A diabetic patient is more likely to have a heart attack and other risks like cardiac failure and an abnormal heartbeat than a normal person. Patients with diabetes can have a heart attack even without pain. It is necessary that the patient get a chest X-ray, ECG, echocardiography, and T.M.T. done in 6 months to 1 year, even if there is no disease.

Diabetic neuropathy can occur in both type 1 and type 2 diabetes and is more common in people whose blood sugar is not well controlled. Although different types of neuropathy can occur in people who have had diabetes for only a short time, they most commonly occur in people who have had diabetes for more than a decade, and are more common in people over the age of 40. While common, smokers with diabetes are at particular risk. Blood vessel damage also contributes to diabetic neuropathy, as the nerves do not get enough oxygen and nutrition. 

Symptoms of Diabetic Neuropathy:

a. Numbness, tingling, sharp or burning pain in the legs, especially in the lower legs, cramps, hypersensitivity to touch, and problems with balance or coordination.

b. Getting up frequently at night to urinate. bladder infection, loss of control.

c. Difficulty getting an erection, ejaculation, and decreased sexual arousal.

d. Inability to sweat dry skin and cracked heels, which can lead to frequent fungal infections. Excessive sweating is also a symptom.

e. Slow emptying of the stomach, called gastropresis, which can cause nausea, vomiting, or bloating. Slow or irregular normal rhythmic pressure of the small and large intestines, known as peristalsis. This may result in constipation or diarrhoea.