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| Connection between diabetes, heart disease, and stroke |
If you have diabetes or pre-diabetes you are at increased risk for heart disease and stroke. You can bring down your risk by keeping your blood glucose (also called blood sugar), blood pressure, and blood cholesterol close to the recommended target numbers—the levels suggested by diabetes experts for optimum health. Reaching your targets also can eliminate narrowing or blockage of the blood vessels in your legs, which is known as peripheral arterial disease. You should choose foods prudently, be physically active and take medications if required to reach your targets. You will thereby also be preventing future health problems.
If you already have diabetes, you are twice as likely as someone who does not have diabetes to have heart disease or a stroke. Menstruating women generally have less risk of heart disease than men of the same age. But women of all ages with diabetes have an increased risk of heart disease as diabetes cancels out the protective effects of being a woman in her reproductive years. Diabetic people who have already had one heart attack run a greater risk of having a second one. In addition, heart attacks in people with diabetes are more likely to be fatal. |
| Risk factors for heart disease and stroke in people with diabetes |
Diabetes itself is a major risk factor for heart disease and stroke. Also, many diabetics have other conditions that increase their chance of developing heart disease and stroke, known as risk factors. Having a family history of heart disease is one such risk factor for heart disease and stroke. You can definitely take measures to control the other risk factors for heart disease listed here:
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| Prevention of heart disease and stroke |
Even if you are at high risk for heart disease and stroke, you can take the following steps and keep your heart and blood vessels healthy:
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How to Raise your Your HDL Levels that is your GOOD cholesterol
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HDL cholesterol, or good cholesterol can show up on the walls of blood vessels and can clean out excess cholesterol. The good cholesterol can then carry the excess cholesterol to the liver for processing. The excess cholestrol might have been used to make the plaques that cause coronary artery disease. In essence when a person's HDL cholesterol level is being checked in a way we are measuring how vigorously his blood vessels are being scrubbed of cholesterol. Levels of HDL below 40 mg/dL may result in an increased risk of coronary atery disease. Even in people whose total cholesterol and LDL cholesterol levels are normal, HDL levels between 40 and 60 mg/dL are considered normal, but keep in mind HDL levels greater than 60 mg/dL may actually protect people from heart disease. What are the ways to increase HDL Levels? Aerobic exercise - regular aerobic exercise for example walking, jogging or bike riding which raises your heart rate for 20 to 30 minutes at a time may be the most effective way to increase HDL levels. Some studies have shown that the duration of exercise rather than intensity is more important factor in raising HDL cholestrol but any aerobic exercise helps. Lose weight - obesity can affect cholestrol in 2 ways, increased LDL cholesterol and also reduced HDL cholesterol. So if you are overweight reducing your weight should increase your HDL levels, this is especially important if your excess weight is stored in your abdominal area. Stop smoking - for smokers giving up smoking will result in an increase in HDL levels.
Remove trans fatty acids. Trans fatty acids ( partially hydrogenated vegetable oils ) need to be eliminated from one's diet, since the trans fatty acids not only increase LDL cholesterol levels, they also reduce HDL cholesterol levels.
Alcohol - 1 or 2 drinks per day can significantly increase HDL levels, but more than 1 or 2 drinks per day can lead to major health problems including heart failure.
Increase monounsaturated fats - monounsaturated fats such as canola oil, avocado oil, or olive oil and in the fats found in peanut butter can increase HDL cholesterol levels without increasing the total cholesterol.
Soluble fiber - are found in oats, fruits, vegetables, and legumes, and will result in both a reduction in LDL cholesterol and an increase HDL cholesterol, for best results, at least two servings a day should be maintained.
Other dietary methods - cranberry juice has been shown to increase HDL levels also fish and other foods containing omega-3 fatty acids can also increase HDL levels.
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| Heart Attack - After the First Day |
A heart attack also known as a myocardial infarction or MI is certainly a life-changing event. The acute MI itself can cause severe heart damage, cardiac arrest, and death. However, with modern medicine and some luck - especially if you and your doctors acted fast during the first couple hours - you have a good chance of living thereafter for a long time in good or even excellent health.
But there is a lot you must do to optimize your chances of long-term survival. Unfortunately, in the rush to discharge the "uncomplicated" heart attack patient, usually a couple of days after hospital admission, often the crucial steps are being neglected. In this series of articles, we shall look into the important steps that you need to take to assure that, now that you have survived the acute phase of your MI, you will become a long-term survivor also. If you or a loved one has had a heart attack, you need to make sure that your doctors pay good attention to all these steps. An acute myocardial infarction is caused by a sudden occlusion in a diseased coronary artery, causing some or all of the heart muscle supplied by that artery to stop functioning. So, now that you've successfully handled the first 24 hours of your heart attack, you know at least three things: 1) You have coronary artery disease (CAD), which is a chronic, progressive medical condition. 2) Some portion of your heart muscle has been damaged, and your remaining normal heart muscle is working more in order to pick up the slack. 3) You may be at higher-than-normal risk for sudden death from heart arrhythmias. Knowing these things, it's definitely too early to pat yourself on the back with a "Job well done!" So here's what you and your doctor need to do: a) take measures to prevent another heart attack; b) accurately assess the amount of damage to the heart that has already occurred, and take steps to prevent heart failure; c) assess your risk of sudden death, and institute preventive therapy if required. |
| Medication for Heart Disease causes Heart Attack and Stroke |
As per a study published in an issue of the Journal of the American Medical Association (JAMA), a drug that had looked promising in preventing atherosclerosis (the process in which plaque builds up in the inner lining of the arteries leading to cardiovascular events) in animal tests just does not work in humans beings. On top of that the , the medication appears to be downright dangerous. Instead of preventing cardiac problems, it increases the incidence of heart attacks and strokes. The theory behind the medication, pactimibe, is that the medication supposedly blocks the action of acyl coenzyme A: cholesterol acyltransferase (ACAT), an enzyme involved in cholesterol accumulation. So by inhibiting one form of the enzyme, ACAT-1, scientists reasoned pactimibe should theoretically slow the progression of atherosclerosis and prevent the development of plaque. The medication was tested with 892 people with a family history of high cholesterol which is associated with a higher risk for atherosclerosis. In a randomized, placebo-controlled study called the Carotid Atherosclerosis Progression Trial Investigating Vascular ACAT Inhibition Treatment Effects or CAPTIVATE was conducted at 40 clinics in the US, Canada, Europe, South Africa and Israel. The treatment was stopped in October 2005 when testing showed there was no difference between thickness of the artery walls in those taking pactimibe vs. taking the placebo. Actually, after six months of treatment with pactimibe, low density lipoprotein cholesterol (LDL or "bad" cholesterol) increased by an average of 7.3 percent compared with only 1.4 in the placebo group. An even more frightening outcome was noted in the people taking the drug -- a statistically significant increase in cardiovascular deaths, heart attacks, and strokes. |
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Heart disease is
the world’s biggest killer