What Is Prehypertension?

In prehypertension, the systolic (top number) reading is 120 mmHg-139 mmHg, or the diastolic (bottom number) reading is 80 mmHg-89 mmHg.
Prehypertension is a warning sign that you may get high blood pressure in the future.

Who Is At Risk For Prehypertension?

Hypertension is a growing epidemic
People with prehypertension may have a greater risk for other cardiovascular disease (CVD) risk factors. These risk factors — such as high cholesterol, obesity, and diabetes – are seen more in people with prehypertension than in those with normal blood pressure.

Is Prehypertension A Result Of Aging?

You may wonder if high blood pressure happens with aging, but experts say no.
Some populations across the globe have minimal rise in blood pressure with aging. In some parts of Mexico, the South Pacific, and other parts of the world, people have very low salt intake. In these areas, the age-related rise in blood pressure is small compared with the U.S.

Is There Treatment For Prehypertension?

  • Prehypertension is a warning sign. It means that you’re at a greater risk of high blood pressure. Depending on your blood pressure and risk factors for heart disease, you may only need to make a few lifestyle adjustments. Here are some strategies to help you manage prehypertension:
  • Lose weight if you are overweight. Being overweight increases the risk of high blood pressure. However, losing weight can lower high blood pressure. Studies show that modest weight loss can prevent hypertension by 20% in overweight people with prehypertension.
  • Exercise regularly. Exercise helps you lose weight. Exercise also helps lower blood pressure.
  • Eat plenty of fruits, vegetables, whole grains, fish, and low-fat dairy .Studies show high blood pressure can be lowered and prevented with the DASH diet. This[TM1]  diet is low in sodium and high in potassium, magnesium, calcium, protein, and fiber.
  • Cut back on dietary salt/sodium. A diet high in sodium (salt) can increase blood pressure. A low-sodium diet can lower high blood pressure — or prevent it. Aim for less than 2,300 milligrams of sodium daily (about 1 teaspoon of table salt).
  • Eat foods low in saturated and trans fat and cholesterol. Diets high in saturated fat (meats and high-fat dairy), trans fat (some margarine, snack foods, and pastries) and cholesterol (organ meats, high-fat dairy, and egg yolks) may lead to obesity, heart disease, and cancer.
  • Eat a plant-based or vegetarian diet. Add high-protein soy foods to your diet. Increase servings of fruits and vegetables by adding one serving at a time. You can add a serving of fruit at lunchtime. Then add a serving of vegetables at dinner.
  • Drink only in moderation. Drinking excess alcohol can increase blood pressure. Limit drinking to no more than two drinks a day for men, and one drink a day for women.

What is Insulin Therapy?

Some people who have type 2 diabetes need insulin therapy as well. Because normal digestion interferes with insulin taken by mouth, insulin must be injected.
Insulin injections involve using a fine needle and syringe or an insulin pen injector — a device that looks like an ink pen, except the cartridge is filled with insulin.
There are many types of insulin. According to the American Diabetes Association (ADA) there are over 20 types of insulin in the American market. They work in different ways, they are made differently, and they vary in price.

Rapid-acting insulin
This type of human insulin starts to work within five minutes of being injected and peaks after about one hour. It continues to be active for 2 to 4 hours. Examples of rapid-acting insulin are lispro marketed by Eli Lilly, insulin aspart marketed by Novo Nordisk, or insulin glulisine marketed by sanofi-aventis.
Short-acting insulin
Also known as Regular (acting) insulin. This type of human insulin reaches your bloodstream approximately 30 minutes after you inject it, and peaks from 2 to 3 hours after injection. It is effective for 3 to 6 hours.
Intermediate-acting insulin
This human insulin takes from 2 to 4 hours to reach the bloodstream after injection. It peaks at 4 to 12 hours. It is effective for approximately 12 to 18 hours.
Long-acting insulin
This insulin gets into your bloodstream about 6 to 10 hours after you inject it. It is effective for 20 to 24 hours. This type of insulin is also known as ultralente.
Pre-mixed insulin
Some patients have to mix two different types of insulin. If they find that difficult they can have the insulin pre-mixed. This is especially useful for people who are visually impaired.
Allergic reaction to insulin additives
The insulin a diabetic takes has additives to keep it free of bacteria and to tweak its time of action. Some patients may have an allergic reaction to some additives found in intermediate and long-acting insulins – however, this is very rare.
Diabetes treatment – insulin pump
Insulin pumps are mostly used by people with Diabetes Type 1. However, more and more people with Type 2 are starting to use them.
Users say that the pump allows them to get the treatment to adapt to them, instead of the other way round as is the case with insulin injections.
An Insulin Pump really can help you maintain your blood glucose levels with specific parameters.

What is insulin?

Insulin is a hormone. It makes our body’s cells absorb glucose from the blood. The glucose is stored in the liver and muscle as glycogen and stops the body from using fat as a source of energy.
When there is very little insulin in the blood, or none at all, glucose is not taken up by most body cells. When this happens our body uses fat as a source of energy. Insulin is also a control signal to other body systems, such as amino acid uptake by body cells. Insulin is not identical in all animals – their levels of strength vary.
Porcine insulin, insulin from a pig, is the most similar to human insulin. Humans can receive animal insulin. However, genetic engineering has allowed us to synthetically produce ‘human’ insulin.

