The article presents data from a scientific study on the role of the influence of comorbid pathologies such as: diabetes mellitus (DM) in patients with chronic heart failure (CHF), pathogenetic mechanisms for the development of heart failure in patients with DM, risk factors for developing CHF (hyperglycemia, increased body mass index, age , coronary heart disease, nephropathy, proteinuria, duration of diabetes, etc.). The results of the analysis of mortality in patients with or without DM depending on the ejection fraction are shown. The characteristics of various drugs for the treatment of CHF, including in patients with DM, are given, promising directions for the treatment of this group of patients are highlighted. Treatment has been shown to be effective with lifestyle changes: weight loss, exercise, diet, etc. in obese patients with and without DM.

heart failure, diabetes mellitus, pathogenesis, treatment.