If I have coronary heart disease and diabetes, is it better to have lower blood sugar?

Preamble: If the patient has coronary heart disease and diabetes, the lower the blood sugar will have a greater impact on the body. In this case, the choice should be made according to the patient's condition, and there will be some differences in the control criteria for different patients.

Because some patients have coronary heart disease that is not particularly serious, only slight myocardial ischemia, and no particularly obvious coronary stenosis, if the patient is younger, the physical state will be better, and blood sugar control can be slightly stricter at this time. If you have very serious coronary heart disease, and there is severe heart failure and poor heart function, the age of the patient is also old, and there are many underlying diseases in the body, the blood sugar must not be controlled too low at this time, and it will be easy to have adverse symptoms of hypoglycemia.

Coronary heart disease and diabetes are very dangerous diseases, if diabetic patients still have coronary heart disease, if they do not control blood sugar well, it will increase the risk of coronary heart disease, and it is also very easy to cause arteriosclerosis, so patients must actively go to the hospital for **, control blood sugar within the normal range, in order to avoid the impact of some diseases. In terms of diet, patients must pay attention not to consume too much salt and fat, and eat more low-sugar foods to avoid excessive cholesterol intake.

You can choose to eat more fresh vegetables and fruits, and do proper physical exercise, which can also enhance physical fitness, control weight well, avoid excessive weight gain, and pay attention to regular blood sugar testing. If diabetic patients have coronary heart disease, the degree of harm to the human body is very serious, if not carried out in time**, serious may lead to sudden death, and will also affect the patient's life, so we must control blood sugar reasonably.

No, blood sugar is too low and will cause harm to the body, which will seriously affect the health of the body, and the harm is relatively large.

I don't think lower is better, because it's not good for people's health at all.

If diabetic patients have coronary heart disease, it is recommended that patients go to the endocrinology department and cardiology department of a regular hospital to find a professional endocrinologist or cardiologist**.

**Indicated in the palm of the hand as follows:

1. The thumb is to quit smoking, and patients with diabetes and coronary heart disease must quit smoking;

2. Use aspirin under the guidance of a doctor;

3. Control blood sugar;

4. Control blood pressure;

5. Control blood lipids.

Patients with diabetes mellitus and coronary heart disease are not better to control blood sugar, and if the blood sugar is lowered too low, hypoglycemia will cause greater damage to the heart.

Although hyperglycemia is harmful to the coronary arteries, blood vessels, and heart, hypoglycemia is also harmful to the heart, and the damage of hypoglycemia is more serious. Therefore, it is better to have a slightly high blood sugar than hypoglycemia, and at the same time to control blood pressure and blood lipids is equally important to prevent the occurrence of coronary heart disease, or even more important than blood sugar control.

Diabetes is one of the risk factors for coronary heart disease, and the probability of coronary heart disease in diabetic patients is 4 times that of non-diabetic patients.

Cardiovascular disease is one of the common chronic complications of diabetes. The cardiovascular diseases of diabetic patients mainly include coronary heart disease, cardiomyopathy, cardiac autonomic neuropathy, etc., which are important causes of disability and death in diabetic patients, among which coronary heart disease is more common and more serious. Therefore, it is very important for diabetic patients to prevent and delay the occurrence and development of cardiovascular diseases, especially coronary heart disease.

Coronary heart disease is a disease in which atherosclerotic plaques occur in the coronary arteries, which are responsible for feeding the heart, causing coronary arteries to rupture, bleeding or thrombosis, causing cardiac ischemia and even necrosis. In general, the typical symptoms of coronary heart disease are retrosternal squeezing pain, or a feeling of tightness and heaviness.

Diabetic patients suffering from coronary heart disease are first of all "high incidence and low age", the incidence of coronary heart disease in diabetic patients is very high, more than seventy percent of diabetic patients will be complicated by coronary heart disease, and the occurrence time of cardiovascular disease in diabetic patients is earlier than that of non-diabetic patients; The second is "equality between men and women", for ordinary people, the chance of women suffering from cardiovascular disease is lower than that of men, but after diabetes, this cardiovascular protective effect of women disappears, and the chance of women suffering from cardiovascular disease is greatly increased and no less than that of men; Finally, "atypical", because diabetic patients often have neuropathy, dull pain sensation, 1 3 patients do not have the typical manifestations of chest pain during acute attacks, which is not easy to associate with coronary heart disease, thus delaying the condition.

