sábado, 16 de novembro de 2013

As diabetes reaches epidemic proportions, heart disease risks also increase

As diabetes reaches epidemic proportions, heart disease risks also increase blog.heart.org



Diabetes é às vezes chamado de " assassino silencioso " da América Porque milhões de pessoas não estão conscientes de que têm e os sinais não podem sequer ser notada . Mas, se você está em risco para o diabetes, você também pode estar em risco para doenças cardíacas - a principal causa de morte nos Estados Unidos.

Ações Diabetes muitos dos mesmos fatores de risco de doença cardíaca. Estes incluem: o excesso de peso , falta de exercício e má alimentação . As doenças são acopladas também porque dois em cada três pessoas com diabetes morrem de doença cardíaca ou acidente vascular cerebral.

Apesar dos progressos no tabagismo , colesterol elevado e altas taxas de pressão arterial, as taxas de obesidade e diabetes estão em ascensão . Eles devem ser resolvidos se a doença cardíaca e acidente vascular cerebral mortes vão cair 20 por cento em 2020, um dos principais objetivos da American Heart Association / American Stroke Association .

Diabetes , que faz com que o açúcar no sangue ( glicose ) para subir a níveis perigosos , está atingindo proporções epidêmicas . Estima-se que 19,7 milhões de adultos são diagnosticados atualmente e mais de 8,2 milhões de adultos têm diabetes não diagnosticada , de acordo com a Visão Geral Funcional do mais recente American Heart Association / American Stroke Association doença cardíaca e Estatística curso . Ainda mais alarmante , está previsto que um em cada três americanos terão diabetes em 2050. Africano-americanos , hispânicos / latinos americanos e outros grupos étnicos têm riscos ainda maiores.

De acordo com estatísticas da Associação Americana do coração , amoras de 87 milhões de pessoas, quase 40 por cento dos norte-americanos , têm pré- diabetes. Muitas dessas pessoas vão desenvolver diabetes tipo 2 e até um terço deles terá uma complicação no momento em que são diagnosticados . Enquanto este é um problema comum e grave de saúde pública , muitas pessoas e profissionais de saúde subestimam o risco de uma pessoa para diabetes. Sem um diagnóstico claro que é difícil de tratar.

Infelizmente, muitos americanos acreditam que eles têm o que é às vezes chamado de " diabetes limítrofe " e que não é muito sério. Mas se não diagnosticada ou tratada, a diabetes tipo 2 pode provocar muitos problemas médicos sérios , tais como : danos nos nervos , a cegueira ou insuficiência renal. Mesmo discretas elevações dos níveis de glicose aumentam o risco de doença cardíaca e acidente vascular cerebral.

Como você pode controlar seus fatores de risco para o diabetes? Enquanto alguns fatores que você não pode controlar, como histórico familiar, raça, etnia, idade e histórico de diabetes durante a gravidez, muitos fatores de risco que você pode controlar. Se você está acima do peso , perder de 5 por cento a 7 por cento do seu peso corporal pode reduzir o risco de desenvolver pré- diabetes. Em segundo lugar, se você é fisicamente inativo , somando 150 minutos por semana de exercício moderado pode melhorar sua saúde e minimizar os riscos de diabetes e doenças cardiovasculares. Em terceiro lugar , é importante para manter a pressão arterial sob controle , como hipertensão arterial sem tratamento tem sido associada ao desenvolvimento de diabetes. Em quarto lugar , manter os níveis de colesterol dentro dos limites normais , mantendo uma dieta saudável.

