About 80% of people with type 2 diabetes develop heart or blood vessel issues, including coronary artery disease, stroke, and peripheral arterial disease. 

Leading Cause of Diabetes-Related Death

Circulatory issues are the leading cause of death in people with diabetes, responsible for about 65% of deaths.

  • Widespread Effects

    Diabetes can also affect smaller blood vessels and cause issues like retinopathy (and possible vision loss), nerve damage (neuropathy) in your feet and legs, and nephropathy which can damage the kidneys. 

Causes

The main cause of circulatory complications in type 2 diabetes is high blood sugar. When your blood sugar remains high for too long, it can damage your blood vessels by causing: 

Inflammation

Swelling and inflammation thickens blood vessel walls. They become less flexible, so it is harder for blood to flow through.

Plaque Buildup

Having too much sugar in the blood can cause fat and other substances to build up on the walls of your blood vessels. This forms plaque, which blocks blood flow.

Increased Blood Pressure

High blood pressure puts even more strain on your blood vessels, making them weaker.

symptoms

The symptoms of type 2 diabetes with circulatory complications will depend on which part of your body is affected. Some common symptoms include:

Numbness or Tingling in Fingers & Toes

If the blood vessels in your legs or arms are affected, you might feel numbness or tingling because your limbs aren’t getting the oxygen they need. 

Slow Wound Healing

If you get a sore or cut that heals more slowly than usual, it can be because blood isn’t flowing to the injury to help it heal.

Swelling in Legs & Feet

Poor circulation can cause fluid to build up in your legs and feet, making them swollen.

Chest Pain & Shortness of Breath

If the blood vessels in your heart are affected, you might feel chest pain or have difficulty breathing, especially during exercise. 

Blurred Vision

Damage to the blood vessels in your eyes can lead to blurred vision or vision loss.

Cold Hands & Feet

If blood flow to your extremities is limited, they may feel cold to the touch.

DiagnosIs

People with diabetes are monitored with a combination of one or more of the following tests.

Doctor diagnoses
  • Blood Sugar Testing

    Your provider will regularly check your fasting blood sugar and/or A1c, which shows your average blood sugar level over the past two to three months.

  • Blood Pressure

    Your provider will check your blood pressure regularly.

  • Cholesterol Panel

    People with diabetes are at an increased risk for high cholesterol, so you will get your levels checked regularly.

  • Foot Exam

    Your provider will check your feet for signs of poor circulation like numbness or sores that don’t heal.

  • Eye Exam

    It’s important to get routine diabetic eye exams. Innovista providers are able to check your eyes and if more care is needed, they will refer you to a specialist.

Treatment

If you have circulatory complications from type 2 diabetes, your provider will focus on controlling your blood sugar, improving blood flow, and stopping further damage to blood vessels.

How We Can Help

At each of your checkups, your provider will monitor your blood sugar levels and may partner with one of our care coaches to create a personalized care plan for you. Our team will make sure you have the information and tools you need to manage your blood sugar and prevent complications.

For more specialized care, your provider may refer you to a cardiologist, endocrinologist, or nephrologist. Your care team will work closely with these specialists to develop a plan that focuses on your specific needs.

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