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How can risk of future heart disease and stroke be avoided?

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General & Family Physician
Practicing since : 2010
Answered : 1115 Questions
I just got my lab results , please review and advise?
Posted Tue, 11 Feb 2014 in Hypertension and Heart Disease
Answered by Dr. Manjeth Kumar G 1 hour later
Brief Answer: Metabolic Syndrome. Exercise. Limit carbohydrates. Detailed Answer: Hello, I have gone through your reports Your Blood Reports on 10/23/2013 shows 1. Low Vitamin D 2. Low High Density Lipoproteins 3. High fasting Glucose Your Blood Reports on 01/23/2014 shows 1. High Triglycerides 2. High fasting Glucose Vitamin D deficiency is usually due to Strict vegetarian diet and Limited exposure to sunlight. It can be increase by spending time under sunlight and diet and vitamin d supplements. You need to take Vitamin D supplements. You have all the features of Metabolic syndrome. 1. Low HDL Cholesterol 2. High Triglycerides 3. High Blood Sugar 4. High Blood pressure. You are at High risk of future Heart Disease and Stroke. My advice is to continue the medications prescribed by your treating doctor. You need a lot of life style changes 1. Exercise regularly for 45 minutes a day for atleast 5 days a week. 2. Limit sugar and carbohydrate intake. 3. Limit alcohol use 4. quit smoke 5. Take plenty of green leafy vegetables and fruits 6. Completely avoid deep fried and junk foods 7. Eat fish high in omega-3s 8. Check Blood Pressure regularly and keep it in control If these measures do not brought down your triglyceride level , increase HDL levels and blood sugar level in three months, you may need medications for both high blood sugar and High triglycerides. Hope this helps. Please write back for further queries. Wishing you good health.
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Follow-up: How can risk of future heart disease and stroke be avoided? 15 minutes later
1- My diet is really good and it has been for a while . 2- I ride my bike 4 times a week for 45 min a day started about a month ago I never had a Triglycerides level over 180, can you tell me why it went up to this level when I didn't change anything about my diet or life style? Am I at risk of a strok currently and what should I look out for? or should do?
Answered by Dr. Manjeth Kumar G 9 hours later
Brief Answer: Recently diagnosed diabetes. Insulin resistance. Detailed Answer: Hello, It is good to see that you are taking good diet and doing regular exercise. High Triglycerides in your blood work up is due to recently diagnosed diabetes and insulin resistance . What actually happens in diabetic patients is "When you are diabetic, you likely have high levels of both glucose (blood sugar) and insulin in your body. Insulin helps convert glucose into glycogen (the stored form of glucose) and helps to store glycogen in the liver. When the liver becomes too saturated with glycogen, though, glucose is instead used to create triglycerides that are released into the bloodstream. " Have a regular check of your blood sugar, blood pressure and lipid profile. Follow all the measures which i mentioned in the earlier query. Check Electrocardiogram and treadmill test every 6 months. Have regular cardiac and diabetic health check up regularly. Please write back for further queries. Wishing you good health.
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Follow-up: How can risk of future heart disease and stroke be avoided? 14 hours later
one more question, some times my blood pressure gets as high as 165/95 is that ok? If not what should I do when it gets this high? where my blood pressure numbers have to be considered under control? what's considered a XXXXXXX zone to go to ER? I've alwaysconsidered my self a very healthy guy even now I eat very good , whatch my weight and I try to exercise regularly I am (5feet 10 inc) W 170 pounds. I just start taking medication about 2 years ago I really don't understand why I am having so many issues suddenly. please add any information to help me be at ease and not worry too much. I am very concern about my blood pressure and lab results. Thank you so much. Thank you so much.
Answered by Dr. Manjeth Kumar G 7 hours later
Brief Answer: systolic>=180. Diastolic>=110. Age is risk factor. Detailed Answer: Hello, Thank you for your reply. As the age advances, our Blood vessels lose flexibility with age which can contribute to increasing pressure. You cannot control age, but you can take steps to live a healthy life and lower your other risk factors. At times, being in a stressful situation can temporarily increase your blood pressure. Emotional discomfort we feel when faced with a stressful situation, our bodies react by releasing stress hormones (adrenaline and cortisol) into the blood. These hormones prepare the body for the "fight or flight response" by making the heart beat faster and constricting blood vessels to get more blood to the core of the body instead of the extremities. Constriction of blood vessels and increase in heart rate does raise blood pressure, but only temporarily. when the stress reaction goes away, blood pressure returns to its pre-stress level. How you deal with stress may affect other, established risk factors for high blood pressure or heart disease. Plan to engage in the activities like games or reading books which decreases your stress. Try relaxation techniques like yoga and meditation. Spend enough time with family and good friends. As you are newly diagnosed diabetic, you should take the Anti diabetic drugs with other routine drugs. You must comply with all the medications regularly. Check Blood pressure regularly and better buy some automated Blood pressure apparatus. Your diet must be Low sodium Rich fruits and vegetables Oil rich fish- at least twice weekly No more processed or packed foods. Oil should be poly or mono unsaturated like canola oil, olive oil. No more added sugars. If, while monitoring your blood pressure, you get a systolic reading ( Numerator)of 180 mm Hg or higher OR a diastolic reading(Denominator) of 110 mm HG or higher, wait a couple of minutes and take it again. If the reading is still at or above that level, you should seek immediate emergency medical treatment for a hypertensive crisis. Your Body Mass Index is 24.39. And it is too with in normal limits. Continue your exercise regularly. As the age increase, we all are at higher risk of all the Non-communicable diseases like diabetes, hypertension, stroke. Simply saying, We cannot change or control the important risk factor called Age and Hereditary. But we can control all other risk factors like Stress, Lifestyle changes, diet and Smoke etc. Thus Plan to control all the modifiable risk factors and have regular follow up with your treating doctor. Hope this helps. Please let me if you have any queries in future. Wishing you good health.
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