Should people with diabetes take daily aspirin to prevent heart attacks and strokes?

### Daily Aspirin and Diabetes: What You Need to Know If you have diabetes, you might be wondering if taking daily aspirin is a good idea to prevent heart attacks and strokes. Here's what you need to know: #### Why Consider Aspirin? People with diabetes are at a higher risk of cardiovascular events like heart attacks and strokes. Aspirin can help reduce this risk by thinning the blood and preventing blood clots. #### Who Should Take Daily Aspirin? - **History of Cardiovascular Disease**: If you've had a heart attack or stroke before, daily low-dose aspirin (75-162 mg) is often recommended. - **High Cardiovascular Risk**: If you're over 50 and have additional risk factors like high blood pressure or high cholesterol, your doctor might consider recommending daily aspirin. #### Risks of Daily Aspirin While aspirin can help prevent cardiovascular events, it also increases the risk of bleeding, including serious events like gastrointestinal bleeding or brain hemorrhages. Therefore, it's crucial to consult your doctor to weigh the benefits and risks. #### Alternatives and Additional Measures - **Other Medications**: If you can't take aspirin, medications like clopidogrel (Plavix) might be an option, but they also carry bleeding risks. - **Lifestyle Changes**: Managing your blood sugar, blood pressure, and cholesterol levels through medication and lifestyle changes like a healthy diet and regular exercise can also help reduce cardiovascular risk. #### When to Avoid Daily Aspirin - If you have a high risk of bleeding or other contraindications, daily aspirin might not be for you. Always consult your doctor before starting any new medication. #### Recognizing Cardiovascular Events - **Heart Attack Symptoms**: Chest pain, shortness of breath, and discomfort in the upper body. - **Stroke Symptoms**: Sudden numbness or weakness, especially on one side of the body, confusion, trouble speaking, or seeing. If you experience any of these symptoms, seek medical attention immediately. In summary, while daily aspirin can be beneficial for some people with diabetes, it's not suitable for everyone. Always consult your healthcare provider to make an informed decision.