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Knowing Your Numbers

Maurice Duggins, MD Associate Professor Family Medicine Associate Director VCFM Residency Program. Knowing Your Numbers. Knowing Your Numbers. Why is it important to know your numbers? What numbers are important?. Knowing Your Numbers.

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Knowing Your Numbers

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  1. Maurice Duggins, MD Associate Professor Family Medicine Associate Director VCFM Residency Program Knowing Your Numbers

  2. Knowing Your Numbers • Why is it important to know your numbers? • What numbers are important?

  3. Knowing Your Numbers • The number one killer in the USA is Cardiovascular Disease(CVD). • 1 in every 3 adults has heart disease. • Approximately 82 million people! • CVD Kills more each year than the next two top killer diseases. • So what are the risk factors for CVD?

  4. Knowing Your Numbers • Over 800,000 Americans die from CVD yearly.1 • More Women from Heart Disease than Breast Cancer.

  5. Knowing Your Numbers • Major Risk Factors for CVD: • OBESITY • SMOKING • HIGH CHOLESTEROL • HIGH BLOOD SUGAR • HIGH BLOOD PRESSURE

  6. Cardiovascular Disease Jingle

  7. Knowing Your Numbers • Life Expectancy in the USA is 78.5 years. • Heart Disease #1 • Cancer #2 • Chronic Lung Disease #3 • Stroke #4 • Diabetes #6

  8. Obesity(BMI) • What is obesity? • Epidemic in the USA • 30% Obese • 64% Overweight • Kansas currently Rank 16th in USA

  9. Body Mass Index (BMI) • Optimal BMI • Normal BMI • Pre-Obesity • Obesity <24 but >18 • 18 to 24 kg/m2 • 25-29 kg/m2 • >30 kg/m2

  10. Body Mass Index (BMI) • http://nhlbisupport.com/bmi/bmicalc.htm • This Calculates your BMI using Feet, Inches, and Pounds . • There’s an App for that: Fitter Fitness calculator(free)

  11. Hypertension(Blood Pressure) • Silent Killer (CAD, CVA, CHF, Kidney Failure) • High Blood Pressure(HBP) • Primary, Essential, or Idiopathic • Secondary • Malignant • Pressure is measured in mmhg

  12. Hypertension(Blood Pressure) • Two Components . What are they? • Systolic Blood Pressure (top number) • Diastolic Blood Pressure (bottom number) • E.g. 130/80 • Both top and bottom numbers are important .

  13. Hypertension(Blood Pressure) • Optimal Blood Pressure • Normal Blood Pressure • Pre-hypertension • Hypertension • <120/80 • 110/75 to 120/80 • 121/81 to 139/89 • >140/90

  14. Hypertension(Blood Pressure) • Check your blood pressure regularly . • Keep a record for yourself to show your physician. • Remember blood pressure fluctuates through out the day.

  15. Diabetes(High Blood Sugar) • About 18 millionAmericans diagnosed. • About 7 million Americans Undiagnosed. • Leading cause of adult blindness. • Leading cause of Kidney Failure. • Classic signs are increased hunger, thirst, and urination.

  16. Diabetes(High Blood Sugar) • Optimal Blood Sugar • Normal Blood Sugar • Pre-Diabetes • Diabetes • <100 • 80 to 100 • 101 to 125 • > 126

  17. Diabetes(High Blood Sugar) • Family history is very predictive. • Screening should start at age 20 and sooner if risk factors or signs /symptoms present.

  18. Cholesterol(High Blood Lipids) • Cholesterol is needed by everyBODY. • Break cholesterol into its parts: • LDL(Low density lipid) • HDL(High density lipid) • No signs or symptoms- Usually.

  19. Cholesterol(High Blood Lipids) • Optimal LDL • Normal LDL • Borderline LDL • High LDL • 70 • <130mg/dl • 131 to 160mg/dl • >160

  20. Cholesterol(High Blood Lipids) • Two- thirds of Americans don’t know their cholesterol level. • It’s a major contributor to CVD. • Screening should be done starting at age 20 then every 1 to 5 years thereafter.

  21. Triglycerides(Blood Fat) • Optimal Triglycerides • Normal Triglycerides • High Triglycerides • <150 • 150-199mg/dl • 200-499 mg/dl

  22. Triglycerides(Blood Fat) • Complex of lipoproteins. • Independent risk factor for CVD. • Screening is done when cholesterol or lipid panel is done. • Triglyceride > 200 use Non-HDL Level. • Non-HDL = Total Choles. – HDL Level. • Non-HDL goal <130

  23. Tachycardia(High Heart Rate) • BMI • Diabetes • Hypertension • LDL Cholesterol • Non-HDL Level • <30 • <100 • <120 • <100 • <130

  24. RESPONSE • 1. Increase physical Activity most day. • >120 minutes a week • 2. Eat Healthy most days. • High Fiber ,Fruits, Vegetable • 3. Quit Smoking. • # to know: ZERO cigarette • 4. Make these numbers your goal.

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