The pathology of atherosclerosis in diabetics is the same as anyone else, it involves the same inflammatory processes, and many of the same risk factors [4]. There are a few specific things that differ – and those things will be highlighted in this article.

Cholesterol in Heart Disease

The role cholesterol plays in heart disease is a confusing one. If you need to review the basics, please check out our articles on LDL & HDL.

In a nut shell:

  1. LDL-C comes in two forms – light/fluffy and small/dense. The small, dense LDL molecules are more dangerous and come with more cardiovascular disease risk. We want to minimize the small, sense LDL molecules to minimize heart disease risk.
  2. HDL-C is protective of heart disease. We want to increase HDL-C to protect heart health.

To learn more about how blood vessels are affected in diabetics, please click here.

Cholesterol in Diabetics

In type 2 diabetics, they typically don’t have an elevated LDL-C, but rather a characteristic dyslipidemia of high triglycerides, low HDL and a small, dense LDL profile [4].

Why Does This Matter?

Well firstly, we can measure LDL particle size and density, in addition to the usual LDL-C measurement through specialized blood work.

Beyond that we know there are specific ways to increase HDL and specific ways to improve the LDL profile (make large fluffy molecules instead of small, dense ones).

Click the links below to read more about these topics.

Picture of various foods in the shape of a heart with collage of pictures around it showing ways to improve your LDL profile
Various foods forming a heart with a text bubble saying ways to increase HDL-C to improve heart health

Managing Your Diabetes at Absolute Health and Wellness

Between assessing your overall cardiovascular risk and managing your diabetes, our Naturopath can help. Diabetes and cardiovascular disease are both lifestyle-based diseases, meaning the things you do everyday from diet, to exercise to sleep and stress management can have profound effects.


Interested in learning more?

Read on in our series of articles on Diabetes!

About the Author - Dr. Johann de Chickera

Dr. Johann de Chickera is a naturopath at Absolute Health and Wellness in Paris Ontario

Dr. Johann is a licensed naturopathic doctor and co-owner of Absolute Health and Wellness. He completed his 4-year degree at the Canadian College of Naturopathic Medicine (CCNM). His clinical focus lies in chronic disease, such as those related to the Gastrointestinal, Endocrine, and Immune Systems.

His approach to medicine relies on working with the patient to come up with a feasible, multi-factorial approach that addresses all complaints at once. He employs a strong background in diagnostic medicine and human physiology and pathology to diagnose and treat. His treatment involve a combination of nutritional counselling, botanical medicine, eastern medicine (acupuncture), nutraceutical supplementation and hands on physical medicine.

To book in please call us at (519) 442-2206 or click here.

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