Below is an instruction from Human. Write a response.
    ### Instruction:
    Who is at risk for Diabetic Heart Disease? ?
    ### Response:
    People who have type 1 or type 2 diabetes are at risk for diabetic heart disease (DHD). Diabetes affects heart disease risk in three major ways.
                
First, diabetes alone is a very serious risk factor for heart disease. Second, when combined with other risk factors, diabetes further raises the risk of heart disease.
    