METABOLIC SYNDROME–the BIGGEST KILLER OF HUMANS

METABOLIC SYNDROME

What the heck is that now?   Oh—-just one of the biggest causes of heart attack and stroke s’all.

ASK YOUR DOCTOR if you have metabolic syndrome.  There are 5 criteria–you need THREE out of the five.

The criteria are:  you need to know your cholesterol numbers folks–GET INVOLVED—   KNOW YOUR NUMBERS!

  1. waist over 40 inches for men, 35 inches (89cm) in a woman   Asian/ Latinos 35 for men, 32 for women
  2. blood pressure over 130 on top OR over 85 on bottom(or on blood pressure meds)
  3. triglycerides over 150 mg/dl (1.7mmol/L)
  4. HDL (good cholesterol) under 50 mg/dl in a woman (1.2 mmol/L)
  5. fasting sugar over 100 mg /dl (5.6 mmol/L)-or on meds for sugar issues.-or any history of failing sugar tests–such as diabetes in pregnancy.

You need THREE!  and you don’t have to be overweight to have this!

 

 

 

 

 

 

 

Why worry?

This it what it can lead to:

TWICE THE RISK OF FLAT OUT DIABETES

FIVE TIMES INCREASED RISK OF HEART ATTACK AND STROKE

SLEEP APNEA

FERTILITY PROBLEMS

CANCERS

ACID REFLUX

ERECTILE DYSFUNCTION

PCOS (see post)

FATTY LIVER

EARLY DEATH!

The other things not mentioned when talking about this condition are depression, alcohol and drug use, poor self-image, back pain , joint pain, shortness of breath……..It is like a snowball rolling down a mountain!

WHAT CAN YOU DO?

LIFESTYLE CHANGE IS BETTER THAN ANY MEDICATION–studies show this–it’s not just my opinion.   SOUTH BEACH AND MEDITERRANEAN DIET show better outcomes over 3 years than other diets.   CALORIE DEFICIT is best way to lose weight!!!

HEART ATTACKS

The number of people having heart attacks has dropped by 50% between 1980 and 2000, and dropped another 33% between 2000 and 2010. * Half of this drop is because drugs are being used to treat high cholesterol, and the other half drop is due to treatment of high blood pressure, diabetes, and quitting smoking.

WANT TO KNOW YOUR 10 YEAR RISK OF HAVING A HEART ATTACK?

CLICK HERE TO ASSESS YOUR RISK

Should you be on blood pressure meds?

Newest guidelines get a lot more people off blood pressure meds, but many people with hypertension are not being treated.

GET THIS!  Your risk of heart attack goes up when your systolic (top number)  blood pressure hits 118!!!    118 folks!  that’s when the uptick in risk starts to happen!

What can you do?

If you are overweight–try AGAIN to lose weight–I know–I hated the constant reminder–but it’s the raw truth—the weight is going to hurt you!  It really does come down to DO IT OR DIE!   There are support groups out there in most communities–because so many of us struggle every day with weight, and trying to eat the right foods.  IT IS HARD TO LOSE WEIGHT—and it will be a life long battle to maintain any loss.

Get some help with smoking!   Most people need more than one thing to help them quit.  You CAN use meds (Champix, Chantix) AND a patch AND an inhaler!   You can use more than one 21 mg patch–if you are a three pack a day you may need THREE patches!    If you are pregnant, you can use the patches, gum, inhalers–but the drugs are not approved—yet….all this is safer for baby than lighting that cigarette!

If you need that first cigarette within 30 minutes after you get up–you likely need the inhaler–the quick hit!

I have people who never used the meds say they get nightmares just by quitting smoking–so I don’t know if Chantix etc got the rap for that–but that is the one thing that seems to stop  people using it.   To look after this, the company came out with a 16 hour patch–you take it off to go to bed.

You can still smoke while on the patch!!!   YES!!! YOU CAN!!!    The idea is that you won’t light up as much!

Anyway–that’s enough on that…

‘Doc, you’ve cured me of my white coat syndrome. Unfortunately, I’m afraid of clowns.’

Blood pressure–OK OK  you say you have “white coat hypertension”–thing is that this leads to under-treatment—we can’t just blow off your blood pressure as nothing–you need to take it for several days-at different times–and be honest about the numbers—fudging the numbers to avoid meds only hurts YOU!

35-55% of those with “white -coat  hypertension” actually get hypertension vs less than 10% of those with normal blood pressure

 

 

With the new guidelines, we now don’t treat with meds unless the top number is 150 or more, and the goal of treatment if to keep at 150 or below.

When you reach point of needing meds, you can discuss this with your doctor.  Unless I get requests, I am not going into all the blood pressure meds.

CHOLESTEROL  

OK–so first off–know your numbers–take a picture of your lab report with that new fangled camera phone in your purse!

There are FOUR groups of people who are helped by going on medication to treat high cholesterol:

First off  — use the calculator to see what your risk of having a heart attack is!

CLICK HERE TO ASSESS YOUR RISK OF HEART ATTACK OR STROKE IN NEXT 10 YEARS

THE FOUR GROUPS HELPED ARE:

  1.    those who have HAD a stroke or heart attack–to try and prevent another
  2.    people with family history that shows a genetic problem that causes heart       attack and strokes
  3.   40-75 years of age and diabetic
  4.   40-75 years old and your risk by the new risk calculator is 7.5% or more

OTHER THINGS YOU CAN DO…

If you are put on a STATIN drug for your cholesterol, you need to discuss the useof aspirin with your doctor.  The studies say you should be on it–but MAKE SURE IT’S OK FOR YOU

you can eat eggs, shellfish, and food with cholesterol.  Try and cut back on  saturated fats–but no amount given for “right amount”

 

 

You can use the salt shaker—but avoid salty snacks and processed soups etc—they are REALLY high in salt—we don’t want our food tasteless–but don’t need a salt lick either!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From 2016 Controversies in Women’s Health, presented by the Division of General Internal Medicine, Department of Medicine, University of California, San Francisco Robert B. Baron, MD, MS, Professor of Medicine, Associate Dean for Graduate and Continuing Medical Education, University of California, San Francisco, School of Medicine

*From 2016 Controversies in Women’s Health, presented by the Division of General Internal Medicine, Department of Medicine, University of California, San Francisco Robert B. Baron, MD, MS, Professor of Medicine, Associate Dean for Graduate and Continuing Medical Education, University of California, San Francisco, School of Medicine

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