Fast Five Quiz: Type 2 Diabetes and Heart Failure

Romesh Khardori, MD, PhD; Yasmine S. Ali, MD


February 15, 2022

Figure 1. Heart failure, illustration.

People with diabetes may have heart failure with preserved ejection fraction (HFpEF) or with reduced ejection fraction (HFrEF). Hypertension is often a precursor of heart failure of either type of heart failure, and atherosclerotic cardiovascular disease can coexist with either type; conversely, prior myocardial infarction is frequently a key factor in HFrEF.

To prevent and manage both atherosclerotic cardiovascular disease and heart failure, cardiovascular risk factors should be systematically assessed at least once a year in all patients with diabetes. These risk factors include duration of diabetes, obesity/overweight, hypertension, dyslipidemia, smoking, a family history of premature coronary disease, chronic kidney disease, and the presence of albuminuria. Modifiable abnormal risk factors should be treated in accordance with best practices; see the 2022 American Diabetes Association (ADA) Standards of Care for detailed guidance.

Learn more about comorbid diabetes and heart failure.


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