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5 ways to protect your heart when you have diabetes

Keep your heart healthy with these diabetes-friendly lifestyle changes.

Jan 30, 2026
Home page>Endocrinology>Diabetes>5 ways to protect your heart when you have diabetes
Written byChristina Donnelly
Medically reviewedbyMark Arredondo, MDin June 2024
Slide 1
Eat a well-balanced diet
Maintain a healthy weight
Move every day
Kick the tobacco habit
Know your numbers
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If you’ve been diagnosed with diabetes, it’s vital to take steps to protect your heart health. In fact, people with type 1 or type 2 diabetes have such a greater risk of heart disease, there’s a name for it: diabetic heart disease (DHD), also known as diabetic cardiomyopathy.

For example, women with type 1 or type 2 diabetes are up to five times more likely to have heart failure, according to a 2020 article published in Circulation Research, while men are more than twice as likely. People with diabetes are also more likely to develop heart issues at a younger age and more likely to die from a cardiovascular-related event, like a heart attack or stroke.

To protect your heart when you have diabetes, it is important to monitor your blood sugar levels, adhere to your prescriptions or other medical treatments, and maintain a healthy weight. Weight management is particularly important if you have extra pounds around your stomach—a known risk factor for heart disease.

Fortunately, certain lifestyle changes can help lower your blood sugar levels, your risk of developing DHD, and your chances of associated issues, such as heart attack and stroke. Not sure where to begin? These lifestyle tips are a good place to start.

Sources (15)
  1. Ritchie R & Abel D. Basic Mechanisms of Diabetic Heart Disease. Circulation Research. May 21, 2020. 126; 1501-1525.
  2. Centers for Disease Control and Prevention. Diabetes and Your Heart. Page last updated June 20, 2022.
  3. American Heart Association. Too much belly fat, even for people with a healthy BMI, raises heart risk. Page last updated April 22, 2021.
  4. American Diabetes Association. Fats. Page accessed on August 2, 2022.
  5. Centers for Disease Control and Prevention. Fiber: The Carb That Helps You Manage Diabetes. Page last updated June 20, 2022.
  6. American Diabetes Association. Extra Weight, Extra Risk. Page accessed August 2, 2022.
  7. Cleveland Clinic. Diabesity: How Obesity Is Related to Diabetes. November 8, 2021.
  8. Centers for Disease Control and Prevention. How much physical activity do adults need? Page last reviewed June 2, 2022.
  9. Lakehi S, et al. Short-term physical inactivity induces diacylglycerol accumulation and insulin resistance in muscle via lipin1 activation. Endocrinology and Metabolism. December 3, 2021. 321.
  10. Centers for Disease Control and Prevention. Smoking and Diabetes. Page last updated May 5, 2022.
  11. Mayo Clinic. Diabetes care: 10 ways to avoid complications. Page last updated January 29, 2022.
  12. USDA. Dietary Guidelines for Americans: 2020-2025. December 2020.
  13. Harvard TH Chan School of Public Health. Whole Grains. Accessed August 17, 2022.
  14. Hollis JF, Gullion CM, et al. Weight Loss Maintenance Trial Research Group. Weight loss during the intensive intervention phase of the weight-loss maintenance trial. Am J Prev Med. 2008 Aug;35(2):118-26.
  15. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.
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