cardiovascular disease or heart
attack as people without diabetes who already had a heart attack at age around mid-50s so other
studies have come to the same conclusions that you know a diabetic person who did not have a heart
attack is at high risk of as if somebody who did not have diabetes but had a heart attack already
some other trials also showed how important for diabetics to control their cholesterol especially
with the increased risk of cardiovascular disease their risk is considered tripled in women and
doubled in men with diabetes now even after taking into account of age high blood pressure which is
another risk factor or smoking all the other risk factors and left ventricular hypertrophy
etc diabetes itself remained a major independent risk factor for cardiovascular disease now over a
12 year period 10 percent of the 5 000 men who said that they took medications for diabetes
mostly for type 2 die from cardiovascular disease now in comparison only two and a half percent of
the 350 000 men who did not take diabetic medications die from cardiovascular disease
this difference was the same no matter how old they were and what race they were and what their
cholesterol level was or your their systolic blood pressure or if they smoked or not so when each of
these risk factors was added the risk of heart disease went up more quickly in diabetic men
than in non-diabetic men the emerging risk factors collaboration group did a method analysis of 102
studies with 530 000 patients who had never had a heart attack angina or stroke before
in the study now after taking into account and the other risk factors the overall risk of
cardiovascular disease for people with diabetes was twice that of people without diabetes
now again the risk of cardiac death or heart related death and non-fatal heart attack was
also higher significantly higher with patients with diabetes again when you have diabetes
your risk of cardiovascular disease depends on so many factors and you may have to treat all of them
even though people with diabetes have a higher risk of cardiovascular disease than people without
diabetes the absolute risk has gone down because people with diabetes are now taking preventative
steps that are recommended by major societies now even though most of the people in the studies
that we discussed have type 2 diabetes risk of cardiovascular disease for example 300 people
with type 1 diabetes was actually even higher than in non-diabetics of the same age so after
age 30 the death rate from cardiovascular disease went up quickly even in that type 1 diabetic group
especially if they also had kidney disease now in a famous study called framingham heart study
the cumulative death rate from cardiovascular disease was 35 percent by age 55 while it was
only eight percent in men and four percent in women if they did not have diabetes at that
age heart attack for example did not lead to death and angina were found to have similar risk now the
age a person goes from low risk to high risk with cardiovascular disease is another way to show how
dangerous a risk diabetes actually poses for those people now this link was looked at using a large
health claims database and group of canadians from the past and men and women with type 2 diabetes
actually moved into a high risk category which is defined as 10-year heart attack risk of 20 or more
at a younger age than non-diabetic patients again the mean age difference was 15 years so people who
had diabetes in that group had a heart attack 15 years earlier again using a broad definition
of cardiovascular disease the high risk age for men with diabetes was found to be just 41
and for women it was only 48. to summarize guys cholesterol as you know the type of fat just one
type of fat that is found in your bloodstream now when you have diabetes your body may have
difficulty processing cholesterol or it may be genetically related so you may be dieting
you can be doing everything right but cholesterol may eventually build up in your arteries which can
increase your risk of heart disease and stroke therefore it is important to pay attention to
cholesterol levels not only your ldl but also your hdl more importantly the ldl but you need to
increase your hdl lower your triglyceride levels there are many ways to manage your cholesterol
either lifestyle changes you can take there are medications or herbal supplements you can take
again having said that we are almost done creating our herbal supplement that will be an alternative
to statins for people who cannot take statins or people who do not believe in statins so stay
tuned on that it's coming up so sign up to our newsletter so that you can be notified about that
just go to sugarmds.com that way you can help your risk for the serious health complication of heart
disease and save yourself for another 10 to 15 years of life because i'm sure you're looking
forward to your grandsons and grandkids to graduate see their sons and kids etc
so don't give up cholesterol can be as important as your diabetes control so do not underestimate
your cholesterol try to keep your ldl below 100 keep your hdl above 50 and try to keep
your triglycerides below 150. so thanks for watching and i will see you in the next video
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