Showing posts with label Disease. Show all posts
Showing posts with label Disease. Show all posts

A Good HDL Cholesterol Level Can Protect You Against Heart Disease, A Heart Attack Or A Stroke

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A healthy heart is important for every human being, and part of the job of keeping the heart healthy involves monitoring the levels of cholesterol in the blood stream to make sure that you have a good HDL cholesterol levels and a healthy LDL cholesterol levels.

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How is A Good HDL Cholesterol Level Can Protect You Against Heart Disease, A Heart Attack Or A Stroke

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In order to understand what a good cholesterol level or a bad cholesterol level is, one must fully understand what cholesterol is and why it exists.

HDL Cholesterol, or good cholesterol, is the high-density lipoprotein that carries approximately one third of the bad cholesterol through the blood stream to the liver.

Considered one of the smallest lipoproteins, HDL cholesterol consists of the highest amount of protein, which makes it more possible for it to pick up excess bad cholesterol in the blood stream.

This is the main reason why you should always maintain a good HDL cholesterol level.

LDL Cholesterol, or bad cholesterol, is the low density lipoprotein that helps in the transportation of lipids such as triglycerides and cholesterol through the bloodstream.

If too much LDL is present in the blood stream, then this can contribute to the build-up of plaque in the arteries, which can lead to further health complications such as heart attack, stroke, cardiovascular disease, and more.

Because HDL cholesterol helps to pick up excess bad cholesterol and other substances in the blood stream, which slows the plaque build-up process, it helps reduce the risk of heart disease and other heart related complications.

A good HDL cholesterol level is certainly preferred over a bad HDL level because of the fact that there are fewer risks involved when the HDL level is higher.

The average HDL level for males falls between 40 and 50 mg/dL for men and 50 to 60 mg/dL for women.

Anything above 60 mg/dL is considered more beneficial for that fact that the risks of suffering from heart disease and other health issues are greatly reduced.

A level lower than 40 mg/dL for men and 50 mg/dL for women is said to be more risky when it comes to heart disease.

When there is a smaller amount of HDL available to carry excess cholesterol out of the arteries, there is more risk for plaque build-up.

Maintaining a good HDL cholesterol level is just as important as maintaining healthy LDL levels for the simple fact that it can help reduce the risk of heart related health issues.

The levels of good and bad cholesterol can be monitored on a regular basis through simple blood tests.

Regular exercise, following a heart healthy diet and taking natural supplements are the most effective way to achieve a good HDL cholesterol levels and excellent LDL levels.

Following these guidelines will ensure that you enjoy a long, heart healthy life with your family and loved ones.

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Questions to Address in Disease Biology - David Altshuler

Good Hdl Level - Questions to Address in Disease Biology - David Altshuler.
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How is Questions to Address in Disease Biology - David Altshuler

Questions to Address in Disease Biology - David Altshuler Video Clips. Duration : 27.57 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . June 5-6, 2012 - Establishing a Central Resource of Data from Genome Sequencing Projects Workshop More: www.genome.gov
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TriVita Wellness Talks - Heart Disease

Good Hdl Level - TriVita Wellness Talks - Heart Disease.

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How is TriVita Wellness Talks - Heart Disease

TriVita Wellness Talks - Heart Disease Video Clips. Duration : 10.72 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . TriVita Chief Science Officer Brazos Minshew discusses how heart disease begins, where it progresses and its relation to cholesterol. Learn how you can use various techniques and supplements to help protect against heart disease.
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Cardiovascular Disease, Prevention, and the Future

Good Hdl Level - Cardiovascular Disease, Prevention, and the Future.

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How is Cardiovascular Disease, Prevention, and the Future

Cardiovascular Disease, Prevention, and the Future Video Clips. Duration : 59.03 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . Google Tech Talk February 11, 2011 Presented by Dr. Nick Leeper, Stanford University. Come out and hear Dr. Nicholas Leeper of Stanford University discuss cardiovascular disease. This talk will give you tips to stay healthy and a look at the future of cardiovascular technology.
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South Asians and Heart Disease - Creative Solutions with Therapeutic Lifestyle Changes

Good Hdl Level - South Asians and Heart Disease - Creative Solutions with Therapeutic Lifestyle Changes.

