Diabetes – Heart Health

 
The INTERHEART study, funded by the Canadian Institutes of Health Research, shows that the risk of heart attack crosses geographic boundaries and correlates strongly to the so-called Western diet that favors salty snacks and fried foods, and to a lesser extent, meat. The risk, spread over five continents, is 30% higher for those who eat a Western diet, the study shows, than for those who adhere to a “prudent diet,” or one rich in fruits and vegetables. An Oriental diet, which is high in tofu and other soy products, doesn’t seem to lower or raise heart attack risk overall, according to the study. Researchers out of McMaster University in Ontario, Canada, examined dietary trends among more than 16,000 participants in 52 countries who were recruited between 1999 and 2003. One-third of the participants, or 5,761 people, were interviewed after having a single heart attack; the remaining 10,646 had no known heart disease, including angina, and did not suffer from diabetes, hypertension, or high cholesterol. The mean age of participants was between 53 and 57 years old. The study categorized eating patterns as Western, Oriental, and prudent. Participants answered written questions and were interviewed by medical personnel about their consumption of 19 food categories, including leafy greens, pickled foods, dairy products, and desserts. All answers were scored according to dietary risk. The study accounted for other risk factors like smoking, body mass index, age, physical activity, sex, and geographical region in assessing overall heart attack risk. It did not track long-term changes in regional eating habits and their link with health problems. Researchers concluded that the higher the regular intake of fried and salty foods, the higher the risk of heart attack regardless of which region of the world one resides in; prudent dietary habits carried the lowest risk. An Oriental diet seemed to be protective against heart attack in some regions of the world, but was not the best hedge overall, perhaps because of the high salt content of soy and other sauces common in the dining choices.  “The objective of this study was to understand the modifiable risk factors of heart attacks at a global level,” says Salim Yusuf, DPhil, the study’s senior author. “This study indicates that the same relationships that are observed in Western countries exist in different regions of the world.” Yusuf is a professor of medicine at McMaster University and is director of the Population Health Research Institute at Hamilton Health Sciences in Ontario, Canada. The study acknowledges that serving sizes and preparation technique (the type of fat used in cooking, for example) could play a role in increasing heart attack risk in participants adhering to a Western diet.  http://www.webmd.com/heart-disease/news/20081020/western-diet-is-a-global-heart-risk
 
Oct. 27, 2008 — A review of 40 clinical drug trials failed to produce reliable conclusions about the effects of oral diabetes medicines on cardiovascular health, despite controversy over the drug Avandia. However, researchers at the Johns Hopkins Bloomberg School of Public Health did find that metformin seemed to be associated with a decrease in heart disease and heart-related deaths Despite a finding that the drug trials, most of them short-term, were not comprehensive enough to yield the best data, researchers point to metformin as a drug that is “moderately protective” and Avandia as “possibly harmful.” The earlier analysis of the effect of diabetes drugs on cardiovascular health, reported in TheNew England Journal of Medicine in 2007, showed that Avandia, which works well to reduce blood sugar, was associated with a higher risk of heart attack. However, researchers in that case also acknowledged that their conclusions were limited by a lack of access to original clinical data. http://www.webmd.com/heart-disease/news/20081027/do-diabetes-drugs-affect-heart-health
— It may be possible for people with type 2 diabetes to reverse a heart threat without surgery, a new study shows. The study included 358 people with type 2 diabetes who took stress tests to check their heart’s health. The stress tests showed that a fifth of the patients had silent myocardial ischemia. Translation: Those patients had no heart disease symptoms, but their heart muscle didn’t get enough oxygen during the stress test. Heart muscle needs oxygen, which it gets from blood. Blood flow to the heart muscle suffers if the coronary arteries narrow. Ischemia (and possibly a heart attack) can be the result. The patients and their doctors were free to pick any ischemia treatment. None of the patients got surgery, but they tended to start taking at least one of the following medications:
Aspirin
Statin drugs, which lower LDL (“bad”) cholesterol
ACE inhibitors, which lower blood pressure
Three years after their initial stress test, the patients repeated the stress test. The researchers expected that the patients’ ischemia would have worsened. But they were wrong. Of the 71 patients who had ischemia at the study’s start, 56 patients (79%) no longer had ischemia three years later. That finding was “striking and unexpected,” write Yale University’s Frans Wackers, MD, and colleagues. The researchers aren’t sure that the medications reversed ischemia. For instance, the study doesn’t show whether the patients also got serious about their diet and exercise after learning they had silent cardiac ischemia, or which medications helped most. The surprising results deserve further research, Wackers and colleagues conclude.
http://www.webmd.com/heart-disease/news/20071026/diabetes-heart-help-without-surgery
 

Potassium and Your Heart

Potassium is a simple mineral with a crucial job: helping your heart beat. A hundred thousand times a day, potassium helps trigger your heart’s squeeze of blood through your body. If you have high blood pressure, heart failure, or heart rhythm problems, getting enough potassium is especially important. And although potassium and cholesterol aren’t directly related, eating a potassium-rich diet just might lower your cholesterol, too.

