Archive for the ‘Heart’ category

Autonomic Neuropathy

January 3rd, 2010

Autonomic neuropathy affects the nerves that control the heart, regulate blood pressure, and control blood glucose levels. Autonomic neuropathy also affects other internal organs, causing problems with digestion, respiratory function, urination, sexual response, and vision.

Symptoms vary depending on the nerve(s) affected. They usually develop gradually over years.
- Digestive tract :
* Constipation
* Diarrhea
* Feeling full after only a few bites (early satiety)
* Nausea after eating
* Swollen abdomen
* Unintentional loss of more than 5% of body weight
* Vomiting of undigested food
- Heart :
* Sensation of what is going on in the heart is blunted.
* Blood pressure changes with position.
* Dizziness that occurs when standing up.
* Lacking oxygen, the heart feels pained, a condition called angina. But a diabetic may not feel anything, or realize anything is wrong.
- Urinary tract :
* Difficulty beginning to urinate.
* Feeling of incomplete bladder emptying.
* Urinary incontinence (overflow incontinence).
- Other symptoms :
* Abnormal sweating
* Fainting
* Heat intolerance, induced by exercise
* Male impotence
Occasionally, other symptoms may indicate a problem in the function of the autonomic nervous system, including:
* Difficulty swallowing
* Excessive sweating
* Irregular heart rhythms
* High blood pressure
* Rapid or slow heart rate

Treatment is supportive and may need to be long-term. Several treatments may be attempted before a successful one is found.
* Florinef and salt tablets to increase fluid volume in blood vessels.
* Fludrocortisone or similar medications to reduce postural hypotension.
* Medications to help with salt and fluid retention.
* Proamatine to prevent a drop in blood pressure when standing.
* Sleeping with the head raised.
* Use of elastic stockings.
Treatments for reduced gastric motility include:
* Medications that increase gastric motility (such as Reglan).
* Sleeping with the head raised.
* Small, frequent meals.

Tips to have a healthy heart

December 21st, 2009

Heart disease may be the leading cause of death for both men and women, but that doesn’t mean you have to accept it as your fate. Although you lack the power to change some risk factors — such as family history or age — there are some key heart disease prevention steps you can take.

- Don’t smoke or use tobacco products : Tobacco smoke contains more than 4,800 chemicals. Many of these can damage your heart and blood vessels, making them more vulnerable to narrowing of the arteries (atherosclerosis). Atherosclerosis can ultimately lead to a heart attack. In addition, the nicotine in cigarette smoke makes your heart work harder by narrowing your blood vessels and increasing your heart rate and blood pressure. Carbon monoxide in cigarette smoke replaces some of the oxygen in your blood. This increases your blood pressure by forcing your heart to work harder to supply enough oxygen.
The good news, though, is that when you quit smoking, your risk of heart disease drops dramatically within just one year.
- Exercise : Physical activity helps you control your weight and can reduce your chances of developing other conditions that may put a strain on your heart, such as high blood pressure, high cholesterol and diabetes. It also reduces stress, which may also be a factor in heart disease.
- Eat a heart-healthy diet : Ideally aim for a diet containing about 25 percent calories from fat, divided as follows: polyunsaturated fat (10 percent), monounsaturated (10 percent) saturated/trans fats (no more than 5 percent). Major sources of saturated fat include beef, butter, cheese, milk, and coconut and palm oils. Omega-3 fatty acids, a type of polyunsaturated fat (intake should be approx 10 percent), may decrease your risk of heart attack, protect against irregular heartbeats and lower blood pressure. Foods high in polyunsaturated fat include corn oil, safflower and sunflower oil, nuts, seeds and some fish. Foods containing polyunsaturated fat are best eaten cold or lightly cooked.
- Soy foods contain beneficial protein — 25 grams of soy protein per day may help reduce risk of heart disease. Substitute soy milk for skim milk, choose tofu or tempeh daily, snack on soy nuts or enjoy a smoothie made with soy milk and fruit.
- Limit sodium intake to 2400 milligrams a day.
- Eat nine servings of fruits and vegetables every day.
- Avoid foods containing trans-fatty acids.
- Blood clots : Blood clots can block or stem the blood flow, causing a heart attack. So foods which contain chemicals which prevent blood clotting can protect against heart disease. These include naturally oily fish, such as mackerel, sardines and salmon.
- Fibre : Fibre has been shown to reduce blood cholesterol levels and may therefore reduce the risk of heart disease. Foods high in fibre include cereal crops such as oats, pasta, bread and potatoes.
- Maintain a healthy weight.
- Get regular health screenings.

Following a low carb, high fat diet bad for health

December 12th, 2009

There are time periods when different types of diets become popular; for example, even though it may not seem logical, a low-carb and high-fat diet is believed by millions to be a pretty effective diet to lose weight. Further, other diets emphasize eating lean and controlling your food intake, something that is not very easy to follow on a regular basis. The low-carb, high-fat diet gives you a lot of good stuff to eat, and are touted as diets that promote rapid loss of weight. A recent research however questions the effectiveness of this diet, and also lead to a higher risk of cardio-vascular diseases; this leads to a further increase of risks when you consider that obese and diabetes afflicted people already have a higher risk of heart problems and blood pressure (link to article):

“High-fat diets have become popular because they seemingly promote more rapid weight loss and because of their palatability,” said Hunter. “However, we now have proof that they do not help people lose weight any faster than more conventional diets, and the potential negatives of increased cardiovascular risks far outweigh the potential positives,” added Hunter.
“The worldwide obesity pandemic is a major public health concern and strongly linked to rises in diabetes and cardiovascular disease,” said Hunter. “Advocating low-carbohydrate high-fat diets as a weapon against obesity and diabetes, health professionals could be contributing to a dangerous rise in cardiovascular disease,” warned Hunter.

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