1. Increased risk of cardiovascular disease: Diabetes has a significant impact on women ‘ s cardiovascular health, and women with diabetes have a higher risk of cardiovascular disease than men. Studies have shown that diabetic women are twice as at risk of coronary heart disease as non-diabetes women and that the risk of fatal coronary heart disease has increased significantly. In addition, myocardial infarction occurs earlier and mortality is higher among diabetic women. Biology and physiological differences: the risk of cardiovascular disease has increased significantly for women following menopause due to the decline in estrogen levels. Estrogen is protective, improving the elasticity of the artery and reducing the sclerosis of the artery. However, women with diabetes often lack this protective effect, leading to a higher incidence of coronary heart disease. 3. Disparities in treatment and management: Diabetes women are less likely than men to treat cardiovascular diseases. Studies indicate that the proportion of women receiving guidance-based treatment is lower, as in the case of coronary artery treatment (PCI) and coronary artery side transplants (CABG) the revascularization rate is lower than that of men. In addition, women are less counselled in nutrition, exercise and weight control. 4. Metabolism and inflammation factors: The high indicators of inflammation among diabetic women may explain their increased vulnerability to heart problems. High blood sugar can impair the functioning of the entire microvascular system and increase the risk of myocardial infarction. In addition, the LPIR resistance of diabetic women is an important biological marker for the prediction of coronary heart disease.
These factors work together, resulting in women diabetics facing higher risks and worse projections of coronary heart disease. Therefore, prevention and treatment strategies for women with diabetes need to pay special attention to these gender-specific risk factors and management differences.