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How is South Asians and Heart Disease - Creative Solutions with Therapeutic Lifestyle Changes

South Asians and Heart Disease - Creative Solutions with Therapeutic Lifestyle Changes Tube. Duration : 68.57 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . Google Tech Talk January 25, 2011 Presented by Dr. César Molina and Ashish Mathur. ABSTRACT As South Asians, you are genetically predisposed to heart disease: - South Asians are at 4X higher risk of heart disease - The disease follows a more rapid, severe and malignant course - 50% of heart attacks in South Asians occur before the age of 55 - 60% of world's disease burden is borne by Indians (17% of global population) You may wonder, WHY? Why are you, as a South Asian, at a higher risk despite being predominantly vegetarian, non-smoking, and not obese? Learn about why heart disease is so prevalent and so severe in South Asians, and what one can do about preventing heart disease. Review the evidence around the Therapeutic Lifestyle Changes (TLC) based prevention program at the South Asian Heart Center and how you can incorporate them to reduce your risk of a heart attack. Get answers to your favorite questions. What diet will work for you? How much and what kind of exercise should you be doing? Can you reduce your cholesterol without medicines? Ashish Mathur is the co-founder and executive director of the South Asian Heart Center, and is actively involved in promoting the awareness of the epidemic of heart disease within the community. Prior to leading the South Asian Heart Center effort, Ashish worked for over 25 years in the software industry. During this time, he has been a board member, entrepreneur, and an executive at many technology companies including Selectica ...
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Health@Google: "Women, Stress, and Heart Disease" with Dr. Atul Sharma

Good Hdl Level - Health@Google: "Women, Stress, and Heart Disease" with Dr. Atul Sharma.

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How is Health@Google: "Women, Stress, and Heart Disease" with Dr. Atul Sharma

Health@Google: "Women, Stress, and Heart Disease" with Dr. Atul Sharma Tube. Duration : 68.57 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . Join Women@ Google in welcoming Dr. Atul Sharma. In this talk, Dr. Sharma explores the growing scientific link between stress and the development of cardiovascular disease in women, and gives practical, real-world suggestions for improving heart health. Find out which diets work best, how/when/how much to exercise, and what are the proven stress reduction techniques and natural therapies that can help you live better.
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Women and Heart Disease

Good Hdl Level - Women and Heart Disease.
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How is Women and Heart Disease

Women and Heart Disease Tube. Duration : 66.20 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . Symptoms of a heart attack tend to be different in women than in men, and raising awareness about those differences is important, because they could mean the difference between life and death. Watch El Camino Hospital and PAMF cardiologist Dr. Jane Lombard and Barbara Dehn, RN, host of CBS 5 Nurse Barb's Daily Dose, speak about how to identify and manage cardiovascular risk factors, how to prevent of heart disease with lifestyle changes. This lecture was given on Thursday, February 9, 2012 at the El Camino Hospital Mountain View campus and is part of a month-long Community Wellness Lecture Series, wherein education about heart disease is provided to the community as part of the National Heart Month Awareness campaign.
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Things You Should Know About Heart Disease And Cholesterol Lie

Good Hdl Level - Things You Should Know About Heart Disease And Cholesterol Lie.
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How is Things You Should Know About Heart Disease And Cholesterol Lie

Things You Should Know About Heart Disease And Cholesterol Lie Tube. Duration : 2.08 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . www.ReallyAmazingGuide.com Things You Should Know About Heart Disease And Cholesterol Lie This page is a collection of heart disease and cholesterol lie tips and hints. Choose what best fits to your criteria for heart disease and cholesterol lie here! # The most famous long-term study in heart research... and how it led to the most devastating mistake in health care! # Why so many people who undergo bypass surgery are right back on that table ten years later... still not obese... still not smoking... and still with no elevated cholesterol # The essential response your body has to a foreign substance anywhere... and how it can turn against you, when it occurs in your arteries! # How 41% of ALL deaths in America could be prevented easily, simply, and virtually cost-free! # Why lowering your cholesterol intake is not helping lower your risk of heart attack... and may actually be doing you more harm! www.ReallyAmazingGuide.com Things You Should Know About Heart Disease And Cholesterol Lie
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Great Cholesterol Lie (the truth about cholesterol and heart disease) Fat Burning Diets

