HEART DISEASE IN WOMEN – FACTS AND STATISTICS

According to the CDC, heart disease is the leading cause of death among women. For some people, this may come as a surprise as heart disease particularly heart attacks have traditionally been associated with men. Heart attacks in women are not uncommon but they may ignore the signs which are sometimes different from those that occur in men. This is one of the reasons why heart disease causes increased mortality in women. Since women do not recognize the signs of a heart attack for what they are, they are less likely to seek emergency medical care and the condition often goes unrecognized and undiagnosed. To avoid this, women must know and understand the significant symptoms that may help them identify the occurrence of heart attack.

Recognizing the Signs

Like men, women also suffer chest pain, but there are other signs that are not typically thought of in terms of the heart. These symptoms include shortness of breath; discomfort in one’s neck, abdomen, shoulder or upper back; nausea, dizziness or light-headedness; and body malaise. When these symptoms are not being assessed and managed, emergency care should be sought.

Knowing the Risk Factors

Women should also recognize what the risk factors are. This goes a long way in preventing heart disease. Common risk factors for women include smoking, stress and a condition known as Metabolic syndrome. Metabolic syndrome is a cluster of conditions that increase the risk of developing heart problems and other serious health problems. These conditions include abdominal obesity, increased levels of triglycerides in the blood, low levels of HDL, hyperglycemia, and hypertension.

  • Factors That Increase Your Risk for Heart Disease: Several heart disease risk factors for women are listed on this page on the Go Red For Women website.

Steps for Prevention

Preventing heart disease in women involves taking the right steps depending on individual circumstances. For example, maintaining a healthy blood pressure, reducing high levels of LDL (bad) cholesterol, decreasing one’s weight from unhealthy levels, and discontinuing smoking. Removing saturated fat and cholesterol from diet and adding omega-3 fatty acids, often found in fish, is also important. Women with diabetes can reduce their risk of a heart attack by keeping their blood sugar at normal levels. At least 30 minutes of aerobic exercise and physical activity per day is recommended for women who are aiming for a healthy heart. Medical solutions for women with established risk factors for heart disease may include regular use of aspirin, lipid-lowering agents and a blood thinner called warfarin for those who are at increased risk of blood clot development.

Further Resources

For more information on women and heart disease, check the following resources:

  • Women’s Cardiovascular Health: Check this link to find articles on topics such as coronary microvascular disease in women, the gender gap in cardiovascular disease, and myths about women and heart disease.
  • Facts about heart disease in women: This website discusses heart disease as the leading cause of death among women. It presents a number of facts broken into categories.
  • Heart Disease: This link opens up the heart disease section on Medline plus website.
  • org: This is an organization that helps, supports, and educates women who have been diagnosed with or are at risk of heart disease and their families.
  • Your Guide to Living Well With Heart Disease: This article about heart disease and how to cope with it.
  • Heart Disease and Black Women: Black women are particularly at risk of developing cardiovascular disease. This article sheds more light on this subject.
  • Formulating Research Questions: Heart disease in women differs from men in terms of its pathophysiology, symptoms, and diagnostic modalities. Gendered Innovations focuses on research questions that address these issues.

HEART DISEASE IN WOMEN – FACTS AND STATISTICS

CARDIAC DISEASE IN THE YOUNG

Cardiovascular disease (CVD) is an umbrella term used for all conditions that affect the heart and blood vessels. CVD is often perceived as a problem strictly for the older population. However, it is more common in adolescents and young adults than most people realize – it can affect anyone, at any age. The younger population is often unaware that they may be at risk and may fail to take the appropriate actions that could save their lives. Educating parents, adolescents, and young adults about the different risk factors is the best way to help prevent death and reduce problems associated with cardiac disease. In particular, childhood obesity has quickly become a global epidemic where 1 in 10 children are estimated to be overweight. Obesity can lead to precursors for CVD such as dyslipidemia (high cholesterol), hypertension (high blood pressure), type-2 diabetes, and metabolic syndrome. If these conditions are left unchecked, premature cardiovascular disease can occur, leading to significant health problems in young adults. Additionally, cardiac disease in the young can also be caused by undiagnosed or untreated congenital heart defects and abnormalities.

Warning Signs

Cardiac disease in the young is often unexpected, so warning signs are not always recognized. The general warning signs in adults include;

  • breathlessness
  • fatigue
  • chest pain
  • weakness
  • edema

They may also experience pain in the

  • left arm
  • jaw
  • back
  • neck
  • shoulder blades
  • epigastric region (upper central region of the abdomen)

Women often experience slightly different warning signs. As opposed to heart pain, they may feel squeezing or tightness in the chest. Sometimes, they do not feel chest pressure at all, and instead, will feel short of breath upper back pressure, or upper abdominal pain. They may also experience excessive fatigue, cold sweats, dizziness, nausea, vomiting, and sometimes fainting. Heart disease is the No.1 killer of women in the U.S. This is often due to women mistaking their symptoms for other conditions such as a stomach bug, the flu, or indigestion.

For children and adolescents, signs and symptoms may not be as obvious. Dissimilar to adults, chest pain is rarely indicative of cardiac disease in children. However, a physician should be notified if chest pain does occur with strenuous activity such as exercise. Symptoms in children and adolescents may include;

  • The inability to physically keep up with others of the same age
  • Becoming out of breath much sooner than others of the same age
  • Turning blue around the gums or tongue
  • Dizziness with physical exertion
  • Heart palpitations
  • In some cases, fainting (syncope)

If a child displays any of these symptoms, it is always important to notify their primary care physician as soon as possible.

