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Articles > Heart attack risk for those with type 2 diabetes;bread crumb alternatives

Heart attack risk for those with type 2 diabetes;bread crumb alternatives

Q&A: Ask the experts

Health Monitor Staff

Provided by HealthMonitor

What's my heart attck risk?
Q. I’ve heard that because I have type 2 diabetes, my risk for heart attack is the same as that of someone who’s already had a heart attack. Is this true?
A. Yes. That’s because diabetes is itself a risk factor for heart disease and stroke. Over time, high blood sugar levels can promote the buildup of fatty deposits on blood vessel walls, hampering circulation and hardening arteries. Also, many people with diabetes have a family history of heart disease, which ups their heart attack risk. While you can’t change those things, you can work on controlling your blood sugar, weight, blood pressure and cholesterol. Speak with your healthcare team to create a realistic plan. —Susan Weiner, RD, MS, CDE, CDN, Susan Weiner Nutrition, New York City

Bread crumb alternative? Go nuts!
Q. I’ve heard bread crumbs aren’t good for blood sugar levels. Is this true? What are some healthy substitutes I can use when cooking?
A. Since bread crumbs are refined carbs, they can cause your blood sugar to spike. If you want a crunchy crust that’s carb-free, try nuts. Coat meats, fish or veggies in crushed almonds or walnuts. But remember: If you’re frying your food in oil, be sure to calculate the calories of the oil, as nuts will absorb the cooking oil. Better yet, don’t fry—bake!—Gerald Bernstein, MD, director, Diabetes Management Program, Friedman Diabetes Institute, New York City
Diabetes Mellitis (Type II) Stroke Heart Disease Diabetes Multiple Sclerosis Hyperlipidemia Hypertension Myocardial Infarction

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