Good Hdl Level - Great Cholesterol Lie (the truth about cholesterol and heart disease) Fat Burning Diets.
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How is Great Cholesterol Lie (the truth about cholesterol and heart disease) Fat Burning Diets

Great Cholesterol Lie (the truth about cholesterol and heart disease) Fat Burning Diets Video Clips. Duration : 4.20 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Good Hdl Level . thecholesterollie.gethow.info (click here for more Research is showing that there might be a great cholesterol lie going on that might very well be affecting you and your health. See, for years, people have thought that they have to keep their cholesterol at extremely low levels to stay healthy. Doctors are warning that if you have high cholesterol, you might very well suffer from a heart attack or stroke, so people are taking all kinds of prescription medications to try to take this essential building block out of their system. The thing is, that we might be facing a great cholesterol lie that could be causing you to suffer more in the long run than if you were to address it. Many people who work to keep their cholesterol level low, stay healthy and work out wind up suffering from heart conditions every day, so what's really going on? You Need Cholesterol One thing that many people in the medical profession are not telling us is that we actually need cholesterol in the body. In fact, "good" or HDL cholesterol is an essential building block in every single one of our cells, so if you drop this level too low, you will simply dissolve. Cholesterol forms the protective barrier that helps each and every one of the cells in our bodies to maintain their structure. It holds in essential moisture, without letting us get too "watery". Good cholesterol actually will help to carry the bad, or artery clogging LDL (which you get from food) out of your body. The great cholesterol lie ...
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Cholesterol Does Not Cause Heart Disease

How To Raise Hdl - Cholesterol Does Not Cause Heart Disease.
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Cholesterol is an essential building block of every cell in the body, required for all metabolic processes. It is particularly important in the production of nerve tissue, bile and certain hormones. On average, our body produces about half of a gram to one gram of cholesterol per day, depending on how much of it the body needs at the time. By and large, our body is able to produce 400 times more cholesterol per day than what we would obtain from eating 3,5 ounces (100 grams) of butter. The main cholesterol producers are the liver and the small intestine, in that order. Normally, they are able to release cholesterol directly into the blood stream, where it is instantly tied to blood proteins. These proteins, which are called lipoproteins, are in charge of transporting the cholesterol to its numerous destinations. There are three main types of lipoproteins in charge of transporting cholesterol: Low Density Lipoprotein (LDL), Very Low Density Lipoprotein (VLDL), and High Density Lipoprotein (HDL).

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How is Cholesterol Does Not Cause Heart Disease

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In comparison to HDL, which has been privileged with the name 'good' cholesterol, LDL and VLDL are relatively large cholesterol molecules; in fact, they are the richest in cholesterol. There is good reason for their large size. Unlike their smaller cousin, which easily passes through blood vessel walls, the LDL and VLDL versions of cholesterol are meant to take a different pathway; they leave the blood stream in the liver.

The blood vessels supplying the liver have a very different structure from the ones supplying other parts of the body. They are known as sinusoids. Their unique, grid-like structure permits the liver cells to receive the entire blood content, including the large cholesterol molecules. The liver cells rebuild the cholesterol and excrete it along with bile into the intestines. Once the cholesterol enters the intestines, it combines with fats, is absorbed by the lymph and enters the blood, in that order. Gallstones in the bile ducts of the liver inhibit the bile flow and partially, or even fully, block the cholesterol's escape route. Due to back-up pressure on the liver cells, bile production drops. Typically, a healthy liver produces over a quart of bile per day. When the major bile ducts are blocked, barely a cup of bile, or even less, will find its way to the intestines. This prevents much of the VLDL and LDL cholesterol from being excreted with the bile.

