diabetes prevention taking good health to heart month 4; class 2
TRANSCRIPT
Diabetes PreventionTaking Good Health to HeartMonth 4; Class 2
01
02
03
0
% C
hanc
e of
hav
ing
a S
erio
us H
eart
Pro
blem
20 30 40 50 60Age
Actual Values
10 Year Risk By Age
What Are the Risk Factors for Heart Disease?
The Harm Smoking Does
Modifiable risk factor
Even small amount of tobacco will cause damage
1. Damages arteries
2. Lowers HDL “good” cholesterol
3. Increases blood clotting
4. Smoking a cigarette can trigger a heart attack
Blood Pressure
Modifiable risk factor
Lower the better
DASH high fruit & veg low saturated fat
Low sodium
Physical activity
Weight loss
Avoid alcohol excess
Diet Activity Weight Tobacco
Blood Pressure
The Impact of Lifestyle Modifications
DASH Diet (rich in fruits & vegetables)
improves
Physical Activity
Improves
Weight Loss Improves
Short term increase in BP
LDL “Bad” Cholesterol
Know your goal
Beat your goal
Lower is better
Adds risk
Limit saturated fat
Eat more soluble fiber
Physical Activity
Weight Loss
Count grams of Saturated fat. <10 g if you have heart disease;
<20 g for others
Impact of Lifestyle Modifications
Diet Activity Weight Tobacco
Blood Pressure
DASH Diet (rich in fruits &
vegetables) improves
Physical Activity
Improves
Weight Loss
Improves
Short term increase in
BP
LDL “Bad” Cholestero
l
Low saturated fat
Include soluble fiber
Physical Activity
Improves
Weight loss
Improves
HDL “Good” Cholesterol
Dietary modifications
Exercise
Weight loss
No tobacco
Modifiable risk factor
Higher the better
High HDL is protective
Impact of Lifestyle Modifications
Diet Activity Weight Tobacco
Blood Pressure
DASH Diet (rich in fruits & vegetables)
improves
Physical Activity
Improves
Weight Loss
Improves
Short term increase in
BP
LDL “Bad” Cholestero
l
Low saturated fat
Include soluble fiber
Physical Activity
Improves
Weight Loss
Improves
HDL “Good”
Cholesterol
Include “good fats”
in diet
Physical Activity
Improves
Weight loss
Improves
Tobacco makes worse
Triglycerides
Newer risk factor
Most commonly elevated in diabetes and high levels of alcohol
Weight loss
Physical activity
Alcohol avoidance
Tobacco avoidance
Diet Low fat Or High Omega-3
Impact of Lifestyle Modifications
Diet Activity Weight Tobacco
Blood Pressure
DASH Diet (rich in fruits & vegetables)
improves
Physical Activity
Improves
Weight Loss
Improves
Short term increase in
BP
LDL “Bad” Cholestero
l
Low saturated fat
Include soluble fiber
Physical Activity
Improves
Weight Loss
Improves
HDL “Good”
Cholesterol
Include “good fats” in diet
Physical Activity
Improves
Weight Loss
Improves
Tobacco makes worse
Triglycerides
Variable Physical Activity
Improves
Weight loss
Improves
Tobacco makes worse
Diabetes
#1 Cause of Blindness
90% Preventable
#1 Cause of Kidney Failure
Most is Preventable
#1 Cause of NT Amputation
40% to 50% Preventable
60% to 70% of Diabetes Deaths are Cardiovascular
StrokeHeart Failure
Coronary Heart Disease
Modifying RiskCase Study
Martha is a 55 year old non-diabetic female… Does not smoke BP 139/88 HDL 43 LDL 173 Triglycerides 198 Glucose 112
10 year risk = 10.6%
123/77
56
122
111
4.1%
99
Modifying RiskCase Study
Martha is a 55 year old non-diabetic female… Does not smoke BP 139/88 HDL 43 LDL 173 Triglycerides 198 Glucose 112
10 year risk = 10.6%
149/91
38
194
235
15.1%136
The Metabolic Syndrome
Low HDL cholesterol Borderline
triglycerides Central obesity Prehypertension Impaired fasting
glucose
Stress Effect
1. Depression increases heart attack mortality
2. Hostility, poor social and emotional support, and lack of control over life associated with poor outcomes
3. May lead to destructive life habits
Aspirin
Doctors discuss aspirin chemoprevention with adults who are at increased risk for heart disease Benefits Harms
Choose aspirin when your risk of a serious heart problem is greater than 3% in the next 5 years
"The doctor of the future will give no medicine, but will interest his patient in the care of the human frame, in diet and in the cause and prevention of disease." --Thomas A. Edison
