Vein Institute of NJ Blog

Diabetes and Vascular Disease: Do You Know the Connection?

Written by Dr. Scott Sundick, MD, FACS | Mar 30, 2023 3:44:56 PM

Diabetes is a chronic disease that affects millions of people around the world. It is characterized by high levels of glucose (sugar) in the blood due to the body's inability to produce or properly use insulin, a hormone that regulates blood sugar levels. Unfortunately, diabetes is often linked to vascular diseases, which can lead to serious complications and even death.

Vascular diseases are conditions that affect the blood vessels, including arteries, veins, and capillaries. These conditions can range from mild to severe and can affect different parts of the body, including the heart, brain, kidneys, and legs. Some of the most common vascular diseases that are linked to diabetes include:

  1. Atherosclerosis: Atherosclerosis is a condition in which the arteries become narrow and hardened due to the buildup of plaque, a waxy substance made of fat, cholesterol, and other substances. This can lead to reduced blood flow and oxygen to the heart, brain, and other organs, increasing the risk of heart attack, stroke, and other complications.

  2. Peripheral arterial disease (PAD): PAD is a condition in which the arteries in the legs and feet become narrow and blocked, leading to reduced blood flow and oxygen to these areas. This can cause pain, numbness, and tingling in the legs and feet, and in severe cases, gangrene (tissue death).

  3. Diabetic retinopathy: Diabetic retinopathy is a condition in which the blood vessels in the retina (the part of the eye that detects light and sends signals to the brain) become damaged due to high blood sugar levels. This can lead to vision loss and blindness if left untreated.

  4. Diabetic nephropathy: Diabetic nephropathy is a condition in which the kidneys become damaged due to high blood sugar levels. This can lead to kidney failure and the need for dialysis or a kidney transplant.

The link between diabetes and vascular diseases is complex. Some of the factors that contribute to this link include:

  1. High blood sugar levels: High blood sugar levels can damage the walls of the blood vessels and make them more susceptible to plaque buildup and other forms of damage.

  2. Inflammation: Diabetes can cause inflammation throughout the body, including in the blood vessels. This can contribute to the development of plaque buildup and other forms of damage.

  3. Insulin resistance: Insulin resistance is a condition in which the body's cells become less responsive to insulin, making it harder for glucose to enter the cells and be used for energy. This can lead to high blood sugar levels and other metabolic changes that increase the risk of vascular diseases.

  4. High blood pressure: Diabetes can increase the risk of high blood pressure, which can damage the blood vessels and increase the risk of atherosclerosis, PAD, and other vascular diseases.

Managing diabetes and preventing vascular diseases requires a comprehensive approach that includes:

  1. Controlling blood sugar levels: Keeping blood sugar levels within a healthy range can help reduce the risk of vascular diseases and other complications of diabetes. This can be achieved through diet, exercise, medication, and regular monitoring of blood sugar levels.

  2. Managing blood pressure and cholesterol: Controlling blood pressure and cholesterol levels can help reduce the risk of atherosclerosis and other vascular diseases. This can be achieved through diet, exercise, medication, and regular monitoring of blood pressure and cholesterol levels.

  3. Quitting smoking: Smoking is a major risk factor for vascular diseases, and quitting smoking can help reduce the risk of these conditions.

  4. Regular check-ups and screenings: Regular check-ups and screenings can help detect early signs of vascular diseases and other complications of diabetes, allowing for early intervention and treatment.

As always, regular medical exams and staying aware of changes or new conditions in your body is important to your overall health. Contact us today and consult with one of our leading vascular physicians.