Reference
Mayo Clinic.
(2016). Retrieved March 23, 2017, from http://www.mayoclinic.org/diseases-conditions/metabolic-syndrome/home/ovc-20197517.
o. Lose weight – losing 10 pounds will lower his BMI to where it is in the normal zone. Weight loss will also lower his total cholesterol, triglycerides, LDL-c, as well as his blood pressure, and will help manage his diabetes and glucose…
Based on all the evidence presented, I believe that Mr. S has clinically significant CAD. His blood pressure of 142/88 indicated that he has isolated systolic hypertension. I know Mr. S is overweight because of his BMI reading being over 25, which also is a leading factor for type 2 diabetes. Glucose has accumulated in his blood because of his type 2 diabetes and cannot be picked up by insulin because it is deficient in his body. This glucose accumulation can be built up and another factor for plaque build up known as atherosclerosis. The fact that Mr. S smokes two and a half packs of cigarettes a day is also a factor that majorly contributes to CAD. Nicotine and other toxins in cigarettes can build up and block blood flow to the heart and therefore decrease Mr. S cholesterol level is 250 mg/dl, which is high along with his LDL and Triglyceride level. His HDL levels are low, which is bad because this is the good cholesterol for the body. All…
Hospital laboratory tests revealed total serum cholesterol of 160 mg/dl, HDL cholesterol of 55 mg/dl, triglycerides of 78 mg/dl, LDL cholesterol of 89.6 mg/dl and fasting glycemia of 116 mg/dl, with a normal OGTT and normal plasma homocysteine. His attending physician…
After the first report I tried to modified some eating habits measuring the amount of food; cereal, pasta, rice and beans in cups, steaks and fish cut in 4 ounces, drink more water and less alcoholic drinks and increase my daily exercise adding two days of walking 3 miles per day increasing my weekly Physical Activity to 630 minutes. (Matta) (2013).…
Mr. F. is a seventy-three year old Caucasian male who is twice divorced and lives alone in Sweetwater, Texas. He has two children living, and two deceased children. Both of his parents are deceased; his father died at the age of sixty-nine of prostate cancer, his mother at the age of seventy-two of a stroke. He is self-employed, owning a local dirt contracting company for about thirty years now. Mr. F. stands five-foot and nine inches tall and weighs two hundred sixty pounds, exhibiting moderate obesity and has been for the past twenty-five years. He has a longstanding history of hypertension; approximately twenty years as well as a history of diabetes mellitus type two for twelve years, never having been insulin dependant. He has a smoking history of about fifty years smoking two packs per day and has been diagnosed a few years ago with chronic obstructive pulmonary disease, making him oxygen-dependant for two years. He claims to only drink alcohol on a social basis. Prior to his current admission, he stated that he has not been compliant with his diabetic diet, that he does not check his blood glucose regularly nor has he been following his medication regimen as he should. His last doctors appointment was two years ago.…
As started earlier John suffers from high blood pressure and high cholesterol, as a result he need a healthy diet with low salt and coffeine intake.Also can drink alkohol.John takes medication to lower blood pressure(given by…
Obesity is an epidemic that greatly affects over 50% of the American population. The reasons for this epidemic are numerous, from the growing trend of the super-sized meal to the intense laziness of the average American. It is this inherent laziness that leads many Americans to look for a quick fix to the problem of obesity; this has resulted in the increasing popularity of cosmetic surgeries to "cure" someone of the obesity. Gastric bypass surgery is the leading remedy for this particular problem.…
Researchers demonstrated ( Newman, Ann Mabe, 2009) the main problem with obesity is that it can lead to risk factors which put people at a higher risk of developing heart diseases such as high blood pressure and type 2 diabetes. The evidence shows, that (Hamer M, Stamatakis E. 2012) that the diabetes mellitus, hypertension, metabolic syndrome, heart disease, are most result from genetic factor which contributes to obesity in an older adult. Evidence shows, that (Krentz, Andrew J.; Wong, Nathan D, 2007) the most important cause of metabolic syndrome is obesity which being recognized and associated with other…
Reaven GM (1999). Intensive blood pressure/glucose control in type 2 diabetes: why is it so…
