The Established Link Between Diabetes and Cardiovascular Disease
The ADA Standards of Care in Diabetes (2024) state that chronic hyperglycemia contributes to both microvascular and macrovascular damage. This includes:
Damage to small blood vessels (microvascular complications such as neuropathy)
Damage to larger arteries (macrovascular disease such as coronary artery disease and peripheral artery disease)
Similarly, the AHA Scientific Statement on Cardiovascular Disease in Diabetes explains that diabetes accelerates atherosclerosis — the buildup of plaque inside arteries — increasing the risk of heart attack, stroke, and peripheral artery disease (PAD).
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