  • Early Warning Signs– Seven early warning signs of a heart attack. Includes statistical information, top clues and factors, and what to do.
  • Heart Attacks Can Strike Young Adults– American Council on Science and Health article about knowing the signs of heart attack in young adults. Includes information on two dangerous underlying causes of heart disease.
  • Symptoms of Heart Problems in Children– SCAI article on symptoms of heart problems in babies, children, older children, and adolescents.

Myths that Young People do not get Heart Disease

There are many misconceptions and myths associated with heart disease. Some people believe that children and young adults do not have to worry about heart disease because they are too young to develop these issues. This is simply untrue as heart health issues, and even a heart attack, can occur at any age. People can begin to develop plaques (atherosclerosis) in their arteries during childhood, and this has only been aggravated with the rise in childhood obesity. In the U.S. alone, the number of overweight children has doubled, and the number of overweight adolescents has tripled since 1980.

Cardiovascular Conditions Found in Children and Adolescents

There are times when the cardiovascular disease in the young is not caused by any precursors for CVD or an unhealthy lifestyle. In these situations, undiagnosed congenital heart defects, abnormalities, or an infection tend to be the culprit.

Any of these situations can lead to *overcirulation failure* or *pump failure* of the heart. Overcirculation failure is usually caused by a structural defect in the heart that causes oxygenated and deoxygenated blood to mix. Because the normal flow of blood is interrupted, the heart beats inefficiently causing heart failure. Eisenmenger Syndrome is one example of overcirculation failure found in adolescents and young adults where, if left untreated, it can result in blood clots, stroke or kidney failure. This syndrome is characterized by a collection of symptoms that include cyanosis (blue or grayish skin), pulmonary hypertension (high pressure in the arteries of the lungs), and erythrocytosis (increased number of red blood cells due to an inadequate supply of oxygen in the blood) caused by a congenital defect where blood is shunted from the left side of the heart to the right side of the heart.

Common congenital defects include;

  • Atrial septal defect
  • Tetralogy of Fallot
  • Ventricular septal defect
  • Coarctation of the aorta
  • Transposition of the great arteries

Pump failure is caused by defects in the coronary arteries or heart valves that are present at birth, an infection that damages normal heart muscle, or a problem with the heart’s electrical conduction system. In these cases, the heart muscle fails to pump as normal and can lead to heart failure. Two examples of an infection causing heart disease are Kawasaki disease and Rheumatic heart disease. Rheumatic heart disease is caused by a streptococcal bacterial infection of the heart muscle and valves as a consequence of rheumatic fever due to untreated, or undertreated, strep throat. Kawasaki disease’s cause is unknown but is thought to be due to an infectious agent.

Young Women and Heart Disease

Heart disease is the leading cause of death in women in the US, taking more lives than lung and breast cancer combined. It affects women of all ages including women who are below the age of forty. The risk of cardiovascular issues in young women is elevated when there is a history of heart problems in the family. Certain conditions such as familial hypercholesterolemia (FH) can lead to heart disease at an early age. This condition causes a buildup of low-density lipoprotein (LDL) cholesterol in the walls of arteries and can lead to heart attack. The risk may also be increased by as much as 20 percent in women who smoke while using oral contraception. Also, women with diabetes have almost double the risk of cardiovascular disease than those without. Coupled with the rise in obesity, these conditions can lead to an increased risk of premature death due to stroke, coronary artery disease, and hypertension.

Cardiac Disease in Young Athletes

Young people who are victims of sudden death often have an underlying cardiac disease that has gone undiagnosed. Athletes are typically at risk because of the continuously increased workload on the heart during physical activities. An athlete is often thought of as an individual who is in good physical health, however, when it comes to cardiac disease, athletes are often taken unawares. One form of heart disease that affects athletes 30 years or younger is hypertrophic cardiomyopathy (HCM) which is the most common cause of sudden death in young athletes. Athletes with this condition have a left ventricular wall thickness that is unusually thicker than normal. In this case, the heart’s electrical conduction system can be disrupted resulting in an irregular heartbeat (arrhythmia) that can cause cardiac arrest.

Other less common causes of cardiac disease in athletes are:

  • Myocarditis
  • Marfan’s Syndrome
  • Dilated cardiomyopathy
  • Congenital coronary artery anomalies
  • Right ventricular dysplasia
  • Mitral valve prolapse
  • QT-Interval Prolongation syndromes

The thought that young trained athletes could succumb to sudden cardiac death is almost inconceivable. Sudden death commonly occurs in basketball and football players who account for two-thirds of all athlete deaths in the U.S. Worldwide, soccer players most frequently succumb to this issue. It occurs primarily in males and affects 1 in 50,000 to 1 in 100,000 athletes every year. Careful heart disease screening of young athletes before participating in sports can help to decrease the incidence of sudden death due to underlying and undiagnosed cardiac disease.

  • Cardiac Disease in Young Trained Athletes– Article by Circulation Journal on insights into methods for distinguishing Athlete’s Heart from Structural Heart Disease.
  • Sudden Death in Young People– Informational article by the Mayo Clinic on common heart problems that cause sudden death in the young, their causes, symptoms, prevention, and risk factors.
  • Young Athletes and Sudden Cardiac Arrest– Brief fast facts article by Boston Scientific on sudden cardiac arrest in young athletes.
  • Sudden Death in Athletes– Cardiologist written article explaining sudden cardiac death in athletes, risks, screening, signs and symptoms of CVD, and current AHA recommendations.

