Diabetes- The soft and silent killer !

The minute most of us hear “Diabetes”, we think of Blood Sugar.

Blood sugar is elevated level of sugar or glucose in the blood which if unchecked overtime, leads to diabetes. Diabetes is a disease in which the body’s ability to produce or respond to insulin is impaired, resulting in abnormal metabolism of carbohydrates, inability of our body to convert sugar into glucose and subsequently elevated levels of glucose in the blood.

We all know about Type 1 Diabetes, Type 2 Diabetes but whats important is what happens in the body, when we have elevated levels of sugar in the body for long.

Common Effects and Risks associated with high sugar levels and diabetes are:

Diabetes
Diabetes complications affected organs. diabetes affects nerves, kidneys, eyes, vessels, heart, brain and skin

Risk of stroke: Diabetes or elevated sugar levels, increase our risk of stroke, about 4 times more than non diabetics

Risk of Heart Disease:  Diabetes increases risk of heart attack , heart disease. As the blood vessels get damaged, it puts the heart under pressure and an increased risk of heart attacks.  High glucose levels also lead to fatty deposits. Coupled with obesity, high blood pressure, it puts you at a severe risk and an angioplasty  or an open heart bypass surgery may even be required.

Risk of Cataract: Diabetics are at an increased risk of developing cataracts

Risk of Glaucoma: Glaucoma risk is significantly more for diabetics. If left untreated, Glaucoma can lead to blindness.

Risk of Pancreas Malfunction: A malfunction in pancreas leads to diabetes and higher blood sugar levels in turn continue to damage the pancreas.
Risk of Gastroparesis:   Increase in blood sugar levels also makes it hard for the  stomach to empty completely. This also in turn leads to an increase in blood sugar levels. Nausea, vomiting, bloating, and heartburn are common symptoms.
Risk of Kidney Damage:  Unchecked High sugar levels and diabetes, damages the kidneys, leads to diabetic neuropathy and eventually one may need a dialysis or even a kidney transplant.
Risk of Nerve Damage: Diabetics often  have tingling sensation in the foot and suffer from nerve damage. Lack of sensation or peripheral neuropathy is dangerous as due to lack of sensation, one may fail to notice injuries

.
Foot Problems:  Unchecked diabetes can lead to diabetic foot where the entire foot may even need to be amputated.
Ketoacidosis:   In absence of insulin,  the body uses alternate hormones to turn fat into energy, which creates a high level of toxic chemicals such as acids and  ketones, which may lead to a condition called diabetic ketoacidosis.  Diabetic ketoacidosis  often leads to loss of consciousness and other life threatening complications. A Fruity Breath or a sweet smelling breath is often an indicator of diabetes and calls for a check on blood sugar levels.
Visual Problems:  Diabetics often face visual problems, as high glucose levels often lead to swollen, leaky blood vessels in the eye, leading to a condition called diabetic retinopathy.  These vision problems,  may even lead to partial or total loss of vision Vision problems can be gradual hence routine eye checkups if you are diabetic or have pre diabetes are a must.

Risk of damage to blood vessels:  High blood sugar levels or high glucose levels,
restrict blood flow, damaging the blood vessels.

As unchecked diabetes, leads to a host of problems, it is important to make life style changes. Pre diabetes conditions can be reversed by exercise and dietary changes.  Type 2 diabetes can be controlled and even reversed if significant life style changes are made.

One of the most important life style change is to Quit smoking as diabetes and smoking leads to an enhanced risk of heart disease.

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Heart Disease -Stuff you must know !

open heart bypass surgery
open heart bypass surgery

Heart disease kills more people than any other disease. Over 30% of deaths across the world are due to heart disease as per WHO estimates.

Ignorance, lack of awareness, refusal to get basic routine checkups, account for the high mortality rate.

Unhealthy dietary habits, alcohol abuse, use of tobacco, lack of exercise, obesity, diabetes, hypertension and genetics are the primary reasons for developing heart disease.

Most cases go undiagnosed till the patient suffers a heart attack.

Here is a list of types of heart disease which we should all know about.

