It was shaping up to be a typical day for Ruby Hope, 57, when she stepped out for a walk around her neighborhood
in St. Petersburg, Florida. Hope, who has type; 1 diabetes, suddenly found that she had trouble walking even a block
from her house. “I had a pain in my wrist, a little bit of shortness of breath, and an overwhelming feeling of doom,”
she says. The next day, she went to see her primary care doctor, who immediately sent her to the emergency room.
“Come to find out I had [had] a heart attack,” says Hope, who now works to raise awareness around heart attack
and stroke risks in women.
Your doctor will want to ;nd the right mix of
medications for you. Darren McGuire, MD, MHSc,
a member of the National Cardiovascular Data
Registry and Diabetes Collaborative Registry
executive steering committee, says researchers
involved in large clinical trials have learned
that some type; 2 diabetes drugs protect against
inhibitor empagli;ozin and GLP- 1 agonists
liraglutide and semaglutide. In one study of
patients with prediabetes, pioglitazone, a drug in
the thiazolidinedione class, reduced heart attacks
in people with stroke.
Certain drugs used for cardiovascular health
may have an effect on glucose management.
Statins, for instance, bring down high cholesterol,
but they’ve been shown to increase blood glucose,
McGuire says. Usually the heart bene;ts make
taking statins worth it—you and your doctor can
adjust your diabetes medications, if needed.
Medications used for high blood pressure, such
as thiazide diuretics and select beta blockers, can
raise blood glucose, while ACE inhibitors, also
used for blood pressure, may create an insulin-sensitizing effect. Your doctor will work with you
to ;nd a medication and lifestyle regimen that
keeps your heart healthy and your glucose in
DAY BY DAY
It’s natural to feel overwhelmed with a new
diagnosis. Give yourself time to adjust and
process,” says McAuliffe-Fogarty.
As for Wayne Bottlick, he’s now cancer free.
He has short-term memory loss, though, which
has affected his ability to work and manage his
diabetes. He’s lost the knack for quick calculations
when counting carbs and dosing insulin, but he
has learned a few tricks to overcome this: He
records every meal, insulin dose, and glucose
check to help guide his decisions. “I go over the
logs for the last two weeks before deciding how
much [insulin] I should use,” he says. This system
works well for Bottick, who says he’s learned to
take one day at a time. “You just keep moving
forward,” he says.