Gallstones in the liver bile ducts distort the structural framework of the liver lobules, which damages and congests the sinusoids. Deposits of excessive protein also close the grid holes of these blood vessels (see the discussion of this subject in the previous section). Whereas the 'good' cholesterol HDL has small enough molecules to leave the bloodstream through ordinary capillaries, the larger LDL and VLDL molecules are more or less trapped in the blood. The result is that LDL and VLDL concentrations begin to rise in the blood to levels that seem potentially harmful to the body. Yet even this scenario is merely part of the body's survival attempts. It needs the extra cholesterol to patch up the increasing number of cracks and wounds that are formed as a result of the accumulation of excessive protein in the blood vessel walls. Eventually, though, the life-saving cholesterol begins to occlude the blood vessels and cut off the oxygen supply to the heart.

In addition to this complication, reduced bile flow impairs the digestion of food, particularly fats. Therefore, there is not enough cholesterol made available to the cells of the body and their basic metabolic processes. Since the liver cells no longer receive sufficient amounts of LDL and VLDL molecules, they (the liver cells) assume that the blood is deficient in these types of cholesterol. This stimulates the liver cells to increase the production of cholesterol, further raising the levels of LDL and VLDL cholesterol in the blood.

The 'bad' cholesterol is trapped in the circulatory system because its escape routes, the bile ducts and the liver sinusoids, are blocked or damaged. The capillary network and arteries attach as much of the 'bad' cholesterol to their walls as they possibly can. Consequently, the arteries become rigid and hard.

Coronary heart disease, regardless of whether it is caused by smoking, drinking excessive amounts of alcohol, overeating protein foods, stress, or any other factor, usually does not occur unless gallstones have impacted the bile ducts of the liver. Removing gallstones from the liver and gallbladder can not only prevent a heart attack or stroke, but also reverse coronary heart disease and heart muscle damage. The body's response to stressful situations becomes less damaging, and cholesterol levels begin to normalize as the distorted and damaged liver lobules are regenerated. Cholesterol-lowering drugs don't do that. They artificially reduce blood cholesterol, which coerces the liver to produce even more cholesterol. But when extra cholesterol is passed into the bile ducts, it remains in its crystalline state (versus soluble state) and, thereby, turns into gallstones. People who regularly use cholesterol-lowering drugs usually develop an excessively large number of gallstones. This sets them up for major side effects, including cancer and heart disease.

Cholesterol is essential for normal functioning of the immune system, particularly for the body's response to the millions of cancer cells that every person makes in his body each day. For all the health problems associated with cholesterol, this important substance is not something we should try to eliminate from our bodies. Cholesterol does far more good than harm. The harm is generally symptomatic of other problems. I wish to emphasize, once again, that 'bad' cholesterol only attaches itself to the walls of arteries to avert immediate heart trouble, not to create it. This is confirmed by the fact that cholesterol never attaches itself to the walls of veins. When a doctor tests your cholesterol levels, he takes the blood sample from a vein, not from an artery. Although blood flow is much slower in veins than in arteries, cholesterol should obstruct veins much more readily than arteries, but it never does. There simply is no need for that. Why? Because there are no abrasions and tears in the lining of the vein that require patching up. Cholesterol only affixes itself to arteries in order to coat and cover up the abrasions and protect the underlying tissue like a waterproof bandage. Veins do not absorb proteins in their basements membranes like capillaries and arteries do and, therefore, are not prone to this type of injury.

'Bad' cholesterol saves lives; it does not take lives. LDL allows the blood to flow through injured blood vessels without causing a life-endangering situation. The theory of high LDL being a principal cause of coronary heart disease is not only unproved and unscientific. It has misled the population to believe that cholesterol is an enemy that has to be fought and destroyed at all costs. Human studies have not shown a cause-and-effect relationship between cholesterol and heart disease. The hundreds of studies so far conducted on such a relationship have only shown that there is a statistical correlation between the two. And there should be, because if there were no 'bad' cholesterol molecules attaching themselves to injured arteries we would have millions of more deaths from heart attack than we already have. On the other hand, dozens of conclusive studies have shown that risk of heart disease increases significantly in people whose HDL levels decrease. Elevated LDL cholesterol is not a cause of heart disease; rather, it is a consequence of an unbalanced liver and congested, dehydrated circulatory system.