Estudos têm mostrado que as mudanças de estilo de vida , tais como : perda de peso, alimentação saudável e aumento da atividade física o tempo pode prevenir ou retardar o aparecimento de diabetes em quase 60 por cento. Se você já foi diagnosticado com diabetes , essas mesmas mudanças de estilo de vida pode retardar a progressão da doença.
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Diabetes is sometimes called America’s “silent killer” because millions are not aware they have it and the signs may not even be noticeable. But, if you’re at risk for diabetes, you may also be at risk for heart disease — the leading cause of death in America.
Diabetes shares many of the same risk factors with heart disease. These include: being overweight, lack of exercise and poor diet. The diseases are also coupled because two out of three people with diabetes die from heart disease or stroke.
Despite progress in smoking, high cholesterol and high blood pressure rates, obesity and diabetes rates are on the rise. They must be addressed if heart disease and stroke deaths are going to drop 20 percent by 2020, one of the major goals of the American Heart Association/American Stroke Association.
Diabetes, which causes blood sugar (glucose levels) to rise to dangerous levels, is reaching epidemic proportions. An estimated 19.7 million adults are currently diagnosed and another 8.2 million adults have undiagnosed diabetes, according to the most recent American Heart Association/American Stroke Association Heart Disease & Stroke Statistics. Even more alarming, it’s projected that one in three Americans will have diabetes by 2050. African-Americans, Hispanic/Latino Americans and other ethnic groups have even higher risks.
According to American Heart Association statistics, more than 87 million people, almost 40 percent of Americans, have pre-diabetes. Many of these people will develop Type 2 diabetes and up to one-third of them will have a complication by the time they are diagnosed. While this is a serious and common public health problem, many people and health care professionals underestimate a person’s risk for diabetes. Without a clear diagnosis it is hard to treat.
Unfortunately, many Americans believe they have what is sometimes called “borderline diabetes” and that it isn’t very serious. But if left undiagnosed or untreated, Type 2 diabetes can lead to many serious medical problems such as nerve damage, blindness or kidney failure. Even mild elevations of glucose levels greatly increase the risk of heart disease and stroke.
How can you control your risk factors for diabetes?  While some factors you can’t control, like family history, race, ethnicity, age and history of diabetes during pregnancy, many risk factors you can control. If you are overweight, losing 5 percent to 7 percent of your body weight can cut your risk of developing pre-diabetes.  Secondly, if you are physically inactive, adding 150 minutes per week of moderate exercise can improve your health and minimize risks for diabetes and cardiovascular disease. Third, it’s important to keep your blood pressure under control as untreated high blood pressure has been linked to the development of diabetes.  Fourth, keep your cholesterol levels in normal range by maintaining a healthy diet.
Studies have shown that lifestyle changes, such as losing weight, eating healthy and increasing physical activity can prevent or delay the onset of diabetes by nearly 60 percent. If you’ve already been diagnosed with diabetes, these same lifestyle changes can slow the progression of the disease.
For more information:
This column was written by Jay Shubrook, D.O., FACOFP, FAAFP, an associate professor of family medicine and diabetologist at Ohio University Heritage College of Osteopathic Medicine.  He serves on the American Diabetes Association Primary Care Advisory Panel and is Research Chair on the Steering Committee for The Guideline Advantage, a quality collaborative for the American Diabetes Association, American Cancer Society and the American Heart Association.
Diabetes is sometimes called America’s “silent killer” because millions are not aware they have it and the signs may not even be noticeable. But, if you’re at risk for diabetes, you may also be at risk for heart disease — the leading cause of death in America.
Diabetes shares many of the same risk factors with heart disease. These include: being overweight, lack of exercise and poor diet. The diseases are also coupled because two out of three people with diabetes die from heart disease or stroke.
Despite progress in smoking, high cholesterol and high blood pressure rates, obesity and diabetes rates are on the rise. They must be addressed if heart disease and stroke deaths are going to drop 20 percent by 2020, one of the major goals of the American Heart Association/American Stroke Association.
Diabetes, which causes blood sugar (glucose levels) to rise to dangerous levels, is reaching epidemic proportions. An estimated 19.7 million adults are currently diagnosed and another 8.2 million adults have undiagnosed diabetes, according to the most recent American Heart Association/American Stroke Association Heart Disease & Stroke Statistics. Even more alarming, it’s projected that one in three Americans will have diabetes by 2050. African-Americans, Hispanic/Latino Americans and other ethnic groups have even higher risks.
According to American Heart Association statistics, more than 87 million people, almost 40 percent of Americans, have pre-diabetes. Many of these people will develop Type 2 diabetes and up to one-third of them will have a complication by the time they are diagnosed. While this is a serious and common public health problem, many people and health care professionals underestimate a person’s risk for diabetes. Without a clear diagnosis it is hard to treat.
Unfortunately, many Americans believe they have what is sometimes called “borderline diabetes” and that it isn’t very serious. But if left undiagnosed or untreated, Type 2 diabetes can lead to many serious medical problems such as nerve damage, blindness or kidney failure. Even mild elevations of glucose levels greatly increase the risk of heart disease and stroke.
How can you control your risk factors for diabetes?  While some factors you can’t control, like family history, race, ethnicity, age and history of diabetes during pregnancy, many risk factors you can control. If you are overweight, losing 5 percent to 7 percent of your body weight can cut your risk of developing pre-diabetes.  Secondly, if you are physically inactive, adding 150 minutes per week of moderate exercise can improve your health and minimize risks for diabetes and cardiovascular disease. Third, it’s important to keep your blood pressure under control as untreated high blood pressure has been linked to the development of diabetes.  Fourth, keep your cholesterol levels in normal range by maintaining a healthy diet.
Studies have shown that lifestyle changes, such as losing weight, eating healthy and increasing physical activity can prevent or delay the onset of diabetes by nearly 60 percent. If you’ve already been diagnosed with diabetes, these same lifestyle changes can slow the progression of the disease.
For more information:
This column was written by Jay Shubrook, D.O., FACOFP, FAAFP, an associate professor of family medicine and diabetologist at Ohio University Heritage College of Osteopathic Medicine.  He serves on the American Diabetes Association Primary Care Advisory Panel and is Research Chair on the Steering Committee for The Guideline Advantage, a quality collaborative for the American Diabetes Association, American Cancer Society and the American Heart Association.

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