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6 Heart Health Tips for Black Americans With Diabetes

If you are a Black American with type 2 diabetes, it is important to know that you are at increased risk of heart disease. And heart disease is the leading cause of death among adults in the United States, with Black Americans having the highest mortality rate.

Research shows that having high levels of key enzymes and hormones that indicate heart damage and type 2 diabetes puts Black people at significantly higher risk of heart failure.

In one study, the incidence of heart failure was 10 times higher in people with diabetes and subclinical myocardial damage (heart damage that does not cause symptoms) than in people without either condition.

There are many reasons for these results, but one of the most important is the systemic inequalities faced by many Black communities. One study found that black neighborhoods in the American South have fewer pharmacies, grocery stores and green spaces, such as parks and walking trails, than predominantly white neighborhoods. Lack of access to these resources negatively impacts community health.

That said, efforts are being made to improve health care equality and outcomes, and there are things you can do in your daily life to take care of your heart health while living with type 2 diabetes. Here are some strategies to try.

1. Eat a heart-healthy diet

Try to eat a diet low in sodium, refined carbohydrates, and unhealthy fats, says Raj Patcha, MD, a cardiologist and director of the cardiac catheterization laboratory at Huntington Hospital in Huntington, New York. Opt for lower-sodium versions of your favorite snacks, choose whole-wheat bread and brown rice instead of white bread and pasta, and fill your plate with foods high in healthy fats, like avocados, fish, nut butters and tofu.

Of course, making healthy food choices can be difficult if there isn’t a grocery store in your neighborhood or your local supermarket doesn’t have a good selection of fresh produce. If getting fresh produce is a challenge, opting for low-sodium canned or frozen vegetables is a good alternative.

2. Maintain a healthy weight

Carrying excess weight can stress your heart.

To control your weight, combine a healthy diet with regular physical activity.

The American Heart Association recommends that adults get at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of high-intensity aerobic exercise per week.

One of the best things you can do to make movement a habit is to find something you enjoy: dancing, taking a workout class, swimming, or something else that makes you feel good.

3. Stay on top of routine testing

Regular testing of blood pressure, blood sugar, cholesterol and weight provides your doctor with information he or she can use to monitor and manage risk factors for heart disease. said Cheng-Han Chen, MD, board-certified interventional cardiologist and medical director of the structural heart program at MemorialCare Saddleback Medical Center in Laguna Hills, California. Talk to your doctor about what tests you’ll need and mark them in your calendar so they don’t slip through the cracks.

4. Find the right doctor

Due to long-standing discrimination in the healthcare system, you may not trust your doctor and therefore not seek preventive care. But lack of care can “lead to underdetection and disease progression,” says Dr. Patcha, “resulting in complications like vision loss, strokes and heart attacks at younger ages.”

This is why it is important to find a doctor you trust. If you feel rejected or disrespected by your provider, it may be time to make a change. You may find it empowering to see a black doctor.

Ask a trusted family member or loved one for a recommendation, or use a specialty doctor directory to find a provider who is Black or prioritizes anti-racism.

5. Know your cardiovascular risk factors

Risk factors for cardiovascular disease may include stress, smoking, a sedentary lifestyle, poor sleep quality, and frequent alcohol consumption.

It’s important to be aware of the factors that can increase your risk of heart disease so you can take action. “Talk with your doctor about what you can do to minimize your risk of developing heart disease,” says Dr. Chen. They can help you develop a plan to increase your activity level, quit smoking, or something else.

6. Try to stress less

It’s easier said than done, but looking for ways to reduce daily stressors can have a big impact on cardiovascular health. “Stress can increase blood pressure, increase inflammation in the body, and increase stress hormones, like adrenaline, which can impact heart health,” says Chen. He recommends trying stress-relieving activities, like yoga, regular physical activity, meditation, and leaning into your spirituality or faith.

Once you find one or two activities you enjoy, make sure you do them regularly. Just as you would add routine appointments and tests to your calendar, make time for activities that help you decompress.

Takeaways

  • Black Americans face higher rates of heart disease and type 2 diabetes due to systemic inequities that have led to less access to health care.
  • Type 2 diabetes can increase the risk of heart disease. Managing blood sugar, blood pressure and cholesterol is essential to protecting your heart.
  • Eating well, finding a trusted doctor who listens, getting regular checkups and staying active can make a real difference. Pair these steps with stress-relieving habits, such as meditation, to strengthen both your heart and mind.

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