The reasons why women with diabetes are more likely to have fatal coronary heart disease can be analysed in many ways. The following are four main reasons:
After the menopause, the level of estrogen decreased significantly, which increases the risk of coronary heart disease. The estrogen improves the aneurological elasticity and inhibits the formation and development of plaque sclerosis. As a result, coronary heart disease is more prevalent among women after menopause. In addition, metabolic disorders among diabetes patients are generally more severe than among men, which further increases the risk of coronary heart disease among women.
Diabetes women often face higher levels of cardiovascular risk factors, including hypertension, high cholesterol, obesity and lack of exercise. These factors combine to place diabetic women at a significantly higher risk of cardiovascular disease than men. For example, high cholesterol levels and obesity are more prevalent among diabetic women, and there has been a sharp increase in cholesterol levels during the circumpolar period, increasing the risk of myocardial infarction.
Historically, women have often been disadvantaged in the diagnosis of diabetes and the treatment of cardiovascular diseases. Diabetes diabetic women are less likely than men to reach the recommended risk factor target, which may be related to inadequate treatment. In addition, diabetes diabetic women are more likely to suffer from “silent” myocardial infarction, i.e., less visible symptoms, leading to delays in diagnosis and treatment. This difference in treatment and delay in diagnosis further increases the risk of death from coronary heart disease among women.
The high incidence of inflammation among diabetic women may be one of the reasons for their increased vulnerability to heart problems. Long-term high blood sugar can impair the function of the whole microvascular system, weaken the veins and increase the risk of myocardial infarction. In addition, intestinal tumour disorders among diabetic women may be one of the reasons for the high incidence of coronary heart disease, with a decrease in the number of positive and harmful bacteria, leading to a deterioration of the overall health situation.
Female diabetics are more likely to suffer from fatal coronary diseases due to a combination of metabolic disorders, changes in estrogen levels, worsening cardiovascular risk factors, differences in treatment and systemic inflammation. The interplay of these factors makes it necessary for women to pay greater attention to cardiovascular health management and preventive measures in the face of diabetes.
