In Latin America, 52 million have cardiovascular risk due to diabetes • El Nuevo Diario



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Just over 52 million people in Latin America are at risk for a cardiovascular event due to diabetes, of which 11 million are Mexicans, said Efe Cristóbal Morales, a specialist at Virgen Macarena University Hospital in Seville, Spain.

"The risk of cardiovascular disease and mortality is 2 to 6 times greater in people with diabetes, which means that 85% of patients with this disease are at risk for a cardiovascular event," said the expert in an interview.

Deaths from diabetes double

Diabetes, said the Spanish expert, is considered the major global epidemic and it is expected that by 2045 numbers double if there are no measures in this regard. Currently in Latin America, there are 62 million people with diabetes, while in Mexico it is estimated that 13 million people are affected by this disease.

Macrovascular complications are the cause of cardiovascular diseases, such as heart attacks, strokes, and circulatory failure in the lower limbs.

"If this trend continues, in a few decades Mexico will have about 22 million people living with diabetes," said the head of the Cardiovascular Risk Factors Unit and Diabetes Mellitus at the Virgen Macarena University Hospital in Seville.

During his recent visit to Mexico, where the International Congress of the Mexican Society of Nutrition and Endocrinology participated in LVIII, Morales told Efe by phone that this disease has exploded due to obesity.

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"90% of diabetes cases are related to this problem and this has increased the numbers of this pathology that is very much associated with cardiovascular disease," he said. Diabetes is a condition in which blood glucose is at a high level.

Macrovascular complications are the cause of cardiovascular diseases, such as heart attacks, strokes, and circulatory failure in the lower limbs.

This is because the body does not make or use insulin properly, a hormone that helps cells turn glucose from food into energy.

Without enough insulin, glucose stays in the blood and, over time, this excess can have serious complications. Although there is a genetic component that influences the development of diabetes, environmental factors, lifestyles, diet and exercise are factors that can trigger the onset of this condition.

The problem, said Morales, is that not having good disease control leads to complications ranging from a heart attack to limb amputations. This is because with diabetes occurs an inflammatory state of the body, which leads to injury of blood vessels.

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Microvascular complications manifest in ocular lesions (retinopathy), leading to blindness; kidney damage (nephropathy) that end in kidney failure and nerve damage that causes impotence and diabetic foot.

Macrovascular complications are the cause of cardiovascular diseases, such as heart attacks, strokes, and circulatory failure in the lower limbs.

Macrovascular complications are the cause of cardiovascular diseases, such as heart attacks, strokes, and circulatory failure in the lower limbs.

"The good news is that we can change the evolution of diabetes with early diagnosis and comprehensive treatment not only diabetes, but obesity and other risk factors such as hypertension, high cholesterol and smoking," he said.

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In addition, he stressed, today people suffering from this disease have more advantages because there are medicines that help prevent the complications associated with diabetes. "Much progress has been made.

Today, there are better insulins that fit the patient, such as GLP-1, "said Morales, who explained that according to a study involving 20 countries, including Mexico, that insulin reduced the number of severe hypoglycemia by 40%. and in 53% the number of severe nocturnal hypoglycaemia, thus reducing the risk of cardiovascular events.

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