Chest pain

Chest pain is obviously a worrying feature in any patient with diabetes. The risk of ischaemic heart disease in the diabetes population as a whole is elevated two to four fold above background and ischaemic heart disease is the commonest cause of death in patients with T2DM.

However, the risk of silent ischaemia is also significantly higher in patients with diabetes and is said to be due to cardiac denervation as a neuropathic manifestation.

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