HEALTH INFORMATION PATIENT HANDOUT 7
HealthInformation Patient Handout
HealthInformation Patient Handout
Thishealth information handout focuses on explaining the link betweendiabetes and high cholesterol levels, because many patients thatsuffer cardiovascular problems due to cholesterol have been reportedto be diabetic. The target audience is first, people withcardiovascular complications arising from cholesterol accumulation,and second, diabetic patients because it is one of the risk factors. The vitality of understanding how cholesterol accumulation has arelationship with diabetes depends on fact that the later leads intothe former. Cholesterol is substance that has fatty features, butits waxy nature makes it difficult to be broken down like othersimple fats (Schering &Kasten, 2004). Patients should also knowthat cholesterol has other important functions to the body such asforming tissues, hormones and cells. However, it is supposed to beta certain levels beyond which, its accumulation poses a risk tocardiovascular health. Excess accumulation leads to the depositionof its remnants into walls of vessels, especially the coronaryarteries. The deposition continues until rigid lumps form. The lumpsnarrows the rumen of blood vessels hence, leading to increasedpressure. Other problems that are likely to arise due to the lumpsare reduced blood volume and the incidence of blood clots. Specifically, low density cholesterol (LDC) causes the clottingbecause of its affinity to clog along the vessels (Bartol, 2006). Thechoice to describe the relationship between these two chronicillnesses intends to raise awareness among patients of both ailmentsso that they do not spend money managing one condition only to bediagnosed with the other. For instance, diabetic patients need thisinformation because they are predisposed to coronary heartcomplications.
Thelink between Diabetes and Cholesterol
TheAmerican Diabetes Association (ADA) identifies certain abnormalitiescommon in diabetic people. The abnormalities are responsible for thehigh prevalence of coronary heart disease among people living withdiabetes. ADA identifies the abnormalities as follows:
Glucose and low density cholesterol (LDC) form an attachment in the blood(Schnell, 2005). The attachment makes LDC to take an unusually longer time in the blood than it takes for other people without diabetes.
High Density Cholesterol (HDL) is low when a person has a high blood sugar meaning that they have relatively higher LDL. Similarly, diabetic patients have high triglycerides, which, like LDL can become catastrophic for blood vessels.
ADA also provides evidence of remarkable progress in patients managing diabetes whenever, the process focused on increasing HDL and decreasing LDL and triglycerides. The general outcome of these treatment imperative is a drop in mortality rates in people with diabetes (U.S. Department of Health and Human Service, 2005).
VitalGoals for Diabetic Patients in relation to Cholesterol
Maintain LDL at a level not more than 100 mg/Dl
A more than 50mg/Dl for both gender
Maintain triglycerides at a level not more than 150mg/Dl (Bartol, 2006).
Strategiesto meet the three goals above
Lifestyleadjustments are the initial priorities as a way of dealing with LDLand triglycerides. Cutting on foods that have high fat, ensuringthat one’s body mass index is within the desirable levels, andmeaningful exercising are the main points of focus. Cutting down onthe total fat effectively reduces the proportion of saturated fat andTrans fat because, they are responsible for LDL build up. Aftercutting down on these types of fats, physical exercising aid inburning down raised cholesterol. If one and make it to cut theirweight by about eight pounds, they can possibly cut LDL’s by over8% as well. The American Diabetic Association found that somepatients who did reduced their LDL to almost 10% depending onindividual-specific factors (U.S. Department of Health and HumanService, 2005).
Nowthat a great deal of people eats eggs every day, they should knowthat egg whites are healthier, because they lack cholesterol. Diabetic patients should consider avoiding the yolk because repeatedconsumption can lead to LDL accumulation.
Leanmeats instead of prime meats should be the choice to avoidaccumulation of saturated fats. As mentioned above, trans fats andsaturated fats directly cause LDL deposition. Although lean meat isnot entirely the perfect choice, it is an alternative for diabeticmeat penchants in the risk category (McKinley Health Center, 2008).On the extreme, one can choose increased meatless meals for severalweeks. The decision may be punitive but helpful in the long-term.
Thelifestyle adjustments discussed above are not the ultimate solutionto cutting down on LDL and triglycerides. In some cases medicalinterventions are supposed to back up individual efforts. Moreover,the medical interventions do not work in place of the neededlifestyle adjustments.
Asrecommended by the American Diabetic Association, doctors canadminister statins to diabetic people. On the current market,statins are distributed in different forms such as atorvastatin,Lovastatin, Rosuvastatin, Fluvastatin, Pravastatin, and Simvastatin. Statin inflict mild side effects such as stomach upsets and musclesoreness. People with liver problems may not use statins becausethey increase its likelihood (U.S. Department of Health and HumanService, 2005). Statin therapy targets the liver’s physiologicalrole of breaking down fats hence, the need for multiple liver testsbefore its administration.
Bartol,G. T. (2006). TheLink between Type 2 Diabetes and Cardiovascular diseases.John Hopkins advanced Studies in Medicine, Vol. 6(10A).http://www.jhasim.com/files/articlefiles/pdf/ASM_6_10A_p921_925.pdf
McKinleyHealth Center (2008). DiabetesMedicines (pills and insulin).Available athttp://www.mckinley.illinois.edu/handouts/diabetes/diabetes_cholesterol.htm
Schering,D., &Kasten, S. (2004). The link between diabetes andcardiovascular disease. Journalof Pharmacy Practice, 17(1),61-65. Found in http://jpp.sagepub.com/content/17/1/61.short
Schnell,O. (2005). The links between diabetes and cardiovasculardisease.Journal of interventional cardiology, 18(6), 413-416. Foundinhttp://onlinelibrary.wiley.com/doi/10.1111/joic.2005.18.issue-6/issuetoc
U.S.Department of Health and Human Services (2005). TheLink Between Diabetes and Cardiovascular Disease.Available athttp://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CCMQFjAAahUKEwj2odes9ZLHAhWSBtsKHZ3pADY&url=http%3A%2F%2Fndep.nih.gov%2Fmedia%2FCVD_FactSheet.pdf&ei=MYTCVbbFBJKN7Aad04OwAw&usg=AFQjCNEvwh12FxWdifPfbFV9LhSBxuuWIQ&sig2=GaiqnI_En6eTY01xvqvwqQ&bvm=bv.99261572,d.ZGU