As a medical professional with expertise in endocrinology, I can explain why diabetics may experience silent heart attacks. Diabetic neuropathy is a common complication of diabetes that can lead to nerve damage, particularly in the extremities, but it can also affect the nerves responsible for signaling pain and discomfort from the heart. When these nerves are damaged, the typical symptoms of a heart attack, such as chest pain, may not be felt. This is why diabetics can have "silent" heart attacks, where the event occurs without the usual warning signs. Additionally, other symptoms like shortness of breath, nausea or vomiting, and anxiety, which are common in heart attacks, may also be less noticeable or misinterpreted in individuals with diabetes. This can lead to a delay in seeking medical attention and a higher risk of serious complications. It's crucial for individuals with diabetes to be aware of this increased risk and to consult with their healthcare provider about how to best manage their condition to reduce the risk of silent heart attacks. read more >>

Other common symptoms include shortness of breath, nausea or vomiting, and anxiety. ... But people with diabetes may not feel these symptoms due to diabetic neuropathy (nerve disease), which can damage the nerves that control the heart, as well as mask the chest and back pain that usually accompanies an attack.read more >>