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Diabetes Prevention

Diabetes Prevention. Taking Good Health to Heart Month 4; Class 2. 10 Year Risk By Age. Actual Values. 30. 20. % Chance of having a Serious Heart Problem. 10. 0. 20. 30. 40. 50. 60. Age. What Are the Risk Factors for Heart Disease?. The Harm Smoking Does. Modifiable risk factor

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Diabetes Prevention

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  1. Diabetes Prevention Taking Good Health to Heart Month 4; Class 2

  2. 10 Year Risk By Age Actual Values 30 20 % Chance of having a Serious Heart Problem 10 0 20 30 40 50 60 Age

  3. What Are the Risk Factors for Heart Disease?

  4. The Harm Smoking Does • Modifiable risk factor • Even small amount of tobacco will cause damage • Damages arteries • Lowers HDL “good” cholesterol • Increases blood clotting • Smoking a cigarette can trigger a heart attack

  5. Modifiable risk factor Lower the better DASH high fruit & veg low saturated fat Low sodium Physical activity Weight loss Avoid alcohol excess Blood Pressure

  6. The Impact of Lifestyle Modifications DASH Diet (rich in fruits & vegetables) improves Physical Activity Improves Short term increase in BP Weight Loss Improves

  7. Know your goal Beat your goal Lower is better Adds risk LDL “Bad” Cholesterol • Limit saturated fat • Eat more soluble fiber • Physical Activity • Weight Loss Countgrams of Saturated fat. <10 g if you have heart disease; <20 g for others

  8. Impact of Lifestyle Modifications Low saturated fat Include soluble fiber Weight loss Improves Physical Activity Improves

  9. Dietary modifications Exercise Weight loss No tobacco Modifiable risk factor Higher the better High HDL is protective HDL “Good” Cholesterol

  10. Impact of Lifestyle Modifications Weight loss Improves Tobacco makes worse Physical Activity Improves Include “good fats” in diet

  11. 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 Triglycerides

  12. Impact of Lifestyle Modifications Weight loss Improves Tobacco makes worse Physical Activity Improves Variable

  13. 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 Stroke Heart Failure Coronary Heart Disease

  14. 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 99 4.1%

  15. 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 38 194 235 136 15.1%

  16. The Metabolic Syndrome • Low HDL cholesterol • Borderline triglycerides • Central obesity • Prehypertension • Impaired fasting glucose

  17. Stress Effect • Depression increases heart attack mortality • Hostility, poor social and emotional support, and lack of control over life associated with poor outcomes • May lead to destructive life habits

  18. 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

  19. "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

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