Updated advice for people with both diabetes and heart disease

Among people who have heart disease, those who also have diabetes may need more aggressive treatment than people who don’t have diabetes. This may include newer drugs that lower blood sugar levels and help people live longer. High blood sugar—the hallmark of diabetes—can injure the inner walls of arteries throughout the body, leaving them more prone to a buildup of fatty, artery-clogging plaque. Elevated blood sugar also stiffens the arteries so they don’t expand as well, and it makes blood platelets stickier and more likely to form blood clots.

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When an infection invades the heart

Although uncommon, heart infections may trigger inflammation that can damage the heart. People should be aware of the risks and symptoms of the three main types: pericarditis (swelling and irritation of the protective, double-layered membrane that surrounds the heart, called the pericardium), myocarditis (inflammation in the middle, muscular layer of the heart), and endocarditis (inflammation that affects the heart’s inner lining or one or more of the heart’s valves).

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Can high-tech heart scans help prevent heart attacks?

Cardiac CT angiography (CCTA) is gaining ground as a fast, effective way to diagnose coronary artery disease. The noninvasive test uses multiple high-speed x-rays to create three-dimensional views of the blood vessels and structures of the heart. Unlike stress tests, CCTA can detect non-obstructive plaque, which is plaque that blocks less than half of the inner diameter of an artery and is responsible for most heart attacks.

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Should you try fasting?

Intermittent fasting means that people avoid food for a designated amount of time each day. One of the most popular approaches is called 16/8. People eat during an eight-hour period—for example from noon to 8 p.m.— followed by 16 hours of fasting, in this case from 8 p.m. until noon the next day, when the pattern repeats. While science does not yet know the long-term benefits of intermittent fasting, initial short-term research has suggested the practice may help lower cholesterol, blood pressure, and weight, among other health benefits.

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How to recover from post-traumatic stress disorder

Post-traumatic stress disorder (PTSD) is a severe and potentially debilitating anxiety disorder that affects people who have experienced or witnessed a traumatic event. PTSD often develops in combat veterans, but it can also strike older adults, and especially men. Fortunately, there are many proven ways to help treat and manage PTSD. These include prolonged exposure therapy, social support, medication, exercise, and meditation.

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