Risk Factors for Young People

Modifiable risk factors are those that can be successfully treated or controlled over time. While there are several modifiable risk factors associated with cardiovascular disease in the young, the most common are smoking and drug use, high blood pressure (hypertension), and elevated LDL cholesterol. Hypertension alone is a risk factor that causes 13% of deaths worldwide. A sedentary lifestyle, alcohol abuse, and obesity also contribute to these risk factors. Additionally, a family history of cardiovascular disease is a non-modifiable factor that can increase the risk of developing heart disease.

Obesity is frequently a causative factor for hyperlipidemia (high cholesterol), hypertension, and type-2 diabetes. While obesity can be detrimental to adult health, childhood obesity carries with it a higher chance of these risk factors becoming more severe as an adult thereby increasing their odds of developing cardiovascular disease. Healthier eating habits, reducing sedentary time, and staying active can significantly reduce the odds of developing CVD or any of its risk factors.

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CARDIAC DISEASE IN THE YOUNG

HEART DISEASE: ANGINA PECTORIS

When the heart does not receive sufficient oxygen-rich blood flowing through it, discomfort and chest pain result. This chest pain is called “angina.” Some people describe angina as pressure or a tightness in their chest. Angina is not a disease. Rather, angina is a symptom of other issues occurring with the heart, usually coronary heart disease.

Different Types of Angina

There are several types of angina. Angina pectoris is one common type of angina. Other types include stable angina, unstable angina, variant (Prinzmetal’s) angina, microvascular angina, and atypical angina. Different types of angina have different symptoms and different triggers that cause the symptoms.

Stable Angina

Stable angina describes angina pectoris. This type of angina occurs in connection with coronary heart disease when the heart is deprived of sufficient amounts of blood. This situation typically occurs due to the narrowing of coronary arteries. Blocked arteries may enable sufficient blood flow to the heart during periods of rest or light physical exertion. However, when the heart must pump faster to keep up with more physical exertion, the narrowed arteries will not allow enough blood to flow through them and angina (chest discomfort) will occur.

Unstable Angina

Unstable angina is also considered an “acute coronary syndrome.” With unstable angina, chest pain occurs unexpectedly, even at rest. The disease that occurs with stable angina has progressed to the point of not being stable or predictable. Atherosclerosis, a fatty buildup in coronary arteries, may lead to a rupture. This could completely block blood flow to the heart. Unstable angina is an emergency situation that could lead to a heart attack.

Variant Angina (Prinzmetal’s Angina)

Variant or Prinzmetal’s angina is an uncommon type of angina, typically occurring in younger people. Variant angina usually happens while a person is sleeping during the overnight hours. This type of angina is exceedingly painful, and it occurs from a spasm of the coronary arteries.

Microvascular Angina

Microvascular angina is often associated with coronary microvascular disease. This type of heart disease involves the smallest blood vessels of the heart. When these tiny blood vessels spasm, or become blocked, the flow of blood to the heart becomes restricted. This restriction causes angina symptoms.

Atypical Angina

Some people experience angina that does not fit the normal symptom parameters. This type of angina is called atypical angina. The symptoms of atypical angina include an indistinct discomfort in the chest, nausea, fatigue, indigestion, shortness of breath, and pain in the neck and back. Women usually experience atypical angina more than men do.

What are the Symptoms of Angina?

Angina typically involves a group of symptoms. If pain or pressure in the chest lasts more than a moment or two and does not subside with rest, get medical assistance immediately.

Symptoms 1

  • Sharp or indistinct chest pain
  • Pain in the shoulders, arms, neck, or jaw
  • Sweating
  • Nausea
  • Restlessness

Symptoms 2

  • Chest pressure
  • Burning or nagging indigestion
  • Shortness of breath
  • Fatigue
  • Dizziness

Other Symptom Resources

Heart Disease:Angina Pectoris

THE TOP 10 CAUSES OF DEATH-WHO

Of the 56.9 million deaths worldwide in 2016, more than half (54%) were due to the top 10 causes. Ischaemic heart disease and stroke are the world’s biggest killers, accounting for a combined 15.2 million deaths in 2016. These diseases have remained the leading causes of death globally in the last 15 years.

Chronic obstructive pulmonary disease claimed 3.0 million lives in 2016, while lung cancer (along with trachea and bronchus cancers) caused 1.7 million deaths. Diabetes killed 1.6 million people in 2016, up from less than 1 million in 2000. Deaths due to dementias more than doubled between 2000 and 2016, making it the 5th leading cause of global deaths in 2016 compared to 14th in 2000.

Lower respiratory infections remained the most deadly communicable disease, causing 3.0 million deaths worldwide in 2016. The death rate from diarrhoeal diseases decreased by almost 1 million between 2000 and 2016, but still caused 1.4 million deaths in 2016. Similarly, the number of tuberculosis deaths decreased during the same period, but is still among the top 10 causes with a death toll of 1.3 million. HIV/AIDS is no longer among the world’s top 10 causes of death, having killed 1.0 million people in 2016 compared with 1.5 million in 2000.

Road injuries killed 1.4 million people in 2016, about three-quarters (74%) of whom were men and boys.

