Zinnia Aesthetics and Anti-Aging Clinic offers cardiovascular risk assessment with advanced lipid testing. We believe that cardiovascular risk reduction and prevention is one of our most important jobs. The most common cause of death in patients with and without diabetes is heart attack and stroke follows not far behind.
Atherosclerosis results from a buildup of cholesterol-laden macrophages in the arterial intima. This occurs when atherogenic lipoprotein particles (principally low-density lipoprotein (LDL) enter the arterial wall, become oxidized, and are subsequently ingested by macrophages.
Hyperlipidemia is the most modifiable risk factor leading to atherosclerosis, yet traditional lipid testing such as the usual lipid panel with cholesterol, LDL and HDL may miss up to 50% of people who have abnormal lipids. The CDC states that 50% of people who have heart attacks have “normal” cholesterol so it is time to go beyond traditional cholesterol measurements.
With a simple blood test we are able to tell patients their exact lipoprotein particle counts, as well as look for genetic and other abnormalities that increase risk of cardiovascular disease. This allows for much more accurate and tailored treatment which is designed to prevent cardiovascular disease. This test also measures the high risk protein, lipoprotein (a), and tests for inflammation and cholesterol absorption and synthesis.
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), and they will become increasingly thirsty (polydipsia) and hungry (polyphagia).
There are three types of diabetes:
- Type 1 Diabetes
- The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, or early-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.Type 1 diabetes is nowhere near as common as type 2 diabetes. Approximately 10% of all diabetes cases are type 1.Patients with type 1 diabetes will need to take insulin injections for the rest of their life. They must also ensure proper blood-glucose levels by carrying out regular blood tests and following a special diet.
Between 2001 and 2009, the prevalence of type 1 diabetes among the under 20s in the USA rose 23%, according to SEARCH for Diabetes in Youth data issued by the CDC (Centers for Disease Control and Prevention).
- Type 2 Diabetes
- The body does not produce enough insulin for proper function, or the cells in the body do not react to insulin (insulin resistance).Approximately 90% of all cases of diabetes worldwide are of this type.Some people may be able to control their type 2 diabetes symptoms by losing weight, following a healthy diet, doing plenty of exercise, and monitoring their blood glucose levels. However, type 2 diabetes is typically a progressive disease. It gradually gets worse and the patient will probably end up having to take insulin, usually in tablet form.
Overweight and obese people have a much higher risk of developing type 2 diabetes compared to those with a healthy body weight. People with a lot of visceral fat, also known as central obesity, belly fat, or abdominal obesity, are especially at risk. Being overweight/obese causes the body to release chemicals that can destabilize the body’s cardiovascular and metabolic systems.
Being overweight, physically inactive, and eating the wrong foods all contribute to the risk of developing type 2 diabetes. Drinking just one can of (non-diet) soda per day can raise our risk of developing type 2 diabetes by 22%, researchers from Imperial College London reported in the journal Diabetologia. The scientists believe that the impact of sugary soft drinks on diabetes risk may be a direct one, rather than simply an influence on body weight.
The risk of developing type 2 diabetes is also greater as we get older. Experts are not completely sure why, but say that as we age we tend to put on weight and become less physically active. Those with a close relative who has/had type 2 diabetes, people of Middle Eastern, African, or South Asian descent also have a higher risk of developing the disease.
Men whose testosterone levels are low have been found to have a higher risk of developing type 2 diabetes. Researchers from the University of Edinburgh, Scotland, say that low testosterone levels are linked to insulin resistance.
- Gestational Diabetes
- This type affects females during pregnancy. Some women have very high levels of glucose in their blood, and their bodies are unable to produce enough insulin to transport all of the glucose into their cells, resulting in progressively rising levels of glucose.Diagnosis of gestational diabetes is made during pregnancy.The majority of gestational diabetes patients can control their diabetes with exercise and diet. Between 10% to 20% of them will need to take some kind of blood-glucose-controlling medications. Undiagnosed or uncontrolled gestational diabetes can raise the risk of complications during childbirth. The baby may be bigger than he/she should be.
Scientists from the National Institutes of Health and Harvard University found that women whose diets before becoming pregnant were high in animal fat and cholesterol had a higher risk for gestational diabetes, compared to their counterparts whose diets were low in cholesterol and animal fats.
Controlling Diabetes – Treatment Is Effective And Important
All types of diabetes can be controlled. Diabetes type 1 lasts a lifetime, there is no known cure. Type 2 usually lasts a lifetime, however, some people have managed to get rid of their symptoms without medication, through exercise, better diet and excellent body weight control.
Patients with type 1 are treated with regular insulin injections, as well as a special diet and exercise.
Patients with Type 2 diabetes are usually treated with tablets, exercise and a special diet, but sometimes insulin injections are also required.
If diabetes is not adequately controlled the patient has a significantly higher risk of developing complications.