If your doctor has told you that lowering your cholesterol with medical drugs protects you against heart attacks, you have been grossly misled. The #1 prescribed cholesterol-lowering medicine is Lipitor. I suggest that you read the following warning statement, issued on the official Lipitor web site:

"LIPITOR (atorvastatin calcium) tablets is a prescription drug used with diet to lower cholesterol. LIPITOR is not for everyone, including those with liver disease or possible liver problems, and women who are nursing, pregnant, or may become pregnant. LIPITOR has not been shown to prevent heart disease or heart attacks.

"If you take LIPITOR, tell your doctor about any unusual muscle pain or weakness. This could be a sign of serious side effects. It is important to tell your doctor about any medications you are currently taking to avoid possible serious drug interactions..."

My question is, "Why risk a person's health or life by giving him/her a drug that has no effect, whatsoever, in preventing the problem for which it is being prescribed?" The reason why the lowering of cholesterol levels cannot prevent heart disease is because cholesterol does not cause heart disease.

The most important issue is how efficiently a person's body uses cholesterol and other fats. The body's ability to digest, process and utilize these fats depends on how clear and unobstructed the bile ducts of the liver are. When bile flow is unrestricted and balanced, both the LDL and HDL levels are balanced as well. Therefore, keeping the bile ducts open is the best prevention of coronary heart disease.

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Chronic Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary Management

Triglyceride Levels - Chronic Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary Management

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Do you know about - Chronic Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary Management

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End stage renal disease (ESRD) occurs when chronic kidney disease worsens to the point at which kidney function is less than 10% of normal. The kidneys fail to function at a level needed for day-to-day life. Kidneys main function is to remove wastes and excess of water from the body, which gets accumulated in renal failure leading to toxicity. The treatment includes kidney transplant or dialysis with dietary management.

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How is Chronic Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary Management

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ESRD always follows a chronic kidney disease; the most common cause is diabetes and high blood pressure. Other causes are -

1. Diseases affecting arteries reaching or leaving the kidneys.
2. Congenital abnormalities of kidneys
3. Polycystic kidney disease
4. Too much abuse of pain medications or other drugs
5. Toxic chemicals
6. Autoimmune disorders like systemic lupus erythematosus (SLE), scleroderma
7. Injury
8. Glomerulonephritis
9. Kidney stones and secondary infections
10. Reflux nephropathy
11. Various other kidney diseases

Symptoms include -

1. General ill feeling and fatigue
2. Pruritis (itching) and dry skin
3. Weight loss without effort
4. Headache
5. Loss of appetite
6. Nausea and vomiting
7. Swelling
8. Bone pains
9. Bad breath
10. Abnormally dark skin
11. Changes in nails
12. Bleeding easily - bruises, nosebleed, blood in stool
13. Impotence
14. Restless leg syndrome
15. Sleeplessness
16. Excessive thirst
17. Frequent hiccups
18. Amenorrhea
19. Drowsy and confused state
20. Cannot concentrate or think clearly
21. Numbness in different parts of the body
22. Cramps or twitching of muscles.
23. Abnormal health and lung sounds
24. Diminished or no urine production

ESRD leads to buildup of waste products and fluid in the body, which affects most body systems and functions, including, blood pressure control, red blood cell production, electrolyte balance, vitamin D and calcium levels and thus bone health. Hence the patient on dialysis needs to undergo various tests often to manage the condition -

1. Sodium
2. Potassium
3. Phosphorus
4. Calcium
5. Magnesium
6. Albumin
7. Cholesterol
8. Electrolyte
9. Complete blood count (CBC)
10. Erythropoietin
11. Parathyroid hormone (PTH)
12. Bone density test

Treatment and management -

Management and treatment of ESRD includes kidney transplant or dialysis and dietary management, it is essential for the patient to know and understand everything about the treatment especially about dialysis and its types.

Why dialysis - dialysis helps to remove and maintain waste products, fluid and the electrolyte balance in the body. A special diet is important as dialysis alone does not effectively remove all the waste products. And dietary management also helps minimize the amount of waste build up and to maintain the fluid, electrolyte and mineral balance in the body between the dialysis.

One needs to do lots of changes in their diet -

ESRD patients need high protein, low sodium, potassium and phosphorus diet and a restricted fluid intake. Lets consider each in little details -

Fluid -

Urine out put drops during kidney failure. Most dialysis patients urinate very little or not at all, and therefore fluid restriction between treatments is very important. Without urination, fluid will build up in the body and cause excess fluid in the heart, lungs, and ankles.

