KNOWING YOUR NUMBERS

Maurice Duggins, MDAssociate Professor Family Medicine Associate Director VCFM Residency Program

Knowing Your Numbers

Why is it important to know your numbers?

What numbers are important?

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?

Knowing Your Numbers

Over 800,000 Americans die from CVD yearly.1

More Women from Heart Disease than Breast Cancer.

Knowing Your Numbers

Major Risk Factors for CVD: OBESITY SMOKING HIGH CHOLESTEROL HIGH BLOOD SUGAR HIGH BLOOD PRESSURE

Cardiovascular Disease Jingle

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

Obesity(BMI)

What is obesity?

Epidemic in the USA 30% Obese 64% Overweight

Kansas currently Rank 16th in USA

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

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)

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

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 .

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

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.

Diabetes(High Blood Sugar)

About 18 million Americans diagnosed.

About 7 million Americans Undiagnosed.

Leading cause of adult blindness. Leading cause of Kidney Failure.

Classic signs are increased hunger, thirst, and urination.

Diabetes(High Blood Sugar)

Optimal Blood Sugar

Normal Blood Sugar

Pre-Diabetes

Diabetes

<100

80 to 100

101 to 125

> 126

Diabetes(High Blood Sugar) Family history is very predictive.

Screening should start at age 20 and sooner if risk factors or signs /symptoms present.

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.

Cholesterol(High Blood Lipids) Optimal LDL

Normal LDL

Borderline LDL

High LDL

70

<130mg/dl

131 to 160mg/dl

>160

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.

Triglycerides(Blood Fat)

Optimal Triglycerides

Normal Triglycerides

High Triglycerides

<150

150-199mg/dl

200-499 mg/dl

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

Tachycardia(High Heart Rate) BMI Diabetes Hypertension LDL Cholesterol Non-HDL Level

<30 <100 <120 <100 <130

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.