Leading causes of death by economy income group

More than half of all deaths in low-income countries in 2016 were caused by the so-called “Group I” conditions, which include communicable diseases, maternal causes, conditions arising during pregnancy and childbirth, and nutritional deficiencies. By contrast, less than 7% of deaths in high-income countries were due to such causes. Lower respiratory infections were among the leading causes of death across all income groups.

Noncommunicable diseases (NCDs) caused 71% of deaths globally, ranging from 37% in low-income countries to 88% in high-income countries. All but one of the 10 leading causes of death in high-income countries were NCDs. In terms of absolute number of deaths, however, 78% of global NCD deaths occurred in low- and middle-income countries.

Injuries claimed 4.9 million lives in 2016. More than a quarter (29%) of these deaths were due to road traffic injuries. Low-income countries had the highest mortality rate due to road traffic injuries with 29.4 deaths per 100 000 population – the global rate was 18.8. Road traffic injuries were also among the leading 10 causes of death in low, lower-middle- and upper-middle-income countries.

Source: Global Health Estimates 2016: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2016. Geneva, World Health Organization; 2018.

Why do we need to know the reasons people die?

Measuring how many people die each year and why they died is one of the most important means – along with gauging how diseases and injuries are affecting people – for assessing the effectiveness of a country’s health system.

Cause-of-death statistics help health authorities determine the focus of their public health actions. A country in which deaths from heart disease and diabetes rise rapidly over a period of a few years, for example, has a strong interest in starting a vigorous programme to encourage lifestyles to help prevent these illnesses. Similarly, if a country recognizes that many children are dying of pneumonia, but only a small portion of the budget is dedicated to providing effective treatment, it can increase spending in this area.

High-income countries have systems in place for collecting information on causes of death. Many low- and middle-income countries do not have such systems, and the numbers of deaths from specific causes have to be estimated from incomplete data. Improvements in producing high quality cause-of-death data are crucial for improving health and reducing preventable deaths in these countries.

THE TOP 10 CAUSES OF DEATH

HEART ATTACK: LESSONS OF MIKE ADEYEMO’S DEATH

Posted By: Femi Kusa On , In: Health

Oyo State House of Assembly Speaker Michael Adeyemo, 47, slumped at home and died of a heart attack on April 27, a serious reminder to those of us he left behind to take better care of the health of our hearts if we are not already doing so. Like many people, I am guilty of missing regular yearly medical check-ups for important organs of the body. Maybe this is because I strive to eat healthily and believe that, once I do so, the body will fix itself.

Do not get me wrong. I am a firm believer in the admonition to man that he should take care of the healthy human body and not resort to fire alarm sick care a place of health care when the body goes haywire, as we say. For my heart, I regularly take such food supplements as Hawthorn Berries, Ubiquinol, Pomegranate, Omega-3 oil, Coconut oil and trust me, as many greens as I can lay my hands on every day. Those may include Lemongrass powder sparked on food, Pawpaw (Papaya) leaf powder, Spirulina powder, Wheatgrass powder, Marigold flower powder, Kale vegetable powder, Asparagus vegetable powder, and what have you! My last blood pressure test last week was 110/70.

I do simple do-it-yourself tests to confirm if anything is going on inside the heart, or if anything is wrong with it. This may not be 100 percent foolproof. But I believe it is better than doing nothing in – between the periods one has to visit a cardiologist or a general practitioner.

I walk, trying to emulate my good friend, Mr. Dotun Akintoye who tucks his Jeep aside to walk at least 10,000 steps every day.

I try to improve on his standard by dumping pedestrian or footbridges across expressways.

My target bridges are the ones which link Town Planning Way in Ilupeju area of Lagos with Anthony village on the Lagos/Ikorudu Road Expressway, the one which links Palmgrove with Shomolu, on the same expressway, and the that links Oshodi with Ilupeju. Some of these footbridges are so steep that some of its users not only stop on the way to rest but actually rain curses on those who designed and built them.

I make many friends on these bridges, as Mr. Sunday Danson will confirm.

Together, we sometimes take walks on them. He marvels at my guts. When I sight a young woman slouching or resting at a landing, I grate her hand and command: ”Let’s go, my friend, you are too young for all this.” Often, she would laugh and we would.

Later, I would tell her why she has not enough energy to go. Her heart is probably too weak to pump enough blood and oxygen to her muscles for the extra job she is giving them to do.

Then, I would advise them about dietary and other lifestyle changes they must make, and suggest they see their doctors.

The heart

The heart is a bunch of powerful muscles which pumps blood and oxygen around the body to feed all the cells, and through the circulating blood removes their poisonous and other waste products. The heart receives used blood from all parts of the body through blood vessels called veins. It pumps the used, deoxygenated blood to the lungs for oxygenation, receives oxygenated blood from the lungs, pumps it to all parts in the body, including the heart itself.

For these purposes, the normal heart is expected to beat or pump blood about 72 times a minutes or 432 times an hour or 10,368 times in one day or 3,784,320 times in one year or 264,902,400 times an average lifetime of, say, 70 years. That’s a whole lot of work.

How many submersible borehole water pumps can equal this? We maintain these machines and the fuel pumps of our motor vehicles aid electricity generators, but do not think of maintaining one of the hardest working organs of our bodies, the heart!

Heart disease

Because we do not dietarily and through lifestyle adaptations adequately maintain the hard-working heart, it begins to literally fall ill and speak to us in the forms of systems of its illnesses which add up to heart disease. One of these symptoms is the chest pain classified medically as angina pectoris.