Potassium: Abundant and invisible

Potassium exists in abundance in soil and seawater. A healthy amount of potassium is essential to all plant and animal life. A critical electrolyte, potassium allows our muscles to move, our nerves to fire and our kidneys to filter blood. The right balance of potassium literally allows the heart to beat. Most people get plenty of potassium just by eating a normal American diet. The main source of potassium in our food is fruits and vegetables. Dairy products, whole grains, meat, and fish also provide potassium.

Excellent sources of potassium include:

  • potatoes
  • tomatoes
  • avocados
  • fresh fruits (bananas, oranges, and strawberries)
  • orange juice
  • dried fruits (raisins, apricots, prunes, and dates)
  • spinach
  • beans and peas

Eating a diet rich in fruits and vegetables is the best way to get enough potassium. You’ll also get the other benefits of a high fruits-and-veggies diet. Those include:

  • reduction of heart disease risk
  • lower cancer risk
  • lower risk for obesity

Potassium and your heart

In healthy amounts, potassium is a heart-friendly mineral. Potassium doesn’t treat or prevent heart disease. Numerous studies show, though, that getting enough potassium has heart-healthy benefits in several important ways.

Potassium and high blood pressure

In one major study of people with high blood pressure, taking potassium supplements reduced systolic blood pressure (the top number) by about 8 points. But you don’t have to pop potassium pills to get the heart-healthy benefits. A diet high in fruits and vegetables (good sources of potassium) and fat-free or low-fat dairy foods can help lower systolic blood pressure by more than 10 points in people with hypertension.

Potassium and high cholesterol

A direct link between potassium and cholesterol hasn’t been established. But it’s interesting that many diets proven to lower cholesterol are also high in potassium. If you have abnormal cholesterol levels, you’re at higher than average risk for heart disease. The same goes for anyone with any of the other risk factors for atherosclerosis:

  • smoking
  • high blood pressure
  • age over 55 for men or 65 for women
  • lack of exercise
  • obesity

Taking potassium isn’t known to reduce the risk of heart attacks. But by making sure you’re taking in enough potassium, you’ll probably end up eating more fruits and vegetables. A healthy diet — high in fruits and veggies and low in saturated fat and cholesterol — can help cholesterol levels and reduce the risk of heart disease

Potassium and abnormal heart rhythms (arrhythmias)

For people with abnormal heart rhythms, potassium may be even more important. Potassium is hiding inside every heartbeat. Each heart muscle needs just the right potassium balance in order to contract in a coordinated fashion.

People who’ve had abnormal heart rhythms — arrhythmias or dysrhythmias — are at risk for an uncoordinated heart rhythm. Some abnormal heart rhythms include:

  • atrial fibrillation
  • atrial flutter
  • ventricular tachycardia
  • ventricular fibrillation
  • supraventricular tachycardia
  • Wolf-Parkinson-White syndrome

People with a history of arrhythmias should see a doctor on a regular basis. A periodic potassium check might be part of your routine doctor’s visits.

Potassium and heart failure

For many people with heart failure (also called congestive heart failure), getting enough potassium is especially important. Some diuretics — water pills — for heart failure can cause you to lose potassium in the urine. Potassium supplements or a potassium-rich diet can put it back. Ask your doctor before starting a potassium supplement on your own because it may not be necessary.

Potassium: How much?

When it comes to potassium, it is possible to have too much of a good thing. Healthy people shouldn’t have any problems from eating a high-potassium diet or taking potassium supplements as directed. But people with kidney problems or certain other conditions such as the following need to be cautious about potassium intake:

  • acute renal failure
  • chronic kidney disease or dialysis dependence
  • use of medications that increase potassium levels, including spironolactone (Aldactone), triamterene, or trimethoprim/sulfamethoxazole (Bactrim)

How much potassium should you be eating? The easiest thing to do is to increase the amount of high-potassium fruits and vegetables in your diet. You’ll be getting plenty of potassium — with no calculator required.

If you really feel like counting, the USDA recommends 4,700 milligrams of potassium per day. You can find the potassium content in foods on their package labels or from the USDA Web site: http://www.nal.usda.gov.

http://www.webmd.com/heart-disease/potassium-and-your-heart

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About thenonconformer

I am a Canadian, retired and I do have an Engineering degree, from Concordia University , Montreal 1968, plus I had also now worked as a Re/Max Realtor in Calgary too.
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4 Responses to Diabetes – Heart Health

  1. The important issue of our personal health..
    With the comfort we receive we tend to comfort other… but not always???

    The important issue of our health.. I firstly still do prefer to use the analytical, scientific, engineering study approach, being a university graduate, in engineering especially.. having been employed as a professional too.

    Now I know that many of us will have cancer, diabetes, heart problems and at last 50 percent of that will be for sure food related, meaning we are a product of what we all do eat.

    Unfortunately it seems we still only get good, technical, medical advice after it is too late, the damage is done, but better late than never too?

