Cardiovascular disease is a leading cause of morbidity and mortality in individuals with diabetes, driven by hyperglycemia, dyslipidemia, hypertension, and chronic inflammation. Early identification of risk factors, including family history, obesity, and sedentary lifestyle, is essential for effective prevention. Comprehensive management strategies combine glycemic control, blood pressure and lipid regulation, and lifestyle interventions such as balanced nutrition, physical activity, and smoking cessation. Pharmacological therapies, including statins, ACE inhibitors, and antiplatelet agents, further reduce cardiovascular risk. Regular monitoring, patient education, and multidisciplinary care are crucial to optimizing outcomes. By addressing cardiovascular risk proactively, healthcare providers can significantly lower the incidence of heart disease and improve long-term health and quality of life for patients with diabetes.