Your nutritionist will calculate the daily required amount of fluid on the basis of -
• The amount of urine output in 24 hours
• The amount of weight gain between the dialysis treatment
• Amount of fluid retention
• Levels of dietary sodium
• Whether you are suffering from congestive heart failure.

Tips -
• Avoid or minimize eating food with too much of water like - soups, jell-o, popsicles, ice creams, grapes, melons, palm fruit, coconut water, lettuce, tomatoes and celery.
• Use smaller glasses.
• Take sips of water
• Minimize sodium intake. Avoid salty food
• Freeze juices in an ice tray and suck them to minimize thirst (do count these ice cubes in your daily fluid intake)
• Avoid getting too hot, going out in sun.

Sodium balance -

As said above ESRD patient need to avoid high sodium diet. Hypertension in ESRD is mostly due to positive sodium balance and volume expansion (accumulation of too much of fluid in the body). ESRD patients on dialysis can effectively treat or control hypertension without antihypertensive drugs just by having a low sodium diet (2 g/day). Also low sodium diet will make you feel less thirsty and thus help avoid gulping extra fluids.

Tips -
• Avoid - canned, processed food, processed smoked meat.
• Avoid food with salt topping viz - chips, nuts etc.
• Read labels carefully - select one that reads - low sodium, no salt added, sodium free, unsalted.
• Avoid foods that list salt near the beginning of the ingredient list.
• Choose food which contains salt less than 100 mg per serving.
• Remove salt shaker from the table.
• Cook food without salt instead use herbs for flavoring.
• Avoid preserved foods - ketchups, sauces, pickles, popadums
• Do not use salt substitutes, they contain potassium. And potassium is also restricted in kidney disease.

Potassium balance -

Normally a high potassium diet is recommended to control hypertension and thus minimize the risk of stroke and heart failure, but in case of ESRD, they cannot tolerate high potassium diet as they cannot excrete potassium from their body. High potassium levels in blood will lead to life threatening hyperkalemia induced arrhythmia.

Tips -

• Avoid fruits high in potassium - banana, musk melons, cantaloupes, kiwis, honeydew, prunes, nectarines, coconut water, tomatoes, avocado, oranges and orange juice, raisins and dried fruits.
• Have fruits like - peaches, grapes, pears, cherries, apples, berries, pineapple, plums, tangerines and watermelon.
• Avoid vegetables high in potassium - spinach, pumpkin, winter squash, sweet potato, potatoes, asparagus.
• Choose vegetables like - broccoli, cabbage, carrots, cauliflower, celery, cucumber, eggplant (aubergine/brinjal), green and waxed beans, lettuce, onion, peppers, watercress, zucchini and yellow squash.
• Avoid legumes, milk and bran cereal.
• Limit intake of potassium up to 2 gm per day.

Iron -

Patients with ESRD will also need extra iron.

Tip -
• Consume food high in iron levels - lima and kidney beans, beet root, green leafy vegetables (avoid spinach), finger millet, chicken, liver, pork.
• Eat iron fortified cereals
• Take iron supplements as advised by your physician or dietician.

Calcium and phosphorus -

In ESRD phosphorous levels are high as it cannot be excreted from our body. Even in early stages of renal disease, phosphorus levels can become too high. High phosphorus levels will lead to itching, vascular calcifications, secondary hyperparathyroidism and low calcium levels. Thus the calcium deposited in the bones is used up leading to osteoporosis. Hence a phosphate restricted diet is recommended.

Tips -
• Limit intake of dairy foods - milk, yogurt and cheese.
• Can consume dairy products like - margarine, butter, cream cheese, full fat cream, brie cheese, and sherbet as they are low in phosphorus.
• Consult your dietician and take calcium and vitamin D supplement, helps control calcium phosphate levels.
• Avoid caned processed food.

If phosphorus levels are not managed with diet, your physician may prescribe you phosphorus binders.

