Sunday, March 3, 2019
Patient X Essay
patient Xs doctor has been seeking to convert him to practice better lifestyle habits to for several years to help trash his hypertension (on antihypertensive medication for 3 years), diabetes (6 years) and growing waistline. A novel routine check-up revealed a deterioration of his lipid profile (TC 260, TG 310, HDL 29, beta-lipoprotein 170) and fasting glucose of 172. Patient X is 55 years old, weighs 245 lbs and he is 510 .1) Hypertension Weight control to lower the put on the lines associated with hypertension take a diet low in atomic number 11 and high in super acid. The risk of hypertension is lower when salt intake is lower and potassium helps reduce blood pressure by increasing the amount of sodium excreted in the urine. The charge eating plan is the best(p) option for maintaining hypertension. sensible action at law is also a major lifestyle modification that should be adopted. Engaging in regular aerobic physical activity much(prenominal) as a brisk walk ordai n lower the risk of hypertension.Diabetes A diet to help control diabetes also focuses on system of leans management. Low glycemic index diets have been shown to reduce complications associated with diabetes. Exercise is also a key factor to controlling diabetes. A 3-5 days of the week exercise, which focuses on caloric expenditure and duration rather than intensity, has been proven to increase insulin sensitivity and glucose tolerance. *Exercise can reduce other risk factors such as weight control, lipid profile, and hypertension.Lipid Profile Elevated triglycerides are best treated with increase physical activity and weight reduction. Aerobic exercise, weight reduction, smoking cessation, and moderate alcohol consumption will favorably ingrain HDL-C and lower LDL-C.After comparing these three aspects, it is easy to see that a diet focused on weight management, smoking cessation, and physical activity involving aerobic exercise will greatly lower Patient Xs risk factors for hype rtension and diabetes.2) Suggesting that Patient X begin the DASH diet would be the first place to set down. The DASH diet includes an easy-to-use graph which helps plan menus. It also includes items that people generally like to eat, just in less moderation and with more fruit and vegetables. To help Patient X quit smoking, there are prescriptions or over the counter patches that will allow cessation. There are also therapy groups that Patient X could try if addiction proved to be too great. Exercising with roughlyone, a conversancy or significant other is always easier than exercising alone. I would declare that Patient X find an exercise buddy and possibly start a gym membership. If they feel this isnt the right choice for them, wherefore even walking around their block for 30 minutes allows some form of aerobic exercise in their life.After 6 months I would expect to see a lower blood pressure if Patient X had indeed been participating in physical activity. Improvement in bl ood pressure among hypertensive, takes effect within the first few weeks. I would also expect to see major improvement in entireness cholesterol, LDL-C, and triglycerides if the proper diet was maintained. I would also expect to see an increased insulin sensitivity and glucose tolerance. A drop in BMI will also be indicated.
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