aces cigarettes
Diet and Exercise Plan for Diabetes Patients
Effective treatment of diabetic CAD patients
If the patient has CAD, teach you to reduce the risk of developing complications such as angina and myocardial infarction, by eliminating or reducing these modifiable risk factors:
hyperglycemia
hypertension
hypercholesterolemia
obesity
cigarette smoking.
Moreover, teach about any prescribed medication or non-invasive treatments for the management of CAD.
Risk Factor Management
Hyperglycemia, a factor cardiovascular disease risk, the priority is always your diabetic patient. A combination of diet, exercise, medications and stress reduction can help your patient to keep their blood glucose levels as close to normal as possible. Encourage her to control their levels of blood glucose at home to adjust various aspects of their treatment when necessary. Note, however, that the physician can modify the treatment of his patient after a serious heart problem achieve tighter control of blood glucose. That's because they avoid severe hypoglycemia is crucial in preventing arrhythmias that can lead to heart problems more Serious as a heart attack.
Hypertension accelerates vascular changes already compromised coronary arteries. Monitor your patient's blood pressure frequently. If your blood pressure above 140/85 mm Hg on two separate occasions, she is considered hypertensive. Your doctor may prescribe lifestyle modifications, such as a low sodium diet, alcohol restriction, and regular exercise. If 3 months of treatment does not reduce your patient medication diastolic blood pressure below 90 mm Hg, the doctor may prescribe an antihypertensive drug as an ACE inhibitor. If the patient's diastolic pressure exceeds 110 mm Hg or have microalbuminuria, the doctor may prescribe an antihypertensive drug immediately in relation to lifestyle changes.
Many patients with diabetes are at risk CAD because they have high cholesterol. Even those with normal or nearnormal total cholesterol levels may be at risk because of their heartprotective, high density lipoprotein (HDL) are abnormally low, and low-density lipoprotein (LDL) are abnormally high. Normally, low cholesterol, low fat diet is recommended for patients whose total cholesterol level above 200 mg / dl and whose LDL level above 130 mg / dl. Encourage your patient to reduce their total fat intake to less than 30% of their total calories and saturated fat intake to less than 10% of their total calories. If 6 months of therapy with diet and exercise do not reduce the level of your patient's LDL to 160 mg / dl or less, the doctor may prescribe a lipid-lowering agent, such as lovastatin.
Aa To help your patients reduce their weight, the doctor may prescribe an individualized diet and an exercise plan. The goals of weight loss program is to help improve the levels of glucose in the blood of the patient and better control your blood pressure. You can achieve these goals, even with modest weight loss of 10 to 15 pounds. Help your patient understand that a great weight loss followed by weight gain is stressful your body. Instead, encourage her to maintain her weight and blood glucose levels by controlling your food portions, eat balanced nutritious meals, and eat their meals at the same time each day.
If the diabetic patient smokes, she should stop. To help relieve their withdrawal symptoms, your doctor may prescribe nicotine delivery system of the skin or gum. The doctor may also encourage him to attend a support group.
Pharmacotherapy
His patient's physician may prescribe one or more drugs for the management of CAD and help prevent complications.
To treat coronary heart disease the doctor may prescribe a beta blocker like propranolol. But if your patient is using insulin, may not be able to take beta blockers because these drugs can alter insulin secretion and alter or mask the signs and symptoms of hypoglycemia. Without the warning signs and symptoms of hypoglycemia such as dizziness, diaphoresis, nausea, or your patient may not realize that their level of blood glucose has dropped dangerously low. However, some patients who use insulin can tolerate Low doses of cardioselective beta-blockers such as atenolol, metoprolol, and acebutolol.
If the patient has had a heart attack, your doctor may prescribe aspirin to reduce the risk of complications of CAD.
If you have angina, your doctor may prescribe a nitrate such as nitroglycerin patch. Although nitrate not interfere with blood glucose control, may cause severe hypotension. This blood pressure monitor and teach their patients about the signs and symptoms of hypotension such as dizziness when changing from lying in a standing one.
If the diabetic patient has heart failure and hypertension, treatment pharmacotherapy can be problematic. If she also has autonomic neuropathy and orthostatic hypotension, calcium channel blockers may be appropriate. Although ACE inhibitors have been used successfully in patients with diabetes, which can increase serum potassium levels, which requires close surveillance to detect signs of hyperkalemia. Thiazide diuretics may increase blood glucose levels and reduce levels of potassium, which requires close surveillance to detect signs of hypoglycemia and hypokalemia. They may also cause impotence and orthostatic hypotension, especially in a patient with autonomic neuropathy.
Invasive Treatments
CAD patients may also benefit from invasive treatments. In people with coronary ischemia or myocardial infarction, angioplasty percutaneous transluminal coronary can restore blood flow to blocked coronary arteries. However, if a patient with renal disease receiving radiographic means of control during this invasive surgical procedure, kidney problems can develop further. Heart bypass surgery can also be performed in patients diabetics. However, high glucose levels in surgery can increase the risk of postoperative complications and death.
About the Author
Collect the latest information from the articles related to diabetes and its causes, symptoms , treatment and types of diabetes. For more information you can visit http://www.diabetescurehelp.org.
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