Compliance with medications & follow-ups is critical.
Even “good stents” (DES ) can fail if diabetes is uncontrolled.
Safdarjung Hospital’s cardiology dept. is excellent—stay in touch with them.
1. Strict blood sugar control (keep HbA1c <7) 2.Dual antiplatelet therapy (may already in your proscription) 3. Aggress cholesterol management ( higher dose statins) 4. Blood pressure control 5. Diet -> low Glycemic Index food ,avoid trans fat, refined sugar, excess salt, Quit smoking and alcohol if any 6. Exercise 30-45 min ( walking or cycling) , avoid heavy weight lifting. 7. Regular Cardiac follow up ( Echo/ TMT/ Stress test , CBC, RFT
If have any further queries feel free to enquire With regards
After undergoing angioplasty with stent placement, especially when managing type 2 diabetes, there are several important precautions to help prevent plaque formation at or near the stent site. Managing your blood glucose levels is crucial, as high glucose can promote plaque formation. Aim to keep your HbA1c levels below 7.0% as recommended for most diabetic patients, though your doctor may have specific targets tailored for you. Regularly monitor and adjust your diet to maintain good blood sugar control, focusing on low glycemic index foods and fiber-rich meals. Adhering to any prescribed diabetes medications, whether oral or insulin, is critical and may require frequent check-ins with your healthcare provider to ensure optimal dosing.
It’s also essential to closely manage other cardiovascular risk factors. Keep your blood pressure under control, ideally aiming for a target less than 140/90 mmHg, although your doctor might recommend different limits based on your overall risk profile. Maintaining a healthy cholesterol level, especially LDL cholesterol below 70 mg/dL, is advisable, usually with the aid of statins or other lipid-lowering medications. Adhering to antiplatelet therapy, such as aspirin or clopidogrel, as prescribed, is vital to reduce the risk of stent thrombosis. Avoid smoking and limit alcohol intake as both can exacerbate cardiovascular disease.
Incorporating regular moderate exercise into your routine, with your doctor’s clearance, can improve your cardiovascular health. Aim for at least 150 minutes of activity per week. Regular follow-up appointments to monitor the condition of your stents and overall heart health are important, as well as managing stress, perhaps through techniques like meditation or yoga. Pay close attention to any new symptoms such as chest pain, shortness of breath, or unexplained fatigue, and seek medical attention if they occur promptly.
