Abstract
Treatment of diabetes has improved in recent years and has resulted in reduction in mortality and in particular atherosclerotic heart disease. Heart failure with preserved LV function is becoming more common in obese diabetic and non diabetic patients resulting in recurrent hospitalisation and increased mortality. A major cause may be the decreased fitness and reduction in exercise that often accompanies obesity and Type 2 diabetes. Although hyperglycaemia plays an important part in heart failure with preserved LV ejection fraction the disease may start with a much lower ‘abnormal’ blood sugar suggesting that our current definition of diabetes should be reconsidered.
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