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Chronic Diseases

March 11, 2019 by Sandelin Sikes

Arthritis

Pay attention to early symptoms of arthritis

Symptoms

  • Joint
    • Pain
    • Stiffness
    • Swelling
    • Redness
    • Decreased range of motion

Causes:

  • Osteoarthritis
    • Wear and tear damage of joint cartilage
  • Rheumatoid Arthritis
    • Body’s immune system attacks the lining of the joints capsule

Diagnosis:

  • Doctor will check your joints for swelling, redness, and warmth
  • Laboratory Tests: Blood, Urine, and Joint Fluid Analysis
  • Imaging: X-rays, CT, MRI, Ultrasound

Treatment:

  • Common Medications
    • Analgesics: Acetaminophen, Tramadol, Oxycodone
    • Nonsteroidal Anti-inflammatory Drugs: ibuprofen, naproxen sodium, prescription NSAIDs
    • Counterirritants: Creams and Ointments that contain menthol or capsaicin
    • Corticosteroids: Drugs including prednisone and cortisone
  • Therapy-physical therapy, exercise
  • Surgery: Joint Repair, Joint Replacement, Join Fusion

Consult a doctor for long term relief

 

Type I Diabetes

Definition: Pancreas produces little or no insulin needed for glucose transport to cells to produce energy

 

Symptoms:

  • Symptoms
    • Increased thirst
    • Frequent Urination
    • Extreme Hunger
    • Unintended Weight Loss
    • Irritability
    • Fatigue and Weakness
    • Blurred Vision

Diagnosis:

  • Blood Tests
    • Glycated Hemoglobin (A1C) of 6.5% or higher
    • Random Blood Sugar Test of 200 mg/dL or higher
    • Fasting Blood Sugar Test from 100-125 mg/dL is prediabetic and 126 or higher is diabetic

Treatment:

  • Taking Insulin
  • Carbohydrate, fat, and protein counting
  • Frequent Blood Sugar Monitoring
  • Eating Healthy Foods
  • Exercising Regularly

 

Type II Diabetes

Definition: Body resists the effects of insulin which is a required hormone for movement of sugar into cells

Symptoms:

  • Increased thirst
  • Frequent urination
  • Increased hunger
  • Unintended weight loss
  • Fatigue
  • Blurred Vision
  • Slow-healing sores
  • Frequent infections
  • Areas of darkened skin (armpits and neck)

Diagnosis:

  • Blood Tests
    • Glycated Hemoglobin (A1C) of 6.5%  or higher
    • Random Blood Sugar Test of 200 mg/dL or higher
    • Fasting Blood Sugar Test from 100-125 mg/dL is prediabetic and 126 or higher is diabetic
    • Oral Glucose Tolerance Test-reading of 200 mg/dL or higher after 2 hours suggests diabetes

Treatment:

  • Weight loss
  • Healthy eating
  • Regular exercise
  • Diabetes medication or insulin therapy
  • Blood sugar monitoring

Heart disease

Symptoms:

Seek immediate medical attention if you have the following symptoms:

  • Chest pain or discomfort-squeezing pain in your chest. You may also feel pain in your shoulders, arms, neck, jaw, or back
  • Shortness of breath
  • Cold Sweat
  • Nausea
  • Lightheadedness
  • Upper body discomfort

Diagnosis:

Talk to your doctor about key heart tests:

  • Electrocardiogram (ECG or EKG)-records abnormal heartbeats, inadequate blood flow and heart enlargement
  • Blood Tests-quantification of markers that reveal damage to the heart
  • Nuclear Scan-reveals the damaged areas of the heart that lac blood flow
  • Coronary Angiography-shows blood flow through coronary arteries

Treatment:

Ask your doctor if these medications may be right for you:

  • Antiplatelet Drugs (aspirin)-keep arteries open and reduce blood clots
  • Anticoagulants (blood thinners)-prevent clotting of the blood
  • Digitalis-makes the heart contract harder
  • ACE (angiotensin converting enzyme)-inhibitors that stop production of a chemical that narrows blood vessels
  • Beta Blockers-slow the heart and make it beat with less force
  • Nitrates (nitroglycerine)-relaxes blood vessels and stops chest pain
  • Diuretics-decrease fluid in the body
  • Blood Cholesterol Lowering Agents-decreases LDL cholesterol
  • Thrombolytic Agents-breaks blood clots in coronary arteries

Obesity

Check if you are classified as obese or are at risk on being obese:

Visit this website to calculate your BMI: https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

Diagnosis:

  • Visit health professionals such as a dietitian, behavior counselor, or obesity specialist to help you make changes in your eating and activity habits
  • Ask your doctor about reviewing your health history, weight loss efforts, exercise habits, eating patterns, stress levels, and family history.
  • Get a general physical exam and ask your doctor to check for other health problems such as high blood pressure and diabetes
  • Obtain blood tests which includes cholesterol, liver function, fasting glucose, thyroid
  • Obtain heart tests such as electrocardiogram

Treatment:

Dietary Changes

  • Cutting Calories
  • Review how many calories you normally consume and consult with a healthcare provider on how much you should cut back on
    • Normal Caloric Intake for Women: 1200-1500
    • Normal Caloric Intake for Men: 1500-1800
  • Eat large portions of foods that have less calories
    • Eat fruits, vegetables, whole-grain carbohydrates
    • Eat lean proteins (beans, lentils, soy) and lean meats
    • Limit salt and added sugar

Exercise and Activity:

  • Obtain at least 150 minutes of moderate exercise per week
  • To achieve significant weight loss, try 300 minutes of exercise per week

 

Behavior Changes:

  • Consult your doctor about counseling and support groups to help combat with emotional and behavioral issues related to eating

 

Prescription Weight Loss Medication:

  • Your doctor may recommend weight-loss medication if other methods of weight loss haven’t worked for you
  • Common prescribed medications that you can talk with your doctor about:
    • orlistat (Xenical) lorcaserin (Belviq), phentermine and topiramate (Qsymia), buproprion and naltrexone (Contrave), and liraglutide (Saxenda).

 

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