Diabetes & Heart Disease
Diabetes mellitus is a metabolic problem resulting from insulin deficiency (produced by pancreatic glands) or insulin resistance. This produces an inability to use glucose by the cells of body and thus there is excess of glucose in blood. It occurs worldwide in about 10 per cent of population – but Indians are more prone to it – in fact 20-25 per cent occurrence in hospital audits is common. India is also called the capital of diabetes.
Diabetics is of two types –
Type 1 – usually childhood or young adult onset and Type 2 is adult onset and usually associated with obesity and can often be controlled by diet and oral drugs. Long-term complications in blood vessels, kidneys, eyes and nerves occur in both these diabetics and causes major/problems. However most problems in diabetics which are potentially life threatening occurs from the heart diseases.
Diabetes makes a person two-five times more prone to heart diseases. Other risk factors which is being overweight, lack of exercise, stress, blood pressure, poor control of cholesterol/ triglycerides makes them even more prone to heart diseases. Smoking is also a serious risk factor and should be avoided in diabetics. The general principles of treating such diabetics is to keep a yearly track of their risk factors and exercise testing to detect heart disease at an early date and once detected to aggressively manage them by doing angioplasty/surgery or medical management as is needed based on an angiogram.
Currently available drug eluting stents have shown promise in diabetics with blockages in arteries and have restricted the need of bypass surgery to the diffuse blockages so common in diabetics.
Prevention and management:
A combination of behavioural modification and tight glycemic and blood pressure control can significantly reduce cardiovascular risk.
Healing Your Heart: Control the Blood Pressure
Few other risk factors pose as much risk to the heart as does high blood pressure. High blood pressure is also infamous for killing silently. Most of the times there are no telltale signs till a catastrophic event happens. It is a major cause of stroke, heart attack and heart failure. More importantly, it is read more
Emotional health for a healthy heart
The power of our mind over our body is well known and we all believe and know that our thoughts mould our behavior and phenotype. The evolution of our individual self is depended on thought processes of our mind which help us in adapting to environmental threats and encourage developing surviving fitness skills. Thus the read more
Too good to miss!!
Milk had been an essential and integral part of our nutrition plans for almost 8000 years now. However, for so many decades, we have been warned against consumption of cheese and milk. Mothers had reluctantly held back milk from their adolescent children which they themselves considered and cherished as the purest and best food. We read more
The Heart of the Matter
At the end of a tiring day, Sanjay Guha, 42, was heading home after a meeting, a shooting pain through his left shoulder and radiated down to his chest. Guha was breathless in a matter of seconds. But he managed to instruct his driver to reach the nearest hospital. An emergency angioplasty and stent insertion read more