Back to Ask the Diabetes Team Ask the Diabetes Team

From Georgia, USA:

I am 33 years old, have had type 1 diabetes for 20 years now, and have been on an insulin pump for almost 11 years. My hemoglobin A1c level right now is in the high 7% range, but for the past three years, it has been steadily rising. For a long time, I kept it at 6% with no problem.

I have been experiencing some mild chest pains (in the middle) with heart palpitations. My blood pressure always runs around 90/60, and today it was 117/80. I know that is not high but it is higher than my BP normally is. With diabetes for this number of years what can I expect in the way of complications, especially heart trouble?


There are no specific recommendations I can give you. The best insurance is good blood sugar control. The DCCT. indicated that the risk of microvascular complications (retinopathy, nephropathy, and neuropathy) is related to overall level of control.

Heart disease is not included in the microvascular classification of complications. However, nephropathy, or kidney involvement, is the greatest predictor of cardiovascular disease in patients with type 1 diabetes. Your blood pressure also looks good.

I would suggest you work with your physician to determine why you have chest pains. This may include doing a stress test, which can be performed as a stress echocardiogram or an exercise stress test.


Original posting 27 Aug 2001
Posted to Complications


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:26
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.