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.

Heart Attack: Lessons of Mike Adeyemo’s death

WHAT THAT YOUR FEET SAY ABOUT YOUR HEALTH

WHAT THAT YOUR FEET SAY ABOUT YOUR HEALTH

Reviewed by Carol DerSarkissian 

Cold Feet, Many Culprits:

If your toes are always cold, one reason could be poor blood flow — a circulatory problem sometimes linked to smoking, high blood pressure, or heart disease. The nerve damage of uncontrolled diabetes can also make your feet feel cold. Other possible causes include hypothyroidism and anaemia. A doctor can look for any underlying problems — or let you know that you simply have cold feet.

Foot Pain

When feet ache after a long day, you might just curse your shoes. After all, eight out of 10 women say their shoes hurt. But the pain that’s not due to sky-high heels may come from a stress fracture, a small crack in a bone. One possible cause: Exercise that was too intense, particularly high-impact sports like basketball and distance running. Also, weakened bones due to osteoporosis increase the risk.

Red, White, and Blue Toes

Raynaud’s disease can cause toes to turn white, then bluish, and then redden again and return to their natural tone. The cause is a sudden narrowing of the arteries, called vasospasms. Stress or changes in temperature can trigger vasospasms, which usually don’t lead to other health concerns. Raynaud’s may also be related to rheumatoid arthritis, Sjögren’s disease, or thyroid problems.

Heel Pain

The most common cause of heel pain is plantar fasciitis, inflammation where this long ligament attaches to the heel bone. The pain may be sharpest when you first wake up and put pressure on the foot. Arthritis, excessive exercise, and poorly fitting shoes also can cause heel pain, as can tendonitis. Less common causes include a bone spur on the bottom of the heel, a bone infection, tumor, or fracture.

Dragging Your Feet

Sometimes the first sign of a problem is a change in the way you walk — a wider gait or slight foot dragging. The cause may be the slow loss of normal sensation in your feet, brought on by peripheral nerve damage. About 30% of these cases are linked to diabetes. Nerve damage also can be due to infection, vitamin deficiency, and alcoholism. In many cases, no one knows what caused the nerve damage. Other possible causes for foot dragging include problems with the brain, spinal cord, or muscles.

Clubbed Toes

In clubbing, the shape of the toes (and often the fingers) changes. The nails are more rounded on top and curve downward. Lung disease is the most common underlying cause, but it also can be caused by heart disease, liver, and digestive disorders, or certain infections. Sometimes, clubbing runs in families without any underlying disease.

Swollen Feet

This is usually a temporary nuisance caused by standing too long or a long flight — especially if you are pregnant. In contrast, feet that stay swollen can be a sign of a serious medical condition. The cause may be poor circulation, a problem with the lymphatic system, or a blood clot. A kidney disorder or underactive thyroid can also cause swelling. If you have persistent swelling of your feet, see a physician.

Burning Feet

A burning sensation in the feet is common among diabetics with peripheral nerve damage. It can also be caused by a vitamin B deficiency, athlete’s foot, chronic kidney disease, poor circulation in the legs and feet (peripheral arterial disease), or hypothyroidism.

Sores That Don’t Heal

Foot sores that will not heal are a major warning sign for diabetes. Diabetes can impair sensation in the feet, circulation, and normal wound healing, so even a blister can become a troublesome wound. Those sores also are prone to infection. Diabetics should wash and dry their feet and check them for any wounds every day. Slow-healing of sores also can be caused by poor circulation from conditions such as peripheral artery disease.

Pain in the Big Toe

Gout is a notorious cause of sudden pain in the big toe joint, along with redness and swelling (seen here). Osteoarthritis is another culprit that causes pain and swelling. If the joint is rigid, it may be hallux rigidus, a complication of arthritis where a bone spur develops. Finally, turf toe is an ailment of athletes, particularly those who play on hard surfaces. It’s caused by an injury to ligaments surrounding the joint.

Pain in the Smaller Toes

If you feel like you’re walking on a marble, or if pain burns in the ball of your foot and radiates to the toes, you may have Morton’s neuroma, a thickening of tissue around a nerve, usually between the third and fourth toes. It is eight to 10 times more common in women than in men. It is caused by injury or too much pressure on the toes.

Itchy Feet

Itchy, scaly skin may be athlete’s foot, a common fungal infection. A reaction to chemicals or skin care products — called contact dermatitis — can cause itching, too, along with redness and dry patches. If the skin on itchy feet is thick and pimple-like, it may be psoriasis, an over-reaction of the immune system. Medicated creams can relieve the symptoms.

