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.