Treatment
At present, there is not a single clinically effective treatment for diabetic cardiomyopathy. Treatment centers around intense glycemic control through diet, oral hypoglycemics and frequently insulin and management of heart failure symptoms. There is a clear correlation between increased glycemia and risk of developing diabetic cardiomyopathy, therefore, keeping glucose concentrations as controlled as possible is paramount. Thiazolidinediones are not recommended in patients with NYHA Class III or IV heart failure secondary to fluid retention.
As with most other heart diseases, angiotensin-converting enzyme (ACE) inhibitors can also be administered. An analysis of major clinical trials shows that diabetic patients with heart failure benefit from such a therapy to a similar degree as non-diabetics. Similarly, beta blockers are also common in the treatment of heart failure concurrently with ACE inhibitors.
Read more about this topic: Diabetic Cardiomyopathy
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—Hippocrates (c. 460–c. 370 B.C.)
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—Fran Lebowitz (20th century)