Diabetes usually occurs among elderly as part of metabolic syndrome, which includes abdominal obesity, hypertension, hyperlipidemia, and all these factors can act to promote diabetic complications so aggressive treatment of diabetes and associated coronary risk factors is recommended to prevent diabetic complications (Fowler 2008) (Boyle 2007).
The main cause of death in diabetic patients is cardiovascular complications which is higher among those with other risk factors as (hypertension, smoking and dyslipidemia) so treatment programs for diabetic patients should include lifestyle changes as weight reduction, increase physical activity and change dietary habits as decrease dietary fat to help …show more content…
Older age women have increase incidence of cardiovascular disease due to decrease estrogen production after menopause that affect lipid metabolism by decreasing the HDL cholesterol level and increasing LDL and total cholesterol, triglyceride, and lipoprotein (a) level and also after menopause they will lose the cardioprotective effects of estrogen as it affects glucose metabolism and the hemostatic system, and effect on endothelial cell function (Eichner et al., 2002) (Rossouw et al., 2002).
2-Age
The risk of cardiovascular diseases increased with age due to increase serum total cholesterol level with age and also due to increased risk of hypertension with age and that risk usually is around the age of 45 to 50 years in men while age of 60 to 65 years among females (Jousilahti et al., 1999).
Age is considered an independent risk factor for CVD in both genders since atherosclerotic process increase with increase age this is probably due to increase serum cholesterol level and increase level of chronic inflammation with age (Schiller et al., 2011).
3- Family