Some may think that having a coronary artery disease or a heart attack is not that big of a deal. That is because there are medical procedures that can open up a blocked artery. One way is to have a coronary stent. A coronary stent is a medical device that is inserted inside the blood vessels…
Author: Jesse Santiano, M.D.
How Effective is Quitting Cigarettes?
Smoking is a significant risk factor for the development of coronary artery disease (CAD). It amplifies the negative effect of other CAD risk factors like diabetes, hyperlipidemia, and hypertension. That is why smokers are always encouraged to quit. How effective is quitting smoking? The benefits of quitting the cigarette habit are seen within weeks. Those…
The Timed Up and Go Test.
Who Benefits from This Article? Anyone planning to get old. Anyone who knows or is taking care of elderly people. The Senior, Elderly, or the Young Once. Why do the Timed Up and Go Test (TUG) test? The TUG test predicts the risk of falls. Weakness is a reflection of sarcopenia or loss of muscle…
Strategies to Prevent Dialysis
What is Dialysis? Chronic Kidney Disease (CKD) usually progresses to End-Stage Renal Disease (ESRD). When that happens, dialysis has to be done to remove the waste materials, salt, and water from the body that cannot be removed by any other means. Hemodialysis Dialysis can be done in two ways. Hemodialysis is when a shunt is…
Drugs that Cause Insulin Resistance
Insulin resistance leads to Type 2 diabetes (T2D). Obesity, high caloric intake, and a sedentary lifestyle all contribute to insulin resistance. Some medications also cause insulin resistance, and they are commonly used. Thiazides Thiazides are “water pills.” It is one of the front line medications used to treat hypertension as recommended by the ACC/AHA Guidelines….
Effect of Short Term Exercise on Mortality
In the August edition of the Mayo Clinic Proceedings, an interesting article caught my eye. The study is entitled The Influence of Change in Cardiorespiratory Fitness With Short-Term Exercise Training on Mortality Risk From The Ball State Adult Fitness Longitudinal Lifestyle Study. The study followed 683 men and women to see what the relationship between their CRF…
Diseases Associated with the Metabolic Syndrome
This article lists the diseases associated with metabolic syndrome (MetS). Anyone with three or more of the following five conditions—hypertension, high blood sugar, high blood triglycerides, low HDL, and obesity—qualifies for a diagnosis of MetS. Any single condition in the five components of MetS produces many other reactions that interact with the effects of the…
Eye Problems and Metabolic Syndrome
Glaucoma happens when fluid builds up in front of the eye according to the American College of Ophthalmology. It is a leading cause of blindness in the over 60-year-old age group. Open-angle glaucoma (OAG) occurs when the fluid in the front part of the eye does not drain well. It is usually painless at first….
Kidney Stones and Metabolic Syndrome
The pain of renal colic is one of the most severe pains in the emergency department. Kidney stone pains are agonizing and relentless. Usually, the patients are writhing in pain and vomiting and sweating profusely. Kidney stones are formed in the kidney. As the stone travels down the ureter to get to the urinary bladder,…
Can You Be in Heart Failure Now?
Heart failure is one of the risk factors or comorbidities associated with death from COVID-19. Heart failure does not happen overnight but can develop over the years. Many people will not know this but many people are unaware that they have Stage A heart failure. Medications for heart failure but attention to the underlying cause…
Hair Loss and Heart Attacks
Hair loss can be a sign of a future heart attack. Hair loss affects 50 million men and women in the U.S. The most common pattern is Androgenic Alopecia (AGA). For this article, androgenic alopecia will be referred to as hair loss. Patterns of hair loss differ between men and women. In Male Pattern Hair…
Skin Signs of Insulin Resistance
The underlying problem in Type 2 or adult-onset diabetes is insulin resistance. Insulin resistance is not routinely tested but can manifest in the skin. Read on to see if someone you know may be at risk for diabetes. Many are unaware that they have the beginnings of Type 2 diabetes. Years before a person is…
What is Insulin Resistance?
Insulin resistance is the linchpin of many diseases of modern life like metabolic syndrome, obesity, and Type 2 diabetes. Knowing about how insulin resistance develops provides a better understanding of the familiar and deadly diseases that may be affecting you or someone you know. Normal Glucose Metabolism All the cells in the body need a…
Dark Skin Patch: Cause for Concern?
caption id=”attachment_2147″ align=”aligncenter” width=”293″] Acanthosis Nigricans in the Armpit[/caption] The dark discoloration in the skin could be Acanthosis Nigricans (AN). AN is typically a dark raised area and can be velvety. It can show up anywhere in the skin. Common locations are the armpits, the face, elbows, knuckles, back of the neck, chest, and groin….
Adult Acne as a Sign of Early Diabetes
This article is to raise awareness about why acne may be a sign of early diabetes. The Teenage Years During the teenage years, the body needs to produce more cells to grow fast. Insulin is necessary to help build-up the body. Insulin stores and uses the carbohydrates, fats, and proteins to make more cells. Insulin…
The Good and Faithful Servant
Imagine being an owner of a large plantation, and you have a servant who takes care of the farmstead. That servant obeys everything that you order. It plants, waters, and harvest whenever you tell it. Whatever you command, it does. If there is an order from you that he cannot perform, he learns and adjusts…
Psoriasis and Metabolic Syndrome
That dry and scaly skin patch may be psoriasis, which can be a warning sign for other conditions. Why is this article relevant? Because psoriasis affects 1-4% of the general population (125 million worldwide) A person with psoriasis is 2 times more likely to have metabolic syndrome than a person without metabolic syndrome. Having…
Remembering What You Read
Reading is easy. But remembering is hard. Words and concepts may be introduced for the first time and can be a challenge to recall. The purpose of the short article today is to add more tools to your learning techniques so that you can get more out of this website or any other reading material….
Rheumatoid Arthritis and Metabolic Syndrome
Rheumatoid arthritis (RA) is a progressive and severely disabling disease that affects both wrists, fingers, hip, knees, and ankles. 1.3 million U.S. adults have RA. While no definite cause of RA has been found, RA is associated with body-wide inflammation, similar to metabolic syndrome (MetS). Epidemiological studies have shown that MetS can be present in…
Number Needed to Treat
When a medication is prescribed, reasonable questions arise like, How useful is this medicine? How does my doctor know that this drug really works? Is it worth the cost? Will it work on me? What are the side effects? Enter Numbers Needed to Treat Number Needed to Treat (NNT) is a statistical concept to represent…