This pain may spread to the inner left arm, the left shoulder blade bone in the back or down to the left arm, sometimes in electrical sparks. The pain often arises when the challenged person exerts himself or herself on a task which demands that the heart supply more blood to the muscles to do more work. Such exertion may be the climbing of stairway, the splitting of firewood with an axe or flight from danger. The pain is telling the challenged person that the heart, which is expected to play a crucial role in blood and oxygen supply for this activity is itself not receiving enough blood and oxygen to do the work. The picture emerging from this is that the arteries which circulate blood inside the heart are inflamed, blocked, narrowed and hardened, to the point that blood delivery to every cell of the heart may have become grossly diminished. A heart attack occurs when the disease progresses from diminished blood supply to stoppage of blood supply. It similar to what happens when petrol or diesel is exhausted in the electricity generator. It simply stops working.

In www.draxe.com we have a graphic picture:

According to the University of Maryland, Medical Centre, some symptoms of CHD (Coronary Heart Disease ) can be very noticeable.

However, it is also possible to have this disease and experience no symptoms at all or only slight symptoms. Therefore not everyone who has CHD even knows it, especially those who are in the early stages. Pain varies a lot from person to person. The most common noticeable sign of CHD is having chest pain or discomfort which is caused when the heart is not getting enough blood or oxygen. Other types of symptoms can include feeling a heaviness or like someone is squeezing your heart, pains or numbness in your breastbone (sternum), neck, arms, stomach and upper back, shortness of breath and fatigue with activity, general weakness”.

  The big debate

This debate is all about what causes the heart’s blood supply arteries, the coronary arteries, to become blocked. It began from about the 1900s onwards and appears unresolved to this day

Before, 1900 death from heart disease or heart failure in the United States was not as rampant as it is today, accounting now for about 45 percent of deaths every year. The death upsurge has been linked to dietary and other lifestyle changes in the last century.

There dietary and other lifestyle changes have been exported to Nigeria, which is why many Nigerians today suffer from these diseases and die of them as well.

In this medical debate, it has been suggested that CHDs occur when calcium and cholesterol and other fats settle on the inner lining of the coronary and other arteries, causing them to become inflamed, narrowing  the space for blood to flow through them and, also, hardening them to make them become like reinforced plastic hoses which cannot dilate as blood is flowing through. This hardening is called arteriosclerosis blockage of the vessels by cholesterol fatty plague called atheroma is atherosclerosis.

Another of the symptoms which these events throw up is hypertension. Many doctors try to resolve it with drugs which force the heart to slow down so it doesn’t kill itself. But this does not resolve atherosclerosis and arteriosclerosis, and inflammation. In his BACK TO EDEN, Jethro Kloss, a natural medicines healer, tells of his experiences during his training in morbid anatomy in the mortuary. He said there was hardly a post-mortem surgery or autopsy carried out which did not reveal that almost all the critical organs were inflamed.

Inflammation, atherosclerosis, and atherosclerosis are believed by some researchers to be caused by the consumption of animal fats, fried foods, smoking, lack of exercise etc. That is why the doctor checks the cholesterol level and prescribes drugs to prune them down if they are on the high side. But these drugs have dangerous side effects on the heart because they block the body’s production of Co-Enzyme Q10 without which the heart cannot survive, and a deficiency of which has been linked to many heart diseases, including rising cholesterol levels.

Yet another group of researchers in the great debate say cholesterol is not the problem, but dietary deficiencies which do not make the liver metabolise the excess to bile salts, which the body uses for beneficial purposes.

In other columns related to this subject, I furthered discussion on this great debate to the conceptual crises of the 1980s, and of how researchers, such as Dr. Udo Erasmus unified the fats theory with new and accepted concepts published in his book, FATS THAT HEAL and FATS THAT KILL.

We are back to www.draxe.com:

”CHD is ultimately a result of inflammation from fatty material and other substances forming a build-up of plaque that accumulates within the walls of your arteries. Because these arteries have the crucial role of bringing blood and oxygen to your heart, reduced blood flow can slow down or stop your heartbeat, causing cardiac arrest. For this reasons, medical professionals use a combination of lifestyle changes, medicines and medical procedures to slow, stop or reverse the build-up of plaque. This can help lower the risk of blood clots forming and a heart attack taking place because it widens clogged arteries.

Heart diseases are sometimes called the quintessential diseases of civilisation because it was rare before 1900 and it still remains much less common inpre-industrialised populations.

By mid-century coronary heart disease was the nation’s biggest killer and today all forms of cardiovascular diseases, including conditions of the heart and blood vessels like angina, congestive heart failure, and stroke are still the leading causes of death in many western nations. Combined, all cardiovascular diseases kill more than one million Americans a year, men and women pretty much equally.

We know that inflammation and heart disease symptoms are tied to free radical damage (also called oxidative stress) and anti-oxidant levels in the body. When antioxidant levels are lower than those of free radicals due to poor nutrition and other lifestyle factors, oxidation will wreak havoc in the body, damaging cells, breaking down tissue, mutating DNA and overloading the immune system.