Clogged Arteries: Fat and cholesterol build up in the arteries leads to plaque and mineral deposits which restricts or blocks blood flow to the heart. Usually clogged arteries are not diagnosed unless one gets chest pains or gets breathless. An angiography is often carried out for diagnosis. Stenting or an angioplasty takes of blocked arteries. A surgeon may insert a balloon or a wire mesh to open up your arteries. If the blockage is severe, a CABG or open heart bypass surgery may be required. In CABG, or open hear bypass surgery, blood vessels from other parts of the body are taken and damaged blood vessels of the heart are replaced or bypassed.

Arrhythmia: Irregular heart beat can either be too slow or too fast. Although rarely fatal, arrhythmia increases pre disposition to heart attack, heart failure and even stroke.
An ICD  detects irregular heart beat and send electric impulses to takes care of Arrhythmia.

Hole in the heart :  PDA, VSD, ASD, Mitral Valve Defects,  commonly known as hole in the heart, sometimes congenital heart defects are not diagnosed even till adulthood. Growth milestones may be compromised and problems may persist later in life.
Serious defects require surgical intervention however some can be managed with medical management.

Heart Muscle Disease: Our heart is a muscle which weakens due to obesity, high blood pressure, diabetes and hence the heart struggles to pump blood in the body.
Heart muscle disease or cardiomyopathy can lead to heart failure.

A Pacemaker is implanted to take care of heart muscle disease.

Enlarged Heart: As the heart muscle becomes weak, the heart enlarges in order to pump blood and the rhythm increases. However the heart also becomes weaker and consequently it leads to decreased blood flow.

Heart Attack: Clogged arteries can restrict and even stop blood flow to the heart. Without blood flow, our heart doesn’t get the oxygen required which damages the heart and this is what is known as a heart attack. The more restricted the blood flow, the more life threatening and severe, the heart attack.

Heart Failure: Failure of the heart to pump blood to the body is known as heart failure and this can lead to death.

Without surgical intervention or medical management as may be required, heart disease progresses and even post diagnosis and surgical intervention, drastic life style changes are required for managing the medical condition.

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How Does High Blood Pressure Affect Your Heart

Blood Pressure,Open Heart SurgeryUncontrolled blood pressure can damage the heart , the main organ responsible for pumping blood in the body in a number of ways.

Cause narrowing of arteries- As the pressure of blood flowing from your arteries increases. it damages the inner lining of your arteries. Fat from food collects in the damaged part of your arteries causing further narrowing and damage. Eventually arteries become less elastic limiting proper blood supply to the body.

Coronary heart disease-  As the arteries get damaged due to narrowing, a high blood pressure can lead to sudden chest pains  and subsequent heart attack or even arrhythmias.

When the damage becomes extensive, angioplasty, stenting also may not help and an open heart surgery maybe required.

Enlarged Left Heart– As high blood pressure forces the heart to work harder to pump blood , the left ventricle or the left heart becomes thicker and tougher increasing risk of heart attack,  heart failure or a cardiac arrest.

Heart Failure–  Over a period of time, the heart becomes, weaker, less efficient and begins to fail.

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Eyes ? Do they also get affected by high blood pressure

High Blood PressureBlood vessels supplying blood to eyes can also get damaged over time due to high blood pressure leading to blurred vision, bleeding and even loss of vision.

The 3 major conditions that happen due to damage from high blood pressure are
Retinopathy– The blood vessels supplying blood to the retina get damaged due to high blood pressure leading to Retinopathy which causes bleeding, blurred vision and loss of vision.
Choroidopathy is fluid build up under the retina due to blood vessels which start to leak as they get damaged due to high blood pressure which results in blurred vision, distorted vision and permanent impairment

Optic Neuropathy results when the optic nerve gets damaged due to high blood pressure, which results in bleeding and vision loss. Damage is often irreversible.

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High Blood Pressure and Brain Damage

High Blood Pressure and Brain Damage

Stroke, Dementia, Mild Coginitive Impaiment and Tran Ischemic attack are few of problems resulting due to high blood pressure.

What is Stroke?

A stroke happens when a part of the brain does not get proper supply of oxygen and the brain cells start to die.

High Blood Pressure causes stroke due to formation  of  blood clots leading in the arteries  which block off blood supply.

High blood pressure over a period of time, also causes the arteries to weaken , narrow and potentially rupture over a period of time.

