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Test your knowledge about your heart > ANSWERS

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1.   The risk of coronary artery disease grows as people age?

  a. True
  b. False

2.   What percentage of people with diabetes die from heart disease or stroke?

  a. 15%
  b. 25%
  c. 35%
  d. 65%
  e. 75%

3.   Which of the following can result from uncontrolled high blood pressure?

  a. Diabetic retinopathy (eye disease).
  b. Diabetic nephropathy (kidney disease).
  c. Heart attack.
  d. Stroke.
  e. All of these.

4.   Which of the following do people with diabetes often have high levels of?

  a. LDL cholesterol.
  b. HDL cholesterol.
  c. White blood cells.
  d. Hemoglobulin.
  e. All of these.

5.   Which of the following diagnosis methods for heart conditions involves the injection of dye into blood vessels?

  a. Angiogram.
  b. Ankle brachial index.
  c. CT scan.
  d. Echocardiogram.
  e. Nuclear ventriculography.

6.   A person with diabetes should maintain a LDL cholesterol level below what level?

  a. 85 mg. milligrams per deciliter.
  b. 100 mg. milligrams per deciliter.
  c. 115 mg. milligrams per deciliter.
  d. 130 mg. milligrams per deciliter.
  e. 150 mg. milligrams per deciliter.

7.   The majority of people with diabetes have or will develop high blood pressure?

  a. True.
  b. False.

8.   What level of systolic pressure indicates that a person with diabetes is hypertensive?

  a. 100
  b. 110
  c. 120
  d. 130
  e. 140

9.   How often should a person with diabetes have their blood pressure checked?

  a. 1-2 times per year.
  b. 2-4 times per year.
  c. 4-6 times per year.
  d. Once a month.
  e. Twice a month.

Correct Answers Explanation

1. 

The risk of coronary artery disease grows as people age?

> The correct answer is A. True.

Diabetes increases the risk of developing coronary artery disease in part because high levels of glucose (blood sugar) cause blood vessels to thicken and to lose their elasticity. The risk of coronary artery disease grows as people age. It also occurs earlier in people with diabetes and is more likely to be fatal.

2. What percentage of people with diabetes die from heart disease or stroke?

> lThe correct answer is D. 65%

Heart disease is a type of cardiovascular disease, which affects the blood vessels throughout the body. Cardiovascular disease includes stroke and peripheral artery disease. At least 65 percent of people with diabetes die from heart disease or stroke, according to the Centers for Disease control & Prevention. This may be due to the nature of these diseases. The symptoms related to uncontrolled diabetes are usually apparent (e.g., fatigue, excessive thirst, frequent urination), whereas symptoms of cardiovascular conditions may not be as obvious.

3. Which of the following can result from uncontrolled high blood pressure?

> The correct answer is E. All of these.

High blood pressure (hypertension) is a major factor in many diabetic complications. High blood pressure occurs when the force of blood against artery walls becomes excessive. It is both a cause and a result of atherosclerosis, the build up of plaque within artery walls. Uncontrolled, high blood pressure can lead to: diabetic retinopathy, diabetic nephropathy, heart attack, stroke.

4. Which of the following do people with diabetes often have high levels of?

> The correct answer is A. LDL cholesterol.

Atherosclerosis occurs when arteries harden after clogging up and narrowing due to fatty deposit (plaque) build up on artery walls. People with diabetes often have high levels of LDL (“bad”) cholesterol and triglycerides, which contribute to the formation of fatty deposits. High blood pressure is often a result of atherosclerosis. The narrowing of arteries caused by atherosclerosis can also cause poor blood circulation in the legs and feet, which can have major repercussions for those prone to diabetes-related foot disorders.

5. Which of the following diagnosis methods for heart conditions involves the injection of dye into blood vessels?

> The correct answer is A. Angiogram.

A physician is likely to perform a complete medical examination and to take a complete medical history when diagnosing heart conditions. An angiogram is sometimes performed to check whether arteries are blocked. In this procedure, a catheter is used to inject dye into blood vessels; X-rays are then taken to look for blockages highlighted by the dye.

6. A person with diabetes should maintain a LDL cholesterol level below what level?

> The correct answer is B. 100 milligrams per deciliter.

People with diabetes can take many steps to decrease the likelihood of developing heart conditions by controlling blood glucose (sugar), blood pressure and cholesterol levels. Properly maintaining these two factors will dramatically lower the risk of developing diabetes-related heart conditions.

7. The majority of people with diabetes have or will develop high blood pressure?

> The correct answer is A. True.

The majority of people diagnosed with diabetes also has, or will develop, high blood pressure. Because diabetes and high blood pressure are so closely linked, the American College of Physicians recently emphasized that controlling high blood pressure should be as high a priority for diabetics as maintaining proper blood glucose (sugar) levels.

8. What level of systolic pressure indicates that a person with diabetes is hypertensive?

> The correct answer is D. 130

Diabetics are classified as hypertensive when systolic pressure is 130 or higher, or diastolic pressure is 80 or higher. People with diabetes are classified as “hypertensive” earlier than non-diabetics. Non-diabetics are considered to be hypertensive when their blood pressure measures 140/90 mmHg or higher. Blood pressure is considered high when whither the top number (systolic pressure) or the bottom number (diastolic pressure) is above those levels.

9. How often should a person with diabetes have their blood pressure checked?

> The correct answer is B. 2-4 times per year.

The American Diabetes Association recommends that people with diabetes have their blood pressure checked during every visit to a physician, or at least two to four times each year. Most cases of high blood pressure have no cure, but the overwhelming majority can be managed and controlled with diet and medication. In general, for every 10 millimeters of mercury reduction in systolic blood pressure, the risk for any diabetes-related complication is reduced by 12 percent, according to the Centers for Disease Control & Prevention.
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