The article explains the research of Dr. Sayeed Ikramuddin of the department of surgery, University of Minnesota, Minneapolis and his colleagues relating to bariatric surgery its potential role in glycemic control in type two diabetics. Irkamuddin states that at 12 months, “the primary goal was considered successful if patients achieved the composite of the triple endpoint: HbA1c of less than 7.0%, an LDL cholesterol level of less than 100 mg/dL, and systolic blood pressure of less than 130 mmHg at the 12-month visit” (2013, p. 2242). The study was conducted at four sites, including New York, Minnesota, and two hospitals in Taiwan and lasted 12 months. Patients with mild to moderate obesity and adult-onset diabetes mellitus were offered a free intensive intervention and recruited using mass media advertisements, practice-based databases and contact with professional groups, leading to an unblinded randomized group after screening 2648 candidates. Body mass index in participants ranged from 30.0 to 39.9, with a mean of 34.6. The study participants had been diagnosed with diabetes for a mean of 9.0 years. The intensive intervention included lifestyle modification with daily caloric intake counts, increased physical activity, daily weights and counseling sessions, and intensive medical management including close monitoring and treatment from doctors with medications for cholesterol, blood pressure, and glycemic control. Sixty of these participants…
X will need to modify her current sedentary lifestyle. The overall goal will be to adopt a healthier and more active lifestyle to yield weight loss and therefore reduce risk of cardiovascular disease and other predisposing health factors. The first step will be to educate and assess Mrs. X on the risk factors she is facing and to ask if she wants to lose weight. Next, as a physician, one must initiate a goal system of losing 10% of baseline weight at a rate of 1 to 2 pounds per week (Dr. Theodore 71-120); which in Mrs. X’s case would be losing a total of 20 pounds ideal within at least 6 months. Dietary therapy and increased physical activity are some components necessary for weight loss therapy. Dietary therapy will advise her in the modification of the low calorie diet to reduce calorie intake to 1000-1200 kcal/day (Dr. Theodore 71-120). This will help achieve a slow but progressive weight loss. Physical activity will also be a part of the treatment plan; advising Mrs. X to exercise at a moderate level for 30-45 minutes, 3-5 days per week. One should encourage physical activity to be initiated slowly since it has not been an active part in her previous lifestyle habits this could be as simple as taking the stairs, walking, or swimming at a slow…
As mentioned Mrs M is classes as clinically obese, for a woman of her weight and height this meant her B.M.I was in the red zone classing her as being overweight. Although this was the case, Mrs M did not follow any special requirements in her diet as this was out with her wishes. (The Alliance, 2015). During the reviews with diabetic liaison nurses and her GP it was suggested on many different occasions that a lifestyle change may be needed to better control her diabetes. Along with a change in diet was the suggestion to take up some physical activity both to try and manage the extra weight carried but also to promote good circulation within the legs to avoid atherosclerosis. Research shows that obesity and type 2 diabetes come hand in hand when dealing with poor management of diabetes and is a massive threat to a individuals mortality rate (Nath, Heemels and Anson, 2006). Mrs M’s nursing management included treatment by medication. Metformin was prescribed as it the first line drug of choice, particularly chosen for patients with normal kidney function and those that are deemed obese and overweight. This was taken…
According to the National Diabetes Statistics Report for 2014 published by the Centers for Disease Control and Prevention, approximately 21 million Americans of all ages have been diagnosed with diabetes as of 2012. This number only includes those who have been diagnosed by a medical professional and from this population; almost 95% of diagnosed adults have Type II diabetes. The difference between Type I and Type II diabetes is that Type I often times affects children who’s cells fail to produce insulin, which is important in the regulation of blood glucose. With Type II diabetes patients are insulin resistance, meaning that the cells in the liver, muscle, and fat are unable to produce enough insulin to regulate blood glucose…
Patient was not overly concerned about his health until ten years ago, when his father died of a heart attack. He was also diagnosed with high blood pressure and high cholesterol close to that time. PC reports he wants to maintain a healthy lifestyle and reduce his current blood pressure and cholesterol.…
otherwise long-lasting in its effects or a disease that comes with time, has three major…