Why does this matter for people with diabetes? In simple terms, obesity not only makes blood sugar harder to control but also increases the risk of heart problems. Let’s take a closer look at what ABCD means for heart health and how you can manage these risks to stay healthy. ^2,3,4,5

Dr. Subhash Chandra, MD, DM (AIIMS), DNB, FACC, FCSI, FESC Chairman & HOD, Interventional Cardiology, BLK-Max Heart Centre

What is Adiposity-Based Chronic Disease (ABCD)?
ABCD is a helpful way to understand obesity—it’s not just about weight but the effects of excess fat on our health. Excess fat can stress your body and harm organs, including the heart. If you have diabetes, this extra fat can make managing blood sugar harder, increasing heart risks.⁶ ABCD can guide you to spot these risks and take steps to manage them. So, take action—talk to your doctor about ways to keep both your blood sugar and heart health on track! ^4,5

How does obesity affect heart health for people with diabetes?
When obesity and diabetes walk hand-in-hand, they create a perfect storm for heart disease. Here’s how:^7,8

High blood pressure: Extra fat puts stress on your heart and blood vessels, often leading to high blood pressure—one of the biggest triggers for heart disease.⁹
Clogged arteries: Extra weight can cause fat to build up in your arteries. When high blood sugar is also a factor, it makes the arteries stiff, increasing the chances of heart attacks and strokes. ¹⁰
Blood sugar trouble: More body fat can make it harder for your body to manage blood sugar, which also raises the risk of

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