What is Dementia?

A dementia is a state before alzheimer where a patient tends to start forgetting things, In Vascular dementia the culprit is often a stroke.

Dementia and mild cognitive impairment both result from lack and interruption of blood supply to the brain when high blood pressure damages arteries over time.

Transient Ischemic attack or a mini stroke is a brief disruption in the blood supply caused by a blood clot. A mini stroke is a warning sign that a full blown stroke is on it way.

Consult if your loved ones suffers from Stroke, Dementia , Mild Coginitive Impaiment and Tran Ischemic attack.

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Kidney Transplant, High Blood Pressure and Kidneys

Kidney Transplant cost in India,Kidney transplantOur kidneys are responsible for filtering excess fluid and waste from the body and this depend upon healthy blood vessels.

 Having high blood pressure can damage the blood vessels leading to and out of the kidneys.
Diabetes along with hypertension worsens the damage.
Very often Hypertension leads to Nephropathy or  several types of kidney disease.
Kidney  Failure
Hypertension over a period of time, can damage both the large arteries leading to kidneys and the smaller blood vessels too. As a result your kidneys cannot filter by products leading to accumulation of toxins , damage and subsequent failure.
 As a result you may need dialysis followed by Kidney Transplantation.
Kidney Scarring
Scarring of the kidneys is caused by damage to small clusters of blood vessels which help filter blood from the kidneys.
Scarring once it starts is irreversible.
The kidneys shrink and finally the patient  may need dialysis followed by a kidney transplant.
Aneurysm of the kidney artery
A bulge in the wall of the artery is called aneurysm. An aneurysm in the kidney artery is called renal artery aneurysm.
Atherosclerosis can weaken and damage the arterial wall. Over a period of time, high blood pressure can lead to a bulge or aneurysm which can leak leading to internal bleeding which can be life threatening.
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How Does High Blood Pressure Affect Your Heart

Blood Pressure,Open Heart SurgeryUncontrolled blood pressure can damage the heart , the main organ responsible for pumping blood in the body in a number of ways.

Cause narrowing of arteries- As the pressure of blood flowing from your arteries increases. it damages the inner lining of your arteries. Fat from food collects in the damaged part of your arteries causing further narrowing and damage. Eventually arteries become less elastic limiting proper blood supply to the body.

Coronary heart disease-  As the arteries get damaged due to narrowing, a high blood pressure can lead to sudden chest pains  and subsequent heart attack or even arrhythmias.

When the damage becomes extensive, angioplasty, stenting also may not help and an Open Heart Surgery maybe required.

Enlarged Left Heart– As high blood pressure forces the heart to work harder to pump blood , the left ventricle or the left heart becomes thicker and tougher increasing risk of heart attack,  heart failure or a cardiac arrest.

Heart Failure-  Over a period of time, the heart becomes, weaker, less efficient and begins to fail.

If you know of someone suffering from High Blood Pressure,  coronary heart disease,  email us your medical reports on info@ihealthkonnect.com and Consult Now.

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Understanding High Blood Pressure , The Silent Killer

Blood Pressure Symptoms, Heart Attack

Blood Pressure:

Highly Blood pressure or hypertension  is a common ailment which many of us suffer from.
High Blood pressure is often called a silent killer and many of us wonder why?
Let’s start with what s a normal blood pressure and when we tread into danger zone and what does a tread into the danger zone mean for our bodies.

Hypertension damages our heart, brain and kidneys and quietly so for years, before high blood pressure symptoms develop.

Half of those suffering from high blood pressure die of heart disease due to poor blood flow. Another 30% die of stroke.
With uncontrolled hypertension, one may wind up with a disability,  a fatal heart attack, stroke, kidney failure.
Watch out for more from us  in the coming weeks on how hypertension damages our heart, arteries, brain, eyes, kidneys and even causes sexual dysfunction.
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Alcohol

Too much alcohol can raise your blood pressure and triglyceride levels, a type of fat found in the blood. Alcohol also adds extra calories, which may cause weight gain which again leads to heart diseases.

Men should have no more than two drinks containing alcohol a day. Women should have no more than one drink containing alcohol a day. One drink is:

  • 12 ounces of beer
  • 5 ounces of wine
  • 1½ ounces of liquor