Friday, September 28, 2018

How to prevent care for diabetic heart disease?

What are the grades of diabetes heart disease prevention care? What lifestyles can be improved to prevent diabetes and heart disease?

How to prevent care for diabetic heart disease?

1. Primary prevention or primary prevention

Primary prevention of coronary heart disease is actually a prophylactic factor for preventing atherosclerosis. Autopsy has proven that atherosclerosis has occurred since childhood, and some youths are quite serious, so prevention should begin from childhood and inheritance. It has been proven in school that diabetes is a polygenic genetic disease. After the 1970s, coronary heart disease has noticed its genetic problems abroad. Some survey data reported that one parent has coronary heart disease and his child's coronary heart disease occurs. The rate is 2 times that of families without coronary heart disease; 2 parents have coronary heart disease, and the incidence of coronary heart disease in their children is 5 times that of families without coronary heart disease. It can be seen that the occurrence of coronary heart disease is closely related to genetic family factors. Therefore, there are close relatives in the family. People with diabetes, coronary heart disease and high blood pressure should take active primary prevention measures to prevent the occurrence of diabetic coronary heart disease.

2. Secondary prevention

Also known as secondary prevention, all those who have diabetes coronary heart disease should be avoided for the factors that induce or promote the development of their disease. For those with symptoms, they should actively treat, control angina, correct heart failure and arrhythmia, improve heart. Features.

3. Tertiary prevention

According to the cause and pathogenesis of pathogenesis, prevention of diabetes complications has its specific causes. Prevention of these causes and the evolution of pathogenesis are important measures to prevent the development of diabetic coronary heart disease.

(1) Pay attention to the rationalization of diet and nutrition, and avoid regular drug: Many data indicate that people with body weight are prone to diabetes and coronary heart disease, and they are like sisters in obesity.

(2) Regularity of sports to prevent leisure and leisure: Diabetes is a lifelong metabolic disease. Exercise is one of the four basic therapies for diabetes. Exercise can improve the function of cell membranes, improve the function of organelles, and improve various systems. The function of organs, therefore, exercise is an important measure to prevent and treat coronary heart disease and reduce weight. It is especially important to pay attention to the regularization of sports. Life is the most famous way to exercise. It should be avoided. This is the reduction of physical activity and mental activity. hotbed.

(3) Establish a reasonable living system: quit smoking, bad hobbies, avoid mental stress, emotional excitement, and develop a stable psychological quality.

Mainly including lifestyle and exercise intervention, appropriate participation in exercise or physical labor, maintaining normal weight, avoiding overweight and obesity, especially abdominal obesity, helping to improve cardiovascular function in diabetic patients, and reporting the risk of cardiovascular disease in routine exercise participants Reduced sexuality by 35% to 50%; low salt (recommended daily intake of salt does not exceed 6g) low-fat diet (more intake of unsaturated fatty acids); smoking cessation, smoking is an important risk factor for cardiovascular disease, and non-smokers Compared with smokers, cardiovascular disease occurs earlier, non-smokers live in a smoking environment (passive smoking), and are also prone to cardiovascular disease. Stop smoking can significantly reduce the risk of cardiovascular disease; There is some controversy about the impact of drinking on cardiovascular disease. It is believed that a small amount of alcohol consumption (30 ~ 60ml / d) may reduce the incidence of cardiovascular disease, but heavy drinking can increase high blood pressure and blood lipids, drinking alcohol in diabetic patients may interfere with glucose metabolism, Drinking or not drinking should be avoided as much as possible.

In 1996, the American College of Cardiology proposed to reduce the risk of cardiovascular disease. It is recommended that the general population's diet and lifestyle should strive to achieve the following goals:
(1) quit smoking;
(2) Appropriate calorie intake and physical activity to prevent obesity, and overweight people lose weight;
(3) Fat intake accounts for 30% or less of total calorie intake per day, saturated fatty acids account for 8% to 10% of total daily intake, and polyunsaturated fatty acid intake accounts for 10% of total daily calories. The monounsaturated fatty acid intake accounts for 15% of the total daily calories, and the cholesterol intake should be below 30 mg/d;
(4) 55% to 60% of calories should come from complex carbohydrates; 5 drinkers and those who do not avoid alcohol, do not drink more than 1 to 2 alcohol units per day, do not let non-drinkers start drinking or increase the amount of alcohol consumed.

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