How Your Diabetes Can Mask Heart Disease — Or a Heart Attack
Nerve damage can dull the symptoms of heart attack in people with diabetes. Find out what to look for and how to be proactive about your heart health.
By Sue Cotey, RN, CDE, and Andrea Harris, RN, CDE
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If you have diabetes, you likely know that it sometimes causes neuropathy or nerve damage. But you may not realize that diabetes-related neuropathy can sometimes mask the signs of heart disease or cause you to miss important signs of a heart attack.
More than two-thirds of people with diabetes will end up having some form of neuropathy. The most common type is peripheral nerve damage, which creates numbness, tingling or weakness in the hands and feet.
But there is another, more serious type — autonomic neuropathy — that can damage the nerves that lead to your heart, bladder, intestines and blood vessels. When this occurs, the body is sometimes unable to regulate functions like urination or feel sensations like pain in these areas.
This is a double-whammy if you have diabetes. Not only are you at higher risk for neuropathy, but you’re also more likely to have heart disease. If the neuropathy dulls the nerves leading to your heart, you may not notice symptoms of heart disease such as chest pain.
Here’s what you need to know.
If you have diabetes, get in tune with your body. Learn to listen closely and act on what it’s telling you.
If you have any symptoms of a heart attack, report them to your doctor. Don’t wait to see if the pain goes away. For instance, indigestion that doesn’t pass quickly is sometimes a sign of a heart attack.
Make sure to visit your doctor for regular checkups. Annual tests can reveal a problem before symptoms occur. Early treatment can reduce the likelihood that small issues turn into larger ones.
If you have neuropathy, symptoms that might be very apparent in someone else are not as noticeable for you. Watch for any of these signs of a possible heart attack:
You can’t always avoid neuropathy, but lifestyle changes can help reduce your risk even if you have diabetes.
Keeping your blood glucose levels in a healthy range is extremely important. You can do this by maintaining a healthy weight, getting regular exercise and eating a healthy diet. Also, avoid smoking and limit your alcohol intake.
If you think you may have autonomic neuropathy, watch for these symptoms:
If you have any of these symptoms, see your doctor right away. Getting an early diagnosis and treatment can help slow nerve damage and repair problems. Treatment options for neuropathy may include:
If you have type 2 diabetes have your doctor screen annually for autonomic neuropathy. If you have type 1 diabetes, the American Diabetes Association recommends annual screenings starting five years after your diagnosis.
Read more expert advice from Sue Cotey, RN, CDE, and Andrea Harris, RN, CDE on their blog.