Weight Management -

ESRD patient's loose weight without any reason, thus their weight needs to be monitored and managed with proper balanced diet. ESRD patients average calorie intake reduces to lower than 30-35 kcal/kg/day leading to malnutrition. To prevent malnutrition related morbidity and mortality, ESRD patients on dialysis need to undergo a periodic nutrition screening and tests, comparing initials body weight with usual and ideal body weight, dietary reviews, and food diary assessment.

Protein -

You must be confused when I say ESRD patients need high protein, as most known fact is patients with renal diseases should limit their protein intake. True as when protein breaks down in our body urea is formed this cannot be excreted in urine and is toxic when it builds up in the blood stream. This limited protein diet is until patient is put on dialysis. As protein losses are higher in patients undergoing dialysis, they need to consume a high protein diet. Recommended dietary protein in hemodialysis patients is 1.2 g/kg body weight/day and 1.2-1.3 g/kg body weight /day for patients on peritoneal dialysis. If dietary protein - calorie intake is not adequate, patients should take dietary supplements under the guidance of a nutritionist, and if required they should be tube feed or parenteral nutrition should be provided.

Tips -

• Eat high quality protein - fish, pork, eggs, kidney beans, Bengal gram, and soy for every meal.
• Add egg white or egg white powder or protein powder to your diet.

Carbohydrates -

If you are overweight and have diabetes, then you have to limit your carbohydrate intake, however if you are losing weight you need to take high carbohydrate diet. As carbohydrates are good source of energy. Your physician or dietician will recommended the amount of carbs required in your diet.

Tips -

• Include - fruits, vegetables, breads and grains, as they are high in fiber, minerals, vitamins and a good source of energy.
• If you are advised a high calorie diet, consume - hard candies, sugar, honey, jelly, pies, cakes, cookies.
• Avoid desserts made from dairy, chocolate, nuts and bananas.

Fats -

ESRD patients on dialysis are recommended to limit intake of saturated fats and cholesterol as they are at high risk of developing coronary artery disease. They mostly have high triglyceride levels, high LDL (low density lipoproteins) and low HDL (high density lipoproteins). Though you are recommended to eat a high calorie diet, you need to avoid foods that raise your triglycerides and cholesterol levels

Tips -
• Include foods that are high in monounsaturated and polyunsaturated fats and little of saturated fats. Like - sesame seed oil, flaxseeds, olive oil, and cotton seed oil.
• Avoid canola oil, coconut oil, fats, poultry and chicken with skin.

Micronutrients -

ESRDS patients are recommended to have low fat diet and restricted fluid intake. Thus many patients need to take a vitamin supplement as fat soluble (A, D, E and K) vitamins and water soluble vitamins cannot be absorbed adequately form the diet and water soluble vitamins are also lost during dialysis treatment. Mostly these vitamins are given through vein during the dialysis treatment.

To manage all the above nutrients in the right quantity to suit your needs is not an easy task and it cannot be done own your own. DO NOT SELF DIET it can risk your health. This article is for your information and knowledge. Consult a nutritionist who can design a diet fit for your special needs. Always take your family along to understand your dietary needs so they can help you follow your diet. If you follow proper diet and physical activity as recommended by your physician and your nutritionist will help you feel good and lead a relatively healthy life with the ESRD.

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"Fenugreek"-Fights Diabetes, Heart Disease, Obesity

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Although "fenugreek" seeds are used extensively in the recipes of countries in the Middle and Far East, in the West it is not as well known as many other spices.
Not only does "fenugreek" impart a characteristic flavour and tang to food but it also has several very important disease preventing characteristics.

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How is "Fenugreek"-Fights Diabetes, Heart Disease, Obesity

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In traditional medicine, "fenugreek" has been used to treat a number of conditions including diabetes, sore throats, and in poultices used to treat sores and abscesses. Recent investigations into the medicinal properties of this spice suggest it is important not only as a preventative for chronic diseases such as diabetes, but also for enhancing normal physiological processes, especially with respect to athletic
performance.

As with most spices it contains manyantioxidant and anti-inflammatory compounds such as apigenin,
genistein, kaempferol, quercetin, rutin, selenium and superoxide dismutase-. It also contains compounds such as trigonelline that has shown to prevent the degeneration of nerve cells in neuro-degenerative diseases.