Claw Toe

This foot deformity can be caused by shoes that are tight and pinch your toes or by a disease that damages nerves, such as diabetes, alcoholism, or other neurological disorder. Your toes will be bent upward as they extend from the ball of the foot, then downward from the middle joint, resembling a claw. They may respond to stretching and exercises of the toes or you may need special shoes or even surgery.

Foot Spasms

A sudden, sharp pain in the foot is the hallmark of a muscle spasm or cramp, which can last many minutes. Overwork and muscle fatigue are common causes. Other causes include poor circulation, dehydration, or imbalances in potassium, magnesium, calcium, or vitamin D levels in the body. The changing hormone levels of pregnancy or thyroid disorders may play a role. If spasms are frequent or severe, see a doctor. Strengthening exercises can help with muscle fatigue.

Dark Spot on the Foot

We associate skin cancer with the sun, so we’re not as likely to check our feet for unusual spots. However, a melanoma, the most dangerous form of skin cancer, can develop in areas that are not regularly exposed to the sun. Melanoma can even appear beneath the nail, where it might look like a black spot.

Yellow Toenails

Your toenails tell a lot about your overall health. A fungal infection often causes thickened yellow toenails. Thick, yellow nails also can be a sign of an underlying disease, including lymphedema (swelling related to the lymphatic system), lung problems, psoriasis, or rheumatoid arthritis.

Spoon-shaped Toenails

Sometimes an injury to the nail or frequent exposure to petroleum-based solvents can create a concave, spoon-like shape. However, iron deficiency also can cause this unusual shape.

White Nails

Injury to the nail or illness anywhere in the body can cause white areas in the nails. If part or all of a nail separates from the nail bed (shown here), it can appear white — and may be due to an injury, nail infection, or psoriasis. If the nail is intact and most of it is white, it can sometimes be a sign of a more serious condition including liver disease, congestive heart failure, or kidney disease. Talk with your health care team about any concerns.

Pitting of the Nails

Pitting, or punctured-looking depressions in the surface of the nail, is caused by a disruption in the growth of the nail at the nail plate. It affects as many as half of people with psoriasis.

WHAT THAT YOUR FEET SAY ABOUT YOUR HEALTH

Restore Health to 5000 Nigerians with Hypertension

Restore Health to 5000 Nigerians with Hypertension

 

Restore Health to 5000 Nigerians with Hypertension

Summary

This project will raise awareness about prevention and provide training to community volunteers to act as health champions who will screen, treat, and share vital information on hypertension and diabetes through peers group, meetings, and through other health campaigns. We will provide medical screening, medications, nutritional supplements, and advice that will aid 5,000 people in Ibadan communities to cope with existing conditions and live a healthy lifestyle.

$10,000
total goal
$10,000
remaining
0
donors
0
monthly donors
Coming
soon

Challenge

Nigeria has one of the highest rates of hypertension in the world, with studies showing rates between 30% and 45%. Hypertension accounts for about 25% of emergencies in Nigerian hospitals. Researchers recommend increased awareness and interventions for prevention and early detection of hypertension. This is particularly urgent in Oyo State. Even with early diagnosis, high cost of medication is forcing patients to seek an alternative to drugs or go without treatment.

Solution

Rays of Hope Support Initiative will Continue raising awareness and educating about Hypertension and Diabetes in underserved communities, expanding our reach to 5,000 people in at least five different communities Provide training to 10 volunteers, or “Health Champions” Provide medical screening, medications, and nutritional supplements to at least 400 of those with the greatest need Providing treatment to those with an existing condition can help reduce the rate of illness and death.

Long-Term Impact

ROHSI aims to reduce the prevalence of hypertension in Nigeria in the long-term. We will create partnerships with government health agencies and community development associations to bring awareness and treatment to more communities. We will get closer to our vision of a low prevalence of hypertension in Nigeria, but we can’t do it without your help!

Resources

http:/ / www.rohsi.org
Our organization main website
This is our facebook page
our twitter page

Organization Information

Rays Of Hope Support Initiative

LOCATION: Ibadan, Oyo – Nigeria
WEBSITE: http:/ / www.rohsi.org
Rays Of Hope Support Initiative
Benjamin Olorunfemi
PROJECT LEADER:
Benjamin Olorunfemi
Ibadan, Oyo Nigeria

 

 

Restore Health to 5000 Nigerians with Hypertension

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

UNDERSTANDING END-STAGE KIDNEY DISEASE

UNDERSTANDING END-STAGE KIDNEY DISEASE

What Can You Expect in the Final Stages of Kidney Failure?