    Following my heart attacks, heart failures, diabetes, next I have regularly for the last 15 years contacted my many medical experts, and asked them approaches questions. Such questions as to why I became sick, when the false traditional answer of me smoking or dinking, does , did not apply for I have been an abstainer all of my life, from smoking, alcohol, bad drugs, or whatever..

    and answers like bad food, unresolved stress, dental- teeth issues. lack of exercise being more appropriate too.

    Of significance to note that while I changed my eating habits to reduce my glucose sugar levels and bad Cholesterols following many dietician’s advice at the Hospitals

    – My first shock was how regularly, undeniably the diabetes meters of wrong, much too often by 30 to 300 percent

    – My first shock was how regularly, undeniably the new change of eating habits was not always a positive venture, but rather even a negative venture, where to Doctor next seriously told me to go back my old eating habits those I had at home with may parents till left home at the age of 25 when I got married.. and next started to get sick..

    so our past original cultural food, the food we are used to eat at home, and the deviation plays a significant part in the possible sickness of ours now too when we start eating the new foods.. why?

    Now also unacceptably we all next sadly we tend to find out good good the medial system is in reality when we really need it. much too late now too. why too?

    The still unacceptable waiting in the local emergency ward, doctor’s office

    The other day AT THE LaSalle ANGRIGNON what should have taken 15 minutes a piece for 5 OR ABOUT 1.5 HOURS , RATHER it took 3 hours TOGETHER firstly and it took 2 nurses, one doctor, and 1.5 receptionists to do it..

    Not because I want to but because I have a need to do so, I have to spend a lot of time, hours often in hospitals, emergency wards, doctors office, so I can sit and observe what I have noticed the last many years.. too often in too many places still too we have the big or small hospitals, with plenty of workers, loads of walking the halls, yes walking the halls often.. non supervised hospital employees not doing their jobs, not at their job spots, desks but them walking from one office to another talking to their friends.. they are not very well supervised..

    YES TOO MANY OF OUR CIVIL AN PUBLIC SERVANTS, OUR EMPLOYEES STILL WANTING TO BE PAID FOR NOT DOING TOO MUCH, FOR THEIR NOT DOING ANYTHING, FOR THEIR NOT DOING THEIR JOBS PROPERLY

    THE VERY SAD THING IS I CAN often SEE THE VERY SAME THING IN MUNICIPAL CITY HALLS.. empty desks and chairs because they employees is visiting a colleagues in another department, walking the halls, taking a coffee, smoke break..

    Now in the real world they all would have been fired long time ago for doing this, so why do we allow any of the civil, public servants, medical personnel do it still too?

    The still unacceptable waiting in the local emergency ward..

    Isn’t it nice that some things do not change, they are so dependable, such as the inefficient usage of the local Hospital facilities, and medical personnel , staff as well/ Wrong! Some things are never acceptable.

    I HAD AN OPPORTUNITY TO SIT FOR A FEW HOURS WITH MY NEXT DOOR NEIGHBOR AT THE LOCAL EMERGENCY WARD IN THE LASALLE ANGRIGNON-MONTREAL HOSPITAL, AGAIN.

    So I had to hear all the complaining firsthand from the sick patients about the poor services again too. If the Health Minister was not such a pretender, coward too, now he would try that himself. And learn a few things. Such as having only one medical doctor on duty is guarantee way to insure major unacceptable slow down in the emergency department. On top of that as I know first hand and often, the quality of services you get THERE TOO depends on the quality of the doctor himself, and half of them, the clearly really poor ones should be employed for a start elsewhere, and have half of their salary cut as well next rightfully too.

    Now from years of experience I do also next a Hospital tour. I walk around the hospitals and observe how many hospital employees I can see talking in a group, or just floor walking, and the medical personnel not at their desks, offices, and I had now clearly observed firstly that this hospital was not even being utilized to a 50 percent capacity, never mind now 75 percent. Clearly bad hospital mangers are responsible for this and there is a significant room for improvement. Being nice to even one bad person is still a major waste of time, and most Hospital managers, employees REALLY STILL do not care at all about the patient’s good welfare, sickness, problems, BUT ONLY THEIR OWN GOOD WELFARE, for all they staff care about is keeping their own jobs, getting a raise, promotion and doing the minimum amount of work possible too, because only the fear of firing can cause any hospital employee to do a better job.. So start by firing the bad Hospital managers. Bad School mangers, etc.. Health and education Ministers firstly as well.

    Now rightfully all of you fix the problem and immediately too.

    AND SADLY MANY TIMES BEFORE IN THE LAST 2 DECADES I have written this to you before.. that all this too is still too common

  2. Pingback: Do ye not Judge? « Missing the point?

  3. deigratia says:

    Danger when your Kidney is being treateddue to diabetic complications the amount of pottasium could be dangerous!

    Best known Natural foor (not from grocery store) is Banana’s the highest form of pottasium. i was amazed to see you didnot post that there.

    By the way the cure is neigh, I am a type one and in the trials for the cure. Christ is the one who he told me he gave the knowledge to.
    Denise Faustman of MGH.

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