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Diabetes is an enemy of heart health. It is also well known that too high blood glucose values ​​must be recognized early to implement the necessary countermeasures. But there is one point on which perhaps too much is compromised. When the path of the patient who discovers he is diabetic begins, in the first period one relies above all on advice on lifestyle, on a controlled diet and perhaps on “mild” treatments to then proceed to specific therapies. Instead, you don’t have to waste time if you want to protect the heart and arteries in the best possible way.

Down your blood sugar, at the latest within a year of diagnosis

With the treatments that, case by case, the doctor identifies. An English research is to disrupt the ranks for those who aim to wait in the challenge of excessive blood sugar, obviously for the type 2 form, which mainly affects adults. According to what researchers from the University of Surrey report in a study coordinated by Martyn B. White And Simon Lusignan and published on Diabetes, Obesity and Metabolism, to limit the risks of major cardiovascular events such as heart attack and stroke it is necessary to quickly bring blood glucose back within acceptable limits. Indeed, the analysis suggests that controlling blood sugar levels within the first year of diagnosis reduces the incidence of major cardiovascular events.

Limit upward overhangs

Not only that: the more a patient’s blood glucose values ​​varied in the first year after diagnosis, the greater the likelihood of dangerous cardiovascular events. In short: attention is needed and perhaps there is a need to reflect on the approach to diabetes in terms of protection for the heart and arteries. Generally, we proceed with a slow and constant treatment of type 2 diabetes, with a logic to “go up” in administration, instead indicating the importance of immediately limiting the “swings” upwards in blood sugar, already within the first year from the diagnosis.

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To reach this conclusion, the experts examined the information from the database of the Royal College of General Practitioners’ Research and Surveillance Center, in order to assess how many patients had achieved control of the blood glucose within one year of being diagnosed with the disease, correlating this information with that relating to the onset of heart attacks and strokes in the years to come. And they came to the conclusion that getting blood glucose values ​​back to normal appears to be important from the outset to reduce future risks of heart attacks and cerebrovascular problems.

Analyzing complications in dysmetabolic patients

How should these data be considered in practice? “This study and also the clinical experience implicitly say that the cardiovascular risk exists even before” graduating “in diabetes, exceeding the fateful diagnostic thresholds – he explains. Ezio Ghigo, professor of Endocrinology at the University of Turin. It follows that it is extremely important to consider cardiovascular complications in all dysmetabolic patients with extreme attention, even more so when type 2 diabetes has occurred. The sooner and the better the metabolism, not only carbohydrate, is controlled, the lower the risk that the patient is exposed to cardiovascular events “. Attention, however, we must never forget that each person is different from another and that the treatment it must be indicated on a case-by-case basis, also considering the availability of effective and safe innovative drugs.

In the past insulin approach

“However, it should be remembered that in the past the concept” insulin as soon as possible and as much as possible “was hypothesized in order to normalize blood sugar – the expert said. However, this hypothesis later clashed with the evidence that intensive insulin therapy was associated with an increase in cardiovascular events, probably an expression of hypoglycemia risk. Overall, the optimal choice of the therapeutic approach is favored by appropriateness: it is necessary to consider the individual profile of the patient in order not to normalize blood sugar but to make the metabolic compensation adequate to minimize complications and offer well-being to those with a problematic metabolism “.

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