Un adulte sur onze souffre de diabète. Et la moitié d’entre eux ne sont toujours pas diagnostiqués. Ce sont des données de la neuvième édition de l’Atlas du diabète de la Fédération internationale du diabète, et indiquent que cet important facteur de risque cardiovasculaire continue de croître dans notre société. Cependant, il existe différentes actions que nous pouvons prendre pour la prévenir ou, si elle est déjà subie, contrôler la glycémie. Une tâche essentielle si l’on veut réduire les risques de souffrir de maladies cardiovasculaires.
Mais comment diagnostique-t-on le diabète de type 2 ? La sonnette d’alarme est donnée par des analyses de sang. Lorsque dans au moins deux tests la glycémie à jeun dépasse 126 mg/dl, le médecin déterminera que nous sommes diabétiques. Et cela signifie que, si nous ne le contrôlons pas bien en maintenant la glycémie aux valeurs recommandées, nous pouvons avoir des problèmes cardiovasculaires. Concrètement, la possibilité d’en souffrir est doublée. La raison en est que le sucre colle aux parois des artères, provoquant l’athérosclérose. Il peut également affecter directement le muscle cardiaque, provoquant une insuffisance cardiaque.
Au contraire, avec un bon contrôle du taux de sucre et des autres facteurs de risque cardiovasculaire, nous aurons le même risque cardiovasculaire qu’une personne sans diabète. Cela a été démontré par l’étude Facteurs de risque, mortalité et résultats cardiovasculaires chez les patients atteints de diabète de type 2 publiée dans le New England Journal of Medicine. Dans celui-ci, il a été constaté qu’en écartant tous les facteurs de risque chez un patient diabétique – diabète lui-même, hypertension, taux de cholestérol élevé, tabac… – après six ans son risque cardiovasculaire était exactement le même que celui du diabète général.
La population afin de contrôler le diabète, ainsi que le reste des facteurs de risque, il existe une stratégie de base : suivre des routines saines pour le cœur, qui se traduisent par un régime basé sur le régime méditerranéen, faire de l’exercice physique si possible quotidiennement et éviter le tabac, en plus de prendre les médicaments prescrits si nécessaire.
Cependant, la meilleure façon de se protéger contre le diabète est de l’empêcher de se développer. Et pour cela, encore une fois, le mode de vie sain est le meilleur outil. En effet, l’obésité et la sédentarité sont les principales causes du diabète sucré de type 2 : entre 50 et 80 % des diabétiques sont obèses, et la raison en est qu’en accumulant de la graisse qui se répartit autour des organes, cela provoque la sécrétion d’insuline dans le foie à diminuer et les tissus à y être plus résistants. « Pour cette raison, si vous êtes prédiabétique, vous devez perdre du poids. C’est essentiel ».
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