By Angela Morrow, RN 

End-stage kidney disease is the final stage of chronic kidney disease. At this last stage, the kidneys are unable to work on their own, which means that a person either needs dialysis or a kidney transplant to stay alive. While a transplant is an ideal choice as it offers a cure, not everyone is a candidate for this surgery.

Even so, it’s critical to note that most people with chronic kidney disease do not end up needing dialysis.

This is because, with early care, a person can usually slow down the disease.

If you or a loved one are in the final stages of kidney disease, what can you expect, and what is it like to die from renal failure?

Definition of Chronic Kidney Disease

Your kidneys filter waste and water out of your bloodstream. When your kidney function declines, waste accumulates in the body, and this waste buildup can eventually lead to symptoms like severe nausea and vomiting, loss of appetite, and feeling sick and weak overall.

A loss of normal kidney function may occur suddenly (called acute kidney disease) or over a period of three or more months (called chronic kidney disease). Acute kidney disease has the potential to reverse itself. But in chronic kidney disease, kidney function gradually worsens with time.

There are five stages of chronic kidney disease, with the fifth stage representing end-stage kidney disease.

In other words, without a lifesaving measure like dialysis or a kidney transplant, a person would die within a week or so.

It’s important to note that a person’s kidney function tends to slowly get worse, although the rate at which kidney function declines and transitions from one stage to the next depends on many factors (for example, the underlying health condition that caused the kidney disease in the first place).

It can take many years or decades for renal failure to progress to the final stage of the disease.

Causes 

There are many different causes of chronic kidney disease; the two most common are diabetes and high blood pressure. 

Other causes include:

It’s important for a doctor to diagnose the “why” behind your kidney disease because he may be able to slow your disease down. For example, if high blood pressure is the culprit, then your doctor may be more aggressive with monitoring your blood pressure and keeping it within a normal range. Likewise, careful management of your blood sugars if you are diabetic, may slow the decline of your kidneys.

Diagnosis 

There are a number of tests that a doctor may perform to properly diagnosis your chronic kidney disease, and some of these tests (for example, blood tests) will be repeated many times, even as you progress to the final stage.

Examples of tests that your doctor will perform to diagnosis and monitor your kidney function include:

  • Blood tests that measure your kidney function (for example, BUN and creatinine level) and electrolyte levels (for example, your potassium level)
  • Urine tests
  • Ultrasound of your kidney
  • Biopsy of your kidney (a procedure in which a small tissue sample is taken of your kidney and examined under a microscope)
  • CT scan of your kidneys

Your doctor will also want to determine your glomerular filtration rate (GFR). This number allows your doctor to best understand your kidney function and determine the stage of your disease. The GFR is easily calculated using your blood creatinine level, age, gender, and race.

While some of these tests are initially ordered by an internist or family medicine doctor, a person with chronic kidney disease is eventually referred to a kidney specialist called a nephrologist, especially as he progresses to later stages.

In fact, studies have found that those who are referred to a nephrologist often live longer than those who do not see a specialist.

A nephrologist can follow your kidney function carefully and discuss a treatment plan with you if your kidneys fail. She can also monitor any complications that arise as a result of your kidney disease, such as anaemia or bone disease.

Symptoms 

Just as the progression of chronic kidney disease is variable, so are the associated symptoms. In addition, the timing at which a person begins to experience symptoms of his or her kidney disease is not cut and dry. In fact, many people feel relatively OK until their disease is advanced. This is one reason to see your doctor regularly for blood tests.

Some of the symptoms a person may experience in chronic kidney disease, especially as it advances towards the final stage, include:

Loss of Energy 

The first thing you might notice is feeling more sleepy or tired than usual. Your sleeping patterns might change. You might sleep more during the day or have difficulty sleeping at night. The fatigue associated with kidney failure is different than ordinary tiredness. You may feel tired despite a good night of sleep or a cup of coffee.

Mental Changes

You might notice mild confusion or problems concentrating early on that might progress to disorientation, anxiety, irritability, or even delirium. When a person develops severe waste buildup from kidney failure, seizures and coma may occur.

Abnormal Sensations

Restless legs, burning feet, or other sensory problems may develop as a result of a significant waste buildup in the body. In fact, when this happens, it can be a sign that dialysis is urgently needed.

Muscle Changes

As minerals build up in the blood, you might notice muscle twitching or cramps, especially at night.

