 Online edition of India's National Newspaper Sunday, Sep 26, 2010 ePaper | Mobile/PDA Version |
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Karnataka
Changing lifestyles, decreasing physical activities and increasing stress levels are posing greater risks of heart attacks, by increasing risk of development of Metabolic syndrome and Prediabetes. What is metabolic syndrome and how is it linked to heart disease? Metabolic syndrome is a grouping of traits and medical conditions that puts people at risk for both heart disease and type 2 diabetes. It is defined as having any three of the following five traits and medical conditions: Elevated waist circumference (central obesity) 90 cms or more in men 80 cms or more in women Elevated levels of triglycerides 150 mg/dL or higher Taking medication for elevated triglyceride levels Low levels of HDL (good) cholesterol Below 40 mg/dL in men ,below 50 mg/dL in women Elevated blood pressure levels 130 mm Hg or higher for systolic blood pressure or 85 mm Hg or higher for diastolic blood pressure Elevated fasting blood glucose levels 100 mg/dL or higher The metabolic syndrome concept motivates us to treat the condition and its components together to ensure best quality of care and of the known cardiovascular consequences, What is pre-diabetes? Pre-diabetes is a condition in which blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes. Pre-diabetes is also called impaired fasting glucose or impaired glucose tolerance. Many people with pre-diabetes develop type 2 diabetes within 10 years. In addition, they are at risk for heart disease and stroke. With modest weight loss and moderate physical activity, people with pre-diabetes can delay or prevent type 2 diabetes and lower their risk of heart disease and stroke If you have diabetes, you are at least twice as likely as someone who does not have diabetes to have heart disease or a stroke. People with diabetes also tend to develop heart disease or have strokes at an earlier age than other people. If you are middle-aged and have type 2 diabetes, some studies suggest that your chance of having a heart attack is as high as someone without diabetes who has already had one heart attack. Women who have not gone through menopause usually have less risk of heart disease than men of the same age. But women of all ages with diabetes have an increased risk of heart disease because diabetes cancels out the protective effects of being a woman in her child-bearing years. People with diabetes who have already had one heart attack run an even greater risk of having a second one. In addition, heart attacks in people with diabetes are more serious and more likely to result in death. High blood glucose levels over time can lead to increased deposits of fatty materials on the insides of the blood vessel walls. These deposits may affect blood flow, increasing the chance of clogging and hardening of blood vessels (atherosclerosis). The prevention and reduction of the metabolic syndrome is essential to reduce cardiovascular disease and to save lives, pointing to the value of regular check-ups and , such as diet and exercise. - Dr Chandrashekhar S. Patil Consultant Diabetologist Station Road, Hubli
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