List of Heart Diseases

preventing heart disease?

weight-125kg
bp-250/120mmhg
fasting glucose-15mmol
cholesterol-9mg/dl
triglycerides is very high
ldl very high(bad cholesterol)
hdl very low(go cholesterol)
this person is at risk of a heart attack
can anyone help me compile a health menu and give health advice for her to loose weight.

Blood pressure- Stage 2 Hypertension.(Normal-less than 120/80 mm Hg; prehypertension- less than 140/90 mm Hg.)
Eat a low-cholesterol, low-fat diet. This kind of diet includes cottage cheese, fat-free milk, fish (not canned in oil), vegetables, poultry, egg whites, and polyunsaturated oils and margarines (corn, safflower, canola, and soybean oils). Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, lard, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods.
Changes in lifestyle habits are the main therapy for hypertriglyceridemia. These are the changes you need to make:
•If you’re overweight, cut down on calories to reach your ideal body weight. This includes all sources of calories, from fats, proteins, carbohydrates and alcohol.
•Reduce the saturated fat, trans fat and cholesterol content of your diet.
•Reduce your intake of alcohol considerably. Even small amounts of alcohol can lead to large changes in plasma triglyceride levels.
•Be physically active for at least 30 minutes on most or all days each week.
•People with high triglycerides may need to substitute monounsaturated and polyunsaturated fats — such as those found in canola oil, olive oil or liquid margarine — for saturated fats. Substituting carbohydrates for fats may raise triglyceride levels and may decrease HDL (”good”) cholesterol in some people.
•Substitute fish high in omega-3 fatty acids instead of meats high in saturated fat like hamburger. Fatty fish like mackerel, lake trout, herring, sardines, albacore tuna and salmon are high in omega-3 fatty acids.
Low sodium intake.(Sodium chloride, Monosodium glutamate, Sodium bicarbonate)
*Regular exercise.
*Stop tobacco smoking.
*Stop consuming alcohol.
*Reduce fat and oils in the diet.
*Obesity – In obese subjects, losing a kilogram of mass generally reduces blood pressure by 2 mmHg. (Abdominal circumference should be less than 100 cms)
*Control Diabetes Mellitus.
*Avoid worry and stress.
*Avoid occupational, aircraft and roadway noise exposure.

Fasting glucose-15 mmol/L (270 mg/dL)
ABCs for good Diabetes Care.
(1) Get your Glycosylated hemoglobin (HbA1c) test done at least twice a year. (Target: Below 7).
(2) Albuminuria. Get your urine micro-albumin test done atleast twice a year. (Target: Below 30).
(3) Aspirin Check with your doctor if you need to take aspirin daily.
(4)Blood pressure. Get your blood pressure checked every visit. (Target: Below 130/80 mm Hg)
(5)Cholesterol Get your LDL (bad cholesterol) levels checked at least once a year. (Target: Below 100 mg/dL). Triglycerides. (Target: Less than 150 mg/dL) Serum Cholesterol (Target: Less than 200 mg/dL) HDL (good cholesterol) (Target: More than 50 mg/dL)
(6)Diabetes Education. Know about diabetes & get updated regularly.
(7)Eye exam. Get your eyes examined regularly, get checked at least once a year.
(8)Teeth. Get your teeth examined by a Dentist and get tartar (plaque) removed once in a year.
(9)Foot care. Check your feet daily . Request your doctor to check them every visit. Get an extensive foot examination done once in a year.
(10)Glucose (Sugar) test. Control your blood glucose & do self-monitoring as & when required. (Target: Fasting blood sugar 60-100 mg/dL; Postprandial blood sugar 2 hours after food-Less than 140 mg/dL)
(11)Health life style. Exercise regularly & stay healthy.
(12)Identify special medical needs. Voice your health concerns to your doctor . Follow your doctor’s advice.
Please note that the person is not only at the risk of silent heart attack but also of kidney damage and cerebro-vascular accident.

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