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Living with Congestive
Heart Failure


Women and Heart Attack

Avoid Portion Distortion

A Closer Look at Electrocardiograms

The Link between Diabetes, Heart Disease and Stroke

Five Heart-Healthy Steps
to Take Each Day


Well Woman Day

Come out and meet us
at our Job Fairs!



Measuring Your Cholesterol

The best way to start managing cholesterol is to have a lipoprotein profile done, then set goals to keep your cholesterol within a healthy range. It is recommended that all adults age 20 and older get their cholesterol levels checked at least every five years. People at higher risk may need more frequent monitoring.

Your lipoprotein profile tests your total cholesterol, LDL cholesterol and HDL cholesterol. Once you know the numbers, you and your health care provider can assess your risk for heart disease and develop a prevention program.

Reading Cholesterol Numbers

Total Cholesterol   Category
Less than 200 mg/dL   Desirable
200-239 mg/dL   Borderline high
240 mg/dL and above   High
LDL Cholesterol   Category
Less than 100 mg/dL   Optimal
100-129 mg/dL   Near optimal
130-159 mg/dL   Borderline high
160-189 mg/dL   High
190 mg/dL and above   Very high
HDL Cholesterol   Category
60 mg/dL and above   Optimal/Reduces
risk of heart
disease
40-59 mg/dL   Average
Less than 40 mg/dL   At risk for heart
disease
Managing the Risk
The Link between Diabetes, Heart Disease
and Stroke

By H. Krishna Susarla, M.D., Internal Medicine and Pediatrics

After being diagnosed with diabetes, many people work on improving their health to decrease the likelihood of complications. Kidney disease, skin disorders, blindness and foot problems are wellknown complications of the condition. However, there is another risk that often hides in the background, unbeknownst to the patient.

"Heart disease and stroke are major complications associated with diabetes, yet nearly 70% of people with diabetes aren't aware of the connection between heart attack, stroke and diabetes," says H. Krishna Susarla, M.D., double-boarded in internal medicine and pediatrics and on staff at Methodist Sugar Land Hospital. "Because people with diabetes often experience high blood pressure and high cholesterol levels along with other health problems, they are at an increased risk of developing arterial disease — a condition that can ultimately lead to a stroke or heart attack." Although this may seem dire, the long-term outlook for diabetics can be positive if risk factors are managed properly.

A Heart-to-Heart Matter
If you're wondering how diabetes affects your heart, here's how: A spike in blood sugar, blood pressure or cholesterol can harm your blood vessels by making it easier for fat deposits to cling to the arteries. Arteries and blood vessels can become blocked, leading to a heart attack or stroke. Fortunately, there are strategies for warding off arterial disease.

"One of the first steps in determining whether you are at risk for diabetes complications is to assess your overall health," says Dr. Susarla. "If you smoke, drink heavily and/or eat poorly, your health may be at risk." These factors can harm anyone's health, but are especially dangerous for a person with diabetes. Making changes to your lifestyle takes effort, but can greatly reduce complications. To help maintain heart health, the American Diabetes Association suggests following the ABCs of diabetes care.

Lower your Hemoglobin A1C. Keeping your Hemoglobin A1C (a blood test that indicates how your blood sugar control has been over the past three months) below 7% can help prevent complications.

Monitor blood pressure. Have your blood pressure checked regularly. If your doctor tells you it's high, you may need to work on reducing stress or following an exercise routine. Medication may also be an option for getting blood pressure under control.

Tackle bad cholesterol. LDL cholesterol is unhealthy for your heart. This type of cholesterol can lead to fat build-up in your arteries, increasing the chance that you'll develop cardiovascular disease. By lowering your cholesterol, you can help keep your heart in working order.

Free Blood Pressure Screenings

Meet Dr. Susarla at Methodist Sugar Land Hospital's Health Fair on Saturday,
May 3, from 9 a.m. to 1 p.m. He will be providing free blood pressure checks. Everyone attending the event will receive a free cholesterol/glucose lab test gift certificate.