The key to diabetes** is to ensure the stability of blood sugar and prevent the appearance of high blood sugar and low blood sugar. For diabetic patients, it may be generally believed that the lower the blood sugar, the better, but experts point out that the harm caused by hypoglycemia in diabetic patients has little understanding of the harm of hypoglycemia. Experts point out that even if some patients' blood sugar fluctuates within the normal range, they will take various ways to lower blood sugar, such as taking a large amount of medication and taking insulin, resulting in low blood sugar and often coma.

Here, experts remind that under certain circumstances, hypoglycemia is more terrible than diabetes. Experts pointed out that "diabetes is characterized by high blood sugar, and the current concept of blood sugar control is to reduce high blood sugar, prevent low blood sugar, and reduce blood sugar fluctuations."

Jing Danqing said that in recent years, medical evidence has shown that when diabetes mellitus, especially in elderly diabetic patients, and serious complications, hypoglycemic control is higher than that of patients with average blood glucose. This may be due to the predisposition to hypoglycemia when patients have tight glycemic control. When the body has low blood sugar, it secretes hormones such as adrenaline to raise blood sugar, but these hormones also cause blood vessels to constrict while raising blood sugar.

Elderly patients generally have symptoms such as atherosclerosis, vascular stenosis, and insufficient blood supply to important organs such as the heart and brain. When hypoglycemia occurs, the blood vessels further constrict on the basis of the previous narrowing, which may induce cardiovascular and cerebrovascular infarction and be life-threatening. Diabetes experts pointed out that in order to prevent hypoglycemia, diabetic patients should develop the habit of regularly monitoring blood sugar in their daily life, such as recent regular life, without adjusting drugs and ** regimens, and monitoring blood sugar at least twice a week; If glucose-lowering drugs have been adjusted recently, blood glucose should be measured more frequently.

Hypoglycemia at night is often very dangerous, and some people may even lose their lives in their sleep due to hypoglycemia, so it is necessary to pay special attention to blood sugar before going to bed and around 2 o'clock in the middle of the night. If there is a change in lifestyle habits, or if you feel unwell due to other reasons, you should also increase the frequency of blood glucose monitoring, pay attention to whether the blood sugar is high or low at this time, and adjust the application of hypoglycemic drugs in time to avoid serious dangers of low or high blood sugar. At the same time, clinical investigations have found that many elderly patients have the habit of taking health care products, and some health care products are not labeled but contain ingredients of hypoglycemic drugs, and hypoglycemia will occur after taking them.

Therefore, when taking health supplements, it is not only necessary to choose products from regular manufacturers, but also to consult a doctor whether they can be taken. Blood sugar refers to the concentration of glucose in the blood, which is an important substance for increasing the body's energy generation, 90% of which is needed by the brain. When hypoglycemia occurs, the body lacks sugar to provide energy, and many metabolic activities are inhibited, especially when severe hypoglycemia occurs and is not corrected in time, the brain will cause permanent nervous system damage or even death due to the lack of sugar to provide energy.

The above content is the introduction of the lower the blood sugar in diabetics, I hope it can bring you some help, I wish you a happy life.

Prevention of diabetes mellitus combined with coronary heart disease: Diabetes is a polygenic genetic disease, and the occurrence of coronary heart disease is also closely related to heredity, therefore, establishing healthy lifestyle habits is the best preventive measure, paying attention to dietary rationalization, avoiding overeating, and avoiding excessive emotional tension or excitement.

Diabetes mellitus is a systemic metabolic disorder that is prone to coronary heart disease, which has been recognized by scholars at home and abroad. According to the analysis of 1,000 diabetic patients in the 20 years from 1958 to 1977, 380 of them were combined with coronary heart disease, accounting for 38, which is far higher than the incidence rate of the natural population in China's census. Framingham's 20-year study of 5,209 people aged 36 to 62 years showed that the incidence of cardiovascular disease in diabetic patients, regardless of gender, and different age groups, was higher in the diabetic group than in the non-diabetic group. After adjusting for age and controlling the susceptible factors such as blood pressure, smoking, and cholesterol to coronary heart disease, the total mortality rate of coronary heart disease, thrombotic cerebral infarction, and cardiovascular disease showed that the total mortality rate of male diabetic patients was twice that of the control group, and that of female patients was three times that of the control group.

