Type 2 diabetes is caused by insensitivity to insulin. The function of insulin is to help glucose, or simple sugar, enter some of your body's cells, such as your muscle cells... then the sugar may be used for energy. When this sugar is not able to enter cells your blood sugar levels rise and then your pancreas responds by releasing more insulin.
This means as well as having high blood sugar levels, you also have high levels of insulin in your body which in turn causes your kidneys to retain sodium (salt). When your body retains sodium, it also retains water. This excess water strains your heart as it tries to pump the excess water through your blood vessels. This extra work results in hypertension, or high blood pressure. High blood pressure is the leading cause of heart disease, which probably explains at least part of the reason, that people with type 2 diabetes tend to have heart attacks more often than non-diabetics.
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