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Type 2 diabetes and heart disease prevention: what you need to know

Key takeaways from this article

  • Living with type 2 diabetes means protecting your heart health becomes even more important – high blood sugar over time can increase your risk of cardiovascular disease, including stroke and heart failure1,2.
  • Conditions like atherosclerosis and ASCVD can develop quietly, but understanding the connection between diabetes and your heart disease risk can help you feel more confident and in control3.
  • Simple, everyday health steps, like eating well, staying active, and managing stress, support your overall wellbeing and help with diabetes complications prevention.

When you’re living with type 2 diabetes, your heart health becomes even more important. It’s natural to feel concerned about your risk of heart disease, but understanding the connection can help you feel more confident and in control. Knowing what you can do to prevent heart disease makes all the difference.

On this page, you will find information on why heart health matters if you’re living with type 2 diabetes, and simple habits that protect your heart and help manage your overall wellbeing. Don’t forget, your cardiovascular system, nervous system and metabolism are interconnected – so caring for one helps care for them all.

How are heart disease and type 2 diabetes connected?

Type 2 diabetes affects more than just blood sugar. It can also have a significant impact on your heart and blood vessels. Cardiovascular disease is a leading cause of death for people with type 2 diabetes – that’s why understanding how to prevent diabetes complications and looking after your heart health are so important4.

Let’s discuss why:

Understanding Atherosclerosis

When blood sugar levels stay high over time, they can damage the blood vessels and nerves that control your heart5. This damage makes it easier for fats, cholesterol and other substances to build up in your arteries, creating what’s called plaque. This process, known as atherosclerosis, narrows your arteries and restricts blood flow, increasing your risk of heart attack and stroke5.

Additional risk factors

Additionally, about two-thirds of people with type 2 diabetes have high blood pressure, which further increases the risk of cardiovascular disease6. Diabetes is also linked to a higher risk of developing atrial fibrillation, a condition where the heart beats irregularly or too fast. This means your risk of heart disease is higher, including blood clots, stroke and heart failure1,7. Learn more about cardiovascular disease and type 2 diabetes here

What is ASCVD and how does it develop?

Atherosclerotic cardiovascular disease (ASCVD) is a condition that affects blood flow to your heart and other vital organs. It develops when fatty deposits gradually build up in your artery walls, forming plaques that narrow the blood vessels3,8.

This build-up happens quietly over time, often without any symptoms. As the arteries become narrower, your heart has to work harder to pump blood, and the risk of a heart attack or stroke increases significantly3. Learn more about ASCVD here.

How can heart disease affect your health?

Heart disease can impact your life in various ways, depending on which part of your cardiovascular system is affected. It may cause6,9:

  • chest pain or discomfort
  • shortness of breath during daily activities
  • fatigue and reduced energy levels
  • irregular heartbeat patterns
  • a reduced ability to exercise or be active.

For people with type 2 diabetes, heart disease can also make it more challenging to manage blood sugar levels effectively. But remember, many of these risks can be significantly reduced with the right daily habits and medical care6,10.

Everyday heart-smart habits

The good news is that simple, manageable changes can help prevent diabetes complications, such as heart disease and stroke, protecting your heart and helping you feel your best2. Here are some tips to look after your heart health2,6,11:

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  • Eat for your heart – choose foods rich in fibre, healthy fats and lean protein while reducing salt intake
  • Move regularly – even 30 minutes of moderate activity most days can help improve heart health and reduce your risk of heart disease
  • Stay hydrated – drinking enough water supports healthy blood pressure and circulation
  • Stop smoking and limit alcohol – these are key steps in lowering your heart disease risk
  • Manage stress – find ways to relax through walking, breathing exercises or hobbies you enjoy, as long-term stress can negatively affect your heart health
  • Take your diabetes medication – as prescribed and manage your blood sugar by regularly monitoring it

Most importantly, always speak with your healthcare professional before making changes to your routine or medications. They can help personalise your approach based on your specific risk factors and health goals.

Ready to make small changes that can make a big difference for your heart health? Download our diabetes heart protection guide: evidence-based strategies to prevent heart disease and live longer with diabetes

Learn more about how diabetes impacts your body

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Type 2 diabetes and stroke prevention: reduce your risk

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Type 2 diabetes: why blood sugar management matters

If you’re living with type 2 diabetes, you’ve probably heard a lot about changes in your blood sugar. But you may have wondered what it really means for your day-to-day health, and why it matters so much.

Is type 2 diabetes putting you at risk of heart disease?
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Is type 2 diabetes putting you at risk of heart disease?

If you have read this blog post, you will know of the connection between type 2 diabetes and heart disease. Doctors may not know everything about type 2 diabetes – including how to cure it – but they do know how to treat the symptoms effectively.

How to lower your heart disease risk
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How to lower your heart disease risk

Managing your type 2 diabetes can also lower your risk of heart disease. Learn what you can do for both.

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Change can be hard, and taking the first step the biggest challenge of all, but the health and lifestyle benefits will be worth it both in the short and long term.

Tips for monitoring blood sugar levels

Tips for monitoring blood sugar levels

Learn how routine, strict recording methods, accurate readings and being vigilant can help keep track of your blood sugar levels.

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Reference
  1. Sun Y, Hu D. The link between diabetes and atrial fibrillation: cause or correlation? J Cardiovasc Dis Res. 2010;1:10-11.
  2. British Heart Foundation. Understanding your heart health. Available at: https://www.bhf.org.uk/-/media/files/information-and-support/publications/healthy-eating-and-drinking/understanding-your-heart-health-his4a6-0624.pdf?rev=36b7e5904cee4511b3a182ae468ce71f. Last accessed: August 2025.
  3. Cleveland Clinic. Atherosclerosis. Available at: https://my.clevelandclinic.org/health/diseases/16753-atherosclerosis-arterial-disease. Last accessed: August 2025.
  4. World Health Organisation. Cardiovascular diseases. Available at: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Last accessed: August 2025.
  5. Zakir M, Ahuja N, Surksha MA, et al. Cardiovascular Complications of Diabetes: From Microvascular to Macrovascular Pathways. Cureus. 2023;15:e45835.
  6. Diabetes UK. Diabetes and Heart Disease. Available at: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/complications/cardiovascular-disease. Last accessed: August 2025.
  7. British Heart Foundation. Atrial fibrillation (AF). Available at: https://www.bhf.org.uk/informationsupport/conditions/atrial-fibrillation. Last accessed: August 2025.
  8. American Heart Association. What is Atherosclerosis? Available at: https://www.heart.org/en/health-topics/cholesterol/about-cholesterol/atherosclerosis. Last accessed: August 2025.
  9. Mayo Clinic. Heart disease. Available at: https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118. Last accessed: August 2025.
  10. CDC (U.S. Centers for Disease Control and Prevention). Diabetes and Your Heart. Available at: https://www.cdc.gov/diabetes/diabetes-complications/diabetes-and-your-heart.html. Last accessed: August 2025.
  11. Diabetes UK. 10 Tips for Healthy Eating with Diabetes. Available at: https://www.diabetes.org.uk/living-with-diabetes/eating/10-ways-to-eat-well-with-diabetes. Last accessed: August 2025.