Diabetes mellitus as a risk factor for coronary heart disease, for both sexes, men have a strong risk of developing the disease, but after age adjustment and control of other risk factors of coronary heart disease, the risk of coronary heart disease in women is significantly higher than that of men, and it has even been reported that diabetes is an independent risk factor for coronary heart disease in women.

The reasons for the increased incidence of coronary heart disease in patients with diabetes are not well understood, but it is well established that diabetes predisposes to atherosclerosis. Most scholars believe that obesity, hypertension, hyperlipoproteinemia, hyperglycemia, and hyperfibrinogenemia (i.e., insulin resistance syndrome) are inextricably linked. Obesity weakens the biological role of insulin in some people, that is, these people's bodies are resistant to insulin, in order to ensure the normal level of blood sugar, pancreatic B cells must secrete several times higher than normal insulin, or even dozens of times higher, forming hyperinsulinemia, but eventually lead to an increase in blood glucose, an increase in blood triglyceride levels, a decrease in HDL-C, and an increase in plasma fibrinogen, all of which are risk factors for atherosclerosis.

At the same time, insulin itself also has the effect of promoting atherosclerosis, so oral sulfonuria hypoglycemic drugs or insulin injections can increase the level of insulin in the blood through different ways, which may further aggravate the lesions of hardened blood vessels.

In addition, when diabetic patients are complicated with coronary heart disease, some clinical symptoms of coronary heart disease appear later or are masked, which should attract the attention of clinicians. Because diabetic neuropathy can involve any part of the nervous system, especially nerve endings, when the patient's nerve endings are damaged, the pain threshold is raised, even if severe myocardial ischemia occurs, the pain is mild and atypical, and even no angina symptoms, the incidence of ** myocardial infarction is high, and there are more complications of shock, heart failure, and sudden death, and the prognosis is more serious. Therefore, diabetic patients should scientifically control blood sugar under the guidance of doctors, and regularly go to the hospital to check their hearts, and take reasonable dietary structure and physical exercise to reduce the incidence of coronary heart disease and improve the quality of life of patients.

Diabetes mellitus is a systemic metabolic disorder that can easily lead to coronary heart disease. In patients with diabetes mellitus and coronary artery disease, some clinical features of coronary artery disease appear late or are masked, which should be of more concern to clinicians. Because diabetic neuropathy can affect any part of the nervous system, especially nerve endings, when the patient's nerve endings are damaged, the pain threshold is raised, even if severe myocardial ischemia occurs, the pain is mild, and even there are no angina symptoms, the incidence of ** myocardial infarction is high, and the complications of shock, heart failure, and sudden death are also more, and the prognosis is more serious.

Therefore, diabetic patients should go to the hospital regularly for heart check-ups, and take reasonable diet and physical exercise to reduce the incidence of coronary heart disease and improve the quality of life of patients.

Diabetes itself is not terrible, what is terrible is its various complications, many diabetic patients have complications first to the hospital for examination, only to find diabetes. Diabetes complications can involve almost every system and tissue of the human body, if the blood sugar is too high will affect the heart will cause coronary heart disease, affect the brain will cause cerebral infarction, affect the eyes will cause ocular lesions, affect the nerves will cause peripheral neuropathy, affect the lower limbs will cause lower limb vascular lesions, affect the kidneys will cause diabetic nephropathy, proteinuria, hematuria, these are chronic complications of diabetes. If diabetes worsens dramatically, diabetic ketoacidosis may be caused by nausea, vomiting, abdominal pain, dehydration, and coma.

Recommendation: Both blood sugar control and **.

Including lifestyle improvement, diet ** (diet ** is very important, to control the diet, especially to control the total calories, eat less high-calorie food), appropriate exercise (exercise can lower blood sugar, lower blood lipids, lower blood pressure. Stick to exercise such as walking, doing exercises, etc. Exercise should be increased gradually, without excessive fatigue), and medications**.

Do not stop the drug or increase the dose abruptly while taking the drug. It can be dangerous and can be life-threatening in severe cases.

However, regardless of the means, long-term monitoring and the development of good lifestyle habits are particularly important. Based on your condition, I sincerely recommend a comprehensive diabetes treatment app, called Sugar Youbao, you can ** this app.