People with diabetes are 2 – 3 times more likely to have heart disease than others. This is because diabetes can damage the blood vessels of many of our organs, causing them to be clogged up. Persistently high blood pressure has similar effects on our blood vessels. If someone has both diabetes and high blood pressure, the ill effects on the blood vessels are additive and hasten the progression of heart disease.
Although the main concern of someone with diabetes is managing their blood sugar levels – it is equally, if not more, important to keep blood pressure in check. This will significantly reduce the risk.
When you get a blood pressure reading (either at home or at your doctor’s), you actually get 2 numbers – for example, 130/80 or 150/90. Many people do not know what these two numbers represent, only ‘the lower, the better’.
To understand this better, here’s a crash course on how your heart works:
Each time you visit your doctor or diabetes care nurse, you should ask them to check your blood pressure. It takes less than 2 minutes and is painless. Our blood pressure can fluctuate quite a bit depending on the time of the day, whether we were doing any physical activity earlier, our moods etc. Hence if you have a high reading, your doctor will often ask you to return several weeks later to re-check.
Nowadays, it is relatively cheap to have your own blood pressure monitoring device at home (<$100). All you need to do is wrap your arm in the cuff, and press the start button. The machine will automatically inflate and deflate the cuff and output a reading of your blood pressure.
Today, blood pressure monitors are very precise! Here are some tips to ensure an accurate reading:
So now that you know what blood pressure is all about, how do I keep it within normal range, you ask?
The good news is that many of the same lifestyle habits that keep your blood glucose in good control can also positively affect your blood pressure, and even your cholesterol levels. Talk about killing 3 birds with one stone!
Reducing the amount of salt in your diet is one of the most important steps you can do to keep your blood pressure in control. A specific kind of diet, called the DASH (Dietary Approaches to Stop Hypertension) diet, has been scientifically proven to lower blood pressure. This diet involves eating more fruits and vegetables, reducing the amount of food which are high in saturated or trans fat, and eating more whole-grain foods, fish, poultry and nuts.
You can find out more about the DASH diet . (It’s ranked #1 in ‘Best diets overall’)
Studies have shown that being more physically active can lower your systolic blood pressure by an average of 4 – 9 mmHg. That’s a big deal, and just as effective as some blood pressure medications. One caveat – You do have to keep exercising regularly in order to benefit for the long-term, so start making it a habit!
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