Environmental pollutants, alcohol, smoking, unhealthy fats and a lack of sleep can also generate high levels of free radicals”

Saving the heart

Foods and herbs abound in Mother Nature’s workshop to make the heart indefatigable for a whole lifetime. Only a few of them can be mentioned here. Jean Carper, an author of the New York Times best writers series, will be our chief tour guide. Her book, STOP AGING NOW, offers insights into the roles played in making the heart healthy by such foods and herbs as beta-carotene, Vitamin E, CoQ10, Magnesium, Fish oil, antioxidants, B-complex vitamins fruits and Vegetables, Garlic, Vitamin C, Red Wine etc. To these, I would like to add Lecithin, Hawthorn berries, Pomegranate and the proprietary blend CELLGEVITY, which is featured in www.olufemikusa.com under the headline Cellegevity, Senior Citizens and their peculiar challenges.

To be frank with you, most Nigerian popular diets may not sustain a healthy heart. They would need to be supplemented with missing food factors through food supplements. What is in bread, milk, sugar, refined tea or processed tea, fried egg took for breakfast? What is in yam or plantain flour taken as amala, if not a carbohydrate and oxidized food factors which are evident in the colour changes? What of Cassava grains from which eba is made? In Ghana, these grains are mixed with Moringa leaf powder to Proteinise, vitamise and mineralise the eba, which in pure form is pure carbohydrate. What is in polished rice? The soup is where the power and health of the meal should lie. Our soups nowadays are empty chaff, nutritionally speaking. I add the powders of green vegetables, such as Kale and Asparagus and Cilantro, to my meals to give them life!.

Politicians are most guilty of the nutritional bashing of the heart. They hardly sleep, congesting their blood with stress chemicals. Their hearts are filled with guile, altering the normal biochemistry of the heart, which has in the FOURTH CHAKRA region and responds negatively to thoughts of hate and evil plots. They have no time to exercise as well as well. They eat largely on the go.

We return to Jean Carper. She says:

”Evidences compelling, showing that beta carotene wards of cardiovascular disease, probably by keeping arteries from clogging.’’

A Harvard study showed that male physicians who took 50mg supplement of beta carotene every other day for six years had only half as many fatal heart attacks, strokes and heart diseases incidents in general as doctors taking a dummy pill.

In another Harvard study tracking 90,000 female nurses, those eating the most beta-carotene (more than 11,000 I.V. daily)had a 22 percent heart disease risk than women taking less than 3,800 I.V daily. The high-beta-carotene eaters’ risk of stroke was 37 percent lower.

In a large scale multi-centre European study, those who took in the least beta-carotene were at a 260 percent higher risk of a first – heart attack than those who ate the most beta-carotene”.

Rich food sources of beta-carotene in Nigeria include sweet potato, red pepper, carrot, dark leafy vegetables, such as spinach and Kale, melons, pears, mango, pawpaw (papaya) Kale, Lettuce, Cabbage, Pumpkin, Dandelion greens etc. Many people think first of carrots during any talk about beta-carotene.

They are right. It is a rich source of this carotenoid from which the body can produce Vitamin A for many uses. But there are far richer sources of beta-carotene than carrots in Nature. When spinach is juiced, it yields plenty of beta-carotene.

Not many people know that Spirulina is a richer source of beta-carotene than carrots. We are told in wwww.santegrausa.com:

”Spirulina offers 60 percent easy-to-digest vegetable protein without the fat and cholesterol of meat: essential vitamins and phytonutrients such as the antioxidant beta-carotene, the rare essential fatty acid GLA, Phospholipids, B-12 and beta-carotene content of Spirulina is higher than many other plants on our planet. Beta-carotene in Spirulina is 10 times more concentrated than in carrots. Spirulina compensates vitamins and mineral deficiencies promote strength and endurance and raises the concentration of oxygen in the blood. Besides, Spirulina normalises metabolism, helps with weight control. This unique plant accelerates burns and wounds healing.

Spirulina is a natural cleanser, promotes improvement of liver functions, toxins removal.

”Spirulina contains an unusually high amount of protein, between 55 percent and 75 percent by dry weight, depending upon the source. It is a complete protein containing all essential amino acids, though with reduced amounts of Methionine, Cysteine and Lysine when compared to the protein of meat, eggsand milk. It is, however, superior to typical plant protein Gama Linolenic Acid (GLA), and also provides Alpha Linolenic Acid (ALA), Linolenic Acid (LA), Stearidonic Acid (SDA), Elcosapentaenoic Acid (EPA), Docosahexaenoic Acid (DHA) and Arachidonic Acid (AA).

Spirulina contains vitamin B1, B2, B3, B6, B9, Vitamin C, Vitamin D and Vitamin E. A test done on Australian grown Spirulina by the Australian Government Analytical Laboratory (AGAL) shows Vitamin B12 (Cobalamin) levels of 659.1 ug/100 grm. A one-gram tablet could provide more than three times the recommended daily intake of B12.

Mineral health Spirulina is a rich source of Potassium, and also contains Calcium, Chromium, Copper Iron, Magnesium, Manganese, Phosphorus, Selenium, Sodium, and Zinc.

It should not be difficult for regular readers of this column to now understand why I always suggest that their greens (Spirulina & Co) be added to the diet. Nigerian diet is predominantly Carbohydrate. Fish and beef are expensive sources of protein. Proteins, minerals, and vitamins, not to mention trace elements and co-factors, are needed to maintain cells and organs of the body, which are derived from these substances and cannot function optimally without regular supplies of them in the diet.

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UNDERSTANDING THE COSTS OF DIABETES TREATMENT AND PLANING FOR THE FUTURE

Diabetes is a prevalent disease. However, it can still take many by surprise, and leave them struggling to pay medical bills.