The Pancreas And Insulin

The pancreas is part of the digestive system. It is located high up in your abdomen and lies across your body where the ribs meet at the bottom. It is shaped like a leaf and is about six inches long. The wide end is called the head while the narrower end is called the tail, the mid-part is called the body.

The pancreas has two important functions:

  • It produces pancreatic digestive juices.
  • It produces insulin and other digestive hormones

The endocrine pancreas is the part of the pancreas that produces insulin and other hormones.
The exocrine pancreas is the part of the pancreas that produces digestive juices.
Insulin is produced in the pancreas. When protein is ingested insulin is released.
Insulin is also released when glucose is present in the blood. After eating carbohydrates, blood glucose levels rise.
Insulin makes it possible for glucose to enter our body’s cells – without glucose in our cells they would not be able to function. Without insulin the glucose cannot enter our cells.
Within the pancreas, the Islets of Langerhans contain Beta cells, which synthesize (make) the insulin. Approximately 1 to 3 million Islets of Langerhans make up the endocrine part of the pancreas (mainly the exocrine gland), representing just one fiftieth of the pancreas’ total mass.

“Time is Brain”

What is a Stroke: A stroke occurs when blood flow to part of the brain is cut off due to blockage or bursting blood vessel. Without blood supply, brain cells are destroyed. It is a medical emergency and needs immediate attention!

 

Common Risk Factors include high BP, cholesterol, diabetes, obesity, smoking, no exercise and excessive alcohol

Warning Signs of Stroke include:

Difficulty in speaking: Ask the patient to repeat the phrase “You can’t teach old dog new tricks.”  If s/he slurs or is unable to repeat, then s/he likely having a stroke
Sudden numbness or weakness of the body, especially on one side.  Ask patient to extend both arms (palms up) for 10 seconds. If one arm drifts downward, it could be a stroke

  •         Droopy face with sagging of one side of face
  •         Sudden dizziness or loss of balance
  •         Sudden vision changes, difficulty in understanding others etc

 

Don’t ignore stroke warning signs . Call EMERGENCY medical services.

 

For post hospitalization stroke patient care and rehabilitation at home in Pune, call SRCF Elder Day Care & Training Center on +91 9595 15 7011 or email hello@src.foundation  

“Out of Bed”

A stroke which leaves a patient partially or fully paralysed is one of the most distressing experiences for the patient and family.
Right after emergency care is given and the patient stabilizes, the long road to rehabilitation begins. While rehabilitation of a stroke patient involves different specialized healthcare professionals, physiotherapy is the most critical.
Passive range of motion exercises are given to the paralysed parts to prevent contracture (shortening of muscles). Early mobilization also reduces risks of other complications such as thrombosis, pneumonia among others. Passive mobilization quickly progresses to active participation by the patient in exercises.
While managing a stroke rehabilitation patient, one has to have realistic goals. Achieving positive outcomes in the shortest possible time especially independence in performing activities of daily living such as cleaning oneself, bathing is dependent on the patient’s own effort and family’s support. Of course, a committed physiotherapist is critical to this recovery process.
Sanctus Healthcare provides multidisciplinary care and exclusive physiotherapy for post stroke rehabilitation patients. Call on 9595957003 and/or email on hello@src.foundation. See www.src.foundation for more information.

Bed Sores can be fatal!

Bed Sores can be fatal! Bedsores are damaged skin and tissue that develop when sustained pressure usually from a bed or wheelchair cuts off blood supply to the skin on buttocks, hips and heels causing the affected tissue to die.

Causes: – Compression, friction of skin and tissues against bones

Risk Factors: – Immobility, old age, incontinence of urine, stool, poor nutrition, paralytic conditions

Prevention is the best cure!

Inspect skin twice a day, paying attention to spine, tailbone and other bony places. Clean the skin with salt-water solution. Apply moisturizer.

Redness /discoloration of skin are early indications of bedsore.

Change the patient’s position every 30 minutes when in a wheelchair and every two hours when the patient is bedridden

Ensure good nutrition with enough calories, protein

Pressure relief equipment such as air mattresses may help

Call your doctor when a sore has developed!

Need Help? Call SRCF Elder Day Care & Training Center, Pune on 9595957003 or email hello@src.foundation

SRCF starts an Elder Day Care Center

We have started work on an Elder Day Care Center to change the way Dementia patients are being managed today. For our elders, we seek to create a happy environment through group and individual interventions. We will start accepting requests for support in September 2015

SRCF has commenced work with TISS

As part of the expanded geriatric care program, SRCF has commenced work with Tata Institute of Social Sciences (TISS) to do the first of its kind social and medical survey of elders in an Urban Slum in Pune to determine the possible interventions: preventive health, food &nutrition supplements etc. We expect to have the survey completed inthe next few months when we will share the highlights widely