If your blood sugar levels are higher than normal for a long period of time (many years) then this can cause damage to the inside lining of your blood vessels. This can lead to furring up or hardening of your arteries (known as atherosclerosis) and this can cause problems such as angina, heart attacks, stroke and circulation problems.
People with diabetes may also have high blood pressure (known as hypertension) and a high level of cholesterol and unhealthy fats in the blood. These conditions also increase the risk of developing atherosclerosis and heart disease. Being overweight or obesity and physically inactive also increases the risk.
Smoking is known to damage blood vessels. If you have diabetes and smoke then you greatly increase your chance of developing heart disease and dying from a heart attack. So the advice is clear – stop smoking.