With the complexities of the condition and the wide range of costs involved with treatment, having a financing plan is necessary. Health insurance is obviously one of the primary methods of assistance. But not everyone has the adequate coverage to cover
the costs – let alone the out-of-pocket cash to put on the counter every time out.

Opening a savings account, particularly one with high interest, could be a worthwhile investment toward consistently managing the disease today and into the future.

Diabetes at a glance

Type 1 Diabetes
A condition that keeps the body from producing enough insulin. Insulin shots are used to control blood glucose levels. Most diagnoses occur among children and young adults, which is why it is also referred to as juvenile diabetes.

Type 2 Diabetes
The most common form of the condition where the body doesn’t properly use insulin to convert sugar, starches and other food into energy.

Gestational Diabetes
Occurs when women experience high blood glucose levels during pregnancy. It’s usually easily managed and goes away after pregnancy.

Prediabetes
When blood glucose levels are higher than normal, but not high enough to be diagnosed as Type 2 diabetes. A large number of Americans are living with prediabetes (1 out of 3 adults). But taking early action to manage glucose levels can prevent diabetes from forming.

People who have diabetes are at higher risk of developing the following health conditions:

  • Blindness
  • Heart disease
  • Stroke
  • Kidney failure
  • Blindness
  • Loss of lower appendages (toes, feet, or legs)

Keep in mind – these conditions occur in the case of severe complications with the disease. With consistent attention to diet and other medical treatments (like most living with type 1 or type 2 diabetes undergo), these conditions are avoidable.

Diabetes by the numbers

According to a recent report from the Centers for Disease Control and Prevention (CDC), more than 100 million U.S. adults are now living with diabetes or prediabetes. Of that, only 12% were aware that they had it. And with approximately 1.5 million new cases being diagnosed every year, the need for education and financial support is clear.

Rates of diagnosis for the following ethnic groups

  • 7.4% of non-Hispanic whites
  • 8.0% of Asian Americans
  • 12.1% of Hispanics
  • 12.7% of non-Hispanic blacks
  • 15.1% of American Indians/Alaskan Natives

Breakdown among Asian Americans:

  • 4.3% diagnosed were Chinese
  • 8.9% diagnosed were Filipinos
  • 11.2% diagnosed were Asian Indians
  • 8.5% diagnosed were identified as other Asian Americans

Breakdown among Hispanic adults:

  • 8.5% diagnosed were Central and South Americans
  • 9.0% diagnosed were Cubans
  • 13.8% diagnosed were Mexican Americans
  • 12.0% diagnosed were Puerto Ricans

Underreported deaths due to diabetes

Diabetes is one of the leading causes of death in the United States (seventh as of 2015). However, studies have found that it is also among the most underreported. According to the American Diabetes Association®, only 35% of people who died with diabetes had the disease listed on their death certificate. And of that number, only 10% had diabetes identified as the cause of death.

There are a number of possible reasons for the underreported rate. But a lot points to the lack of ability to pay for adequate diagnosis and proper medical treatment.

What specific costs will someone with diabetes have to address?

If you or your child are diagnosed with diabetes, or you’re told that you have prediabetes, management and prevention take center stage. While a lot involves diet and exercise, medication will inevitably have an effect on your finances as well.

According to the American Diabetes Association® (ADA), medical costs for a person with diabetes averages out to $16,750 per year (a total of $327 billion nationwide in 2017). Of that amount, $9,601 is attributed to treatment specifically for diabetes. That’s more than twice the medical cost for people without diabetes.

Of the $327 billion nationally, $237 billion was attributed to direct diabetes medical costs and $90 billion was attributed to indirect costs – absenteeism and reduced productivity at work. Understanding the different forms of diabetes treatment, as well as the direct and indirect costs, is important for wrapping your head around plans for financing.

Type Treatments
Type 1 Diabetes
  • Diet
  • Exercise
  • Insulin therapy
  • Regular blood glucose tests/monitoring
Type 2 Diabetes
  • Diet
  • Exercise
  • Insulin therapy
  • Other medication
Gestational Diabetes
  • Diet
  • Exercise
  • Monitoring sugar intake
  • Monitoring the baby
Direct Medical Costs ($9,601/year) Indirect Medical Costs ($90 billion nationally)
Prescription medication (30% of total cost) Loss of productivity due to mortality ($20 billion nationally)
Hospital care (30% of total cost) Inability to work as a result of diabetes ($40 billion nationally)
Routine doctor’s office visits (15% of total cost) Reduced productivity while at work ($30 billion)
Other medications and supplies (25% of total cost) Reduced productivity due to increased absences and loss of employment from diabetes ($6 billion)

Insulin

Insulin injections are one of the primary forms of medical treatment used to manage diabetes. Especially for those living with type 1 diabetes, who can’t produce insulin of their own, these types of injections are vital for survival. However, the cost for insulin has skyrocketed in recent years, leaving many in the position of having to choose between going into debt or cutting back on medication.

