Heart Failure: An Underappreciated Complication of Diabetes. A Consensus Report of the of the ADA

Heart failure (HF) has been recognized as a common complication of diabetes, with a prevalence of up to 22% in individuals with diabetes and increasing inci- dence rates. Data also suggest that HF may develop in individuals with diabetes even in the absence of hypertension, coronary heart disease, or valvular heart disease and, as such, represents a major cardiovascular complication in this vul- nerable population; HF may also be the first presentation of cardiovascular dis- ease in many individuals with diabetes.