To prevent heart disease in diabetics, which actions are recommended?

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Managing heart disease risk in diabetes relies on addressing several interrelated factors at once. The best protection comes from controlling blood glucose while also bringing lipids and blood pressure into healthier ranges. Lowering LDL cholesterol and maintaining blood pressure near target levels dramatically cut the risk of heart attack and stroke in people with diabetes, and this benefit grows when glucose, lipids, and blood pressure are all well managed. Treating glucose alone misses much of the cardiovascular benefit because high blood pressure and abnormal lipid levels are themselves strong drivers of vascular disease. Focusing only on lipids or only on calories also falls short, since heart health depends on a balanced approach that includes glucose and blood pressure management. Increasing caloric intake would worsen weight, glucose control, lipid levels, and blood pressure, increasing cardiovascular risk rather than reducing it.