The average cost for insulin as of 2015: $100-$200 per month
An average cost for insulin as of 2018: $400-$500 per month

WIDELY USED INSULIN BRANDS AND INSULIN INJECTION TOOLS
Insulin Apidra, Humulin, Lantuo, Lente, Levemin, Novolog, Novolin, NPH Insulin, Regular Iletin, Regular Insulin, Velosulin
Insulin Syringes BD Ultrafine, Levemir®, Monoject, NovoFine®, Ulticare, UniFine, UltiGaurd
Insulin Pumps Animas, Deltec, Medtronic

Diabetes screenings and other medications

Along with your normal doctor’s visits, diabetes screenings are an important part of the process for identifying the disease. Specifically, if you have been diagnosed, testing your blood glucose levels will become a regular part of your life. Much of the costs for medications involved should be covered by your health insurance. And there are a number of home testing devices you can invest in to help make things more convenient and cost-effective.

WIDELY USED DIABETES TESTING BRANDS AND OTHER MEDICATIONS
Blood Glucose Test Meters and Test Strips Abbott Freestyle®, Abbott Flash, Accu-Chek Compact®, Ascensia Elite, Ascencia Breeze, Ascensia Contour, Lifescan One-Touch©, Prestige
Injectable Medications Byetta (Exenatide) injection and Symlin (Pramlintide Acetate) injection, Victoza (lLiraglutide- rDNA origin) injection
Oral Medications Acarbose, Avandia, Chlorpropamide, Diabinese, Glipizide, Glucophage, Glucotrol, Gylset, Meglitol, Metformin, Prandin, Precose, Repaglinide, Rosiglitazone (These drugs act in different ways to lower blood glucose levels and may be prescribed in combination with other medication.)

Diabetes health expenditures according to group

Depending on whether you or your child has type 1 or type 2 diabetes, total expenditures can vary. Those who manage their condition at home, through diet, exercise, and home testing will have different averages than those needing regular appointments with specialists. According to the American Diabetes Association®, average total healthcare expenditures for diabetes treatment differ according to gender, race, and states with the highest populations of people diagnosed.

Gender
Men: $10,060
Women: $9,110

Race
Hispanics: $8,050
Non-hispanic Blacks: $10,470
Non-hispanic Whites: $9,800

States with the highest population of people with diabetes
New York: $21 billion in healthcare expenditures
Florida: $24 billion in healthcare expenditures
Texas:  $25 billion in healthcare expenditures
California: $39 billion in healthcare expenditures

Options for diabetes treatment financing

In a recent online survey of 500 adults with diabetes, more than half of the participants acknowledged the medical costs involved has had a negative impact on their finances. Many also admitted to going to “extreme lengths” to cover the costs. These lengths include accruing credit card debt, borrowing money from family or friends, and tapping into a savings or retirement account. Many may feel the need to take some extra financial risks because they don’t feel as supported as they’d like. Understanding your options will help you make the most informed choices.

Insurance

Government insurance, such as Medicare and Medicaid provides most of the financial assistance for diabetes care. The military also takes care of a good amount of costs for veterans. The remainder of the cost is covered by private insurance or out-of-pocket cash. According to the National Conference of State Legislatures, 46 states mandate that diabetes be covered under state insurance.

These states require coverage for diabetes treatment as well as equipment and supplies for home use (insulin, pumps, syringes, test meters). Four states do not have that same insurance mandate, however – Ohio, Alabama, North Dakota, and Idaho. Anyone with diabetes who live in any of those four states will most likely need to deal with a private insurer or explore other methods of financing.

Coverage from private insurers usually come through employer-sponsored group plans or individual health plans. Advisors would suggest going with employer-sponsored plans, because they offer higher protections due to being subsidized. On the other hand, if you are unemployed and venturing into the individual market, it may be difficult to find affordable coverage. The reason is that diabetes is considered a “high risk” disease. Insurance companies anticipate a high amount of claims, especially from those with pre-existing conditions. So it will be reflected in the pricing.

HSA

People who have diabetes but don’t have coverage that’s comprehensible enough for their needs may utilize a health savings account (HSA). An HSA is primarily useful for people with high deductibles (at least $1,350 individually, or $2,700 for family). Also, those who are a part of low-income families or don’t live in a “mandate state” may see this as a helpful tool. One big benefit of an HSA is that you take the money with you. There’s no “use it or lose it” policy like some other savings plans. Being able to set aside pre-taxed dollars to help pay for medical expenses can go along way when trying to manage diabetes.

FSA

Another way to set aside dollars for medical expenses is through a flexible spending account (FSA). An FSA is provided through your employer with a $2,650 limit. You can also use it to cover medical expenses for your spouse and dependents. One thing to keep in mind with FSA’s is that they do have an expiration period. You’re generally required to use the funds within your plan year. But your employer may offer extensions at their choosing. The benefit is, it can be used with any type of health plan. And diabetic supplies are eligible to be paid through FSA’s.

High interest savings account

If you’re not interested in dealing with your employer for coverage or a flexible spending account, a high interest savings account could be a good option to explore. It’s just like any other savings account, only with fewer restrictions. Not only are you saving for your medical needs, but your money is also making money. High interest savings accounts are opened through online banks – which means they don’t have to worry about maintaining branches all over the country. They can offer you higher interest rates, with the benefit of accessing your money whenever you want.

Unlike an HSA, a high interest savings account isn’t tied to a high deductible health plan with a dollar limit. And unlike an FSA, there’s no expiration date on when you can use your money. It removes any additional stress so you can concentrate on managing your condition properly. And as you earn interest, you can still take advantage of a number of outreach resources available for people with diabetes.

This condition can be a tough one to get a handle on, but it’s not insurmountable. Let your understanding of diabetes, your knowledge of its treatments, and your strategy for tackling costs work in your favor.

Understanding the costs of diabetes treatment and planning for the future

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