Skin Changes

The build-up of a chemical called urea in the blood may cause your skin to itch, and you might even develop a fine white powder on your skin. Itching can usually be controlled with topical creams or antihistamines, such as Benadryl (diphenhydramine).

Appetite and Weight Changes

Your appetite will decrease, and you might lose weight. Alternatively, you might gain weight as your body retains extra fluid.

If you are not producing much urine but still drinking fluids, you might notice that your feet, legs, and ankles swell, which is called edema.

Malnutrition in chronic kidney disease is a major problem, which is why people will often follow a special diet to optimize their nutritional status.

Changes in Urination

You might pass little or no urine at all. If this is the case for you, limiting the amount of fluid you drink might improve your comfort level by decreasing the amount of excess fluid in your body.

Others may experience changes in their pattern of urination like urinating more, losing control of their urine (called incontinence), or developing more urinary tract infections.

Sexual Dysfunction

Women often develop menstrual and fertility problems in chronic kidney disease whereas men develop erectile dysfunction. In addition, most women who reach end-stage kidney disease stop having periods.

Breathing Changes

The build-up of acids in the blood might cause changes in breathing, such as breathing faster and more shallow, but these changes are generally not uncomfortable. However, fluid can build up in the lungs and chest wall causing shortness of breath and chest pain.

Other Changes

There are other health issues associated with chronic kidney diseases such as a low blood count, low platelets (which help clot your blood and can lead to easy bruising), bone problems, malnutrition, fluid shifts, and electrolyte abnormalities. Breath odor, vomiting, and challenging hiccups may also occur.

Treatment

Treatment of your chronic kidney disease depends on the functioning of your individual kidneys. For instance, a person in a lower stage of chronic kidney disease may be able to take a diuretic to urinate out excess fluid. On the other hand, a person with end-stage kidney disease who makes no urine needs dialysis to remove excess fluid from the body.

Your doctor will also treat any complications related to your kidney disease. For example, you may need medication for anaemia or a drug to prevent bone loss.

Final Stages of Kidney Disease for Loved Ones

People can sometimes live many years with the help of dialysis. Yet, without dialysis, or if a person chooses to forego dialysis, death often occurs within a few weeks. As toxins build up in the blood (which is called uraemia), a person will begin to sleep most of the day. She may see things that aren’t there, or talk about speaking with people who have died in the past. Her skin may become mottled, and she will lose all sense of hunger. The sense of thirst may also disappear, although kidney failure can often cause excessive thirst. As she gets closer to death, she may become very congested and develop irregular breathing (Cheyne-Stokes respiration). These symptoms may be very uncomfortable for loved ones, but do not appear to be uncomfortable for the person who is dying. As she nears death, she will probably slip into a coma. At this time, simply spending time with her is important. We’ve learned that the sense of hearing is the last sense to leave, so talking to her may be a great comfort.

When compared to people dying from cancer, those dying from end-stage kidney disease were found to have higher rates of hospitalization and fewer end of life instructions. It’s thought that people with stage 5 kidney disease could benefit from better palliative care and planning at the end of life. If your loved one is facing these last stages, talk to her doctor about palliative care and options such as hospice care.

A Word From Verywell

If you have chronic kidney disease, you may experience anxiety thinking about the future. Remain resilient and continue to work closely with your doctor. Careful monitoring and early detection of kidney disease are paramount in protecting your kidneys.

If you have end-stage kidney disease and are on dialysis or very close to starting dialysis, please be sure to discuss all your questions, worries, expectations, and goals of care with your doctor.

Whether you choose to have dialysis, or if not, talk to your doctor about palliative care. For people with cancer, this is often built into clinic visits, and a careful plan is made. With kidney failure, you may need to initiate this discussion to receive the best treatment and have the best quality of life with however much time you have left.

Sources:

National Institute of Diabetes and Digestive and Kidney Diseases. What is Chronic Kidney Disease? https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/what-is-chronic-kidney-disease

Raghavan, D., and J. Holley. Conservative Care of the Elderly CKD Patient: A Practical GuideAdvances in Chronic Kidney Disease. 2016. 23(1):51-6.

Rosenberg, M. Overview of the Management of Chronic Kidney Disease in Adults.UpToDate. Updated 12/06/17.

Wachterman, M., Lipsitz, S., Lorenz, K., et al. End-of-Life Experience of Older Adults Dying of End-Stage Renal Disease: A Comparison With CancerJournal of Pain and Symptom Management. 2017. 54(6):789-797.

https://www.verywell.com/what-is-lupus-2249968https://www.verywell.com/what-is-lupus-2249968

 

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