Medicinal properties of "fenugreek"

Cardiovascular disease and blood lipids

"Fenugreek" has a strong effect on blood lipid modulating levels and can substantially reduce the risk of atherosclerosis. In diabetics, who usually suffer lipid imbalances, it has demonstrated a remarkable ability to lower cholesterol, triglycerides and LDL levels while raising HDL levels. Another property of "fenugreek" is the reduction of platelet aggregation which, in turn, dramatically reduces the risk of abnormal bloodclotting associated with heart attacks and strokes. Like most spices, "fenugreek" also contains many important antioxidants and has the added benefit of protecting other dietary and internally produced antioxidants from free-radical damage. This has important cardioprotective benefits, as well as helping to fortify the body against a range of other chronic conditions.

Diabetes

"Fenugreek", which has comparable antidiabetic potency to cinnamon, is one of the most valuable spices for the control of glucose metabolism and thus the prevention and treatment of Type II diabetes.
Owing to its many properties it helps in the prevention and treatment of diabetes in several ways.

Working in a similar way to the common antidiabetic drug glibenclamide, "fenugreek" lowers cellularinsulin resistance and controls blood glucose homeostasis. It has been shown to lower blood glucose levels of Type II diabetics by as much as 46 percent.

It also increases the levels of several important antioxidants and reduces the damaging oxidation of lipids associated with diabetes.

As an added bonus, "fenugreek" seeds are very rich in a type of dietary fiber that modulates post prandial blood glucose levels-by delaying the absorption of sugar into the intestines. This mucilaginous fiber also reduces the absorption of fat and cholesterol from the intestines thus providing additional protection against heart disease and obesity.

Cataracts

"Fenugreek" is also effective against diabetes-related cataracts which occur commonly in diabetics. The enzymes that controlglucose uptake into the lens of the eye do not function normally in diabetics and, as a result, glucose and its hyper, fructose and sorbitol, accumulated in the lens tissues. The lenses of diabetic patients are also prone damage by enzymes that would normally protect against destructive free radicals, and a combination of these factors leads to the gradual opacification of the lens known as a cataract. As "fenugreek" has been shown to partially reverse both the metabolic changes in the lens and to reduce the density of the cataract, it is likely to be even more effective as a prophylactic agent against cataract formation in diabetics.

Alzheimer's and other degenerative neuromuscular diseases

"Fenugreek" contains the trigonellene compound that has shown to stimulate the regenerationof brain cells. This property has stimulated further research to see whether it can help in the prevention of diseases such as Alzheimer's and Parkinson's diseases.

Sport

One of the greatest difficulties facing athletes who compete in endurance events is maintaining a readily available supply of energy in the body. In order to achieve this, muscle carbohydrate stores, in the form of glycogen, must be continuously replenished. In an event lasting more than one-and-a-half hours, glycogen stores become business, and for the remainder of the event the athlete has to rely on external sources of energy, such as high carbohydrate drinks, which are inferior to glycogen as an energy source. Post event re-synthesis of glycogen is also very important, and the two minutes immediatelyfollowing prolonged exercise is the crucial time for this process to occur.

"Fenugreek" has been shown to have a strong effect on glycogen replenishment; increasing post-event re-synthesis by over 60 percent in some endurance athletes. While its effects on glycogen re-synthesis during an event have yet to be tested, "fenugreek" is likely to exhibit a similarly beneficial effect during, as well as after exercise.

Hormones

"Fenugreek" is one of the richest sources of phytoestrogens and is thus a very useful spice for women who have low oestrogen levels. Phytoestrogens are also thought to help protect against certain types of cancer, and "fenugreek" may well be proven to have anti-tumourigenic effects should this property be investigated in thefuture.

Selenium

"Fenugreek" is one of the richest sources of selenium, which is among the most important antioxidant micronutrients. When consumed regularly, selenium appears to have a protective effect against a range of cancers, including those of the colon, lung and prostate. Recent evidence also shows that selenium helps to prevent the progression of HIV and other chronic viral illnesses.

While other spices like chilies and cinnamon hold the culinary and medicinal headlines, the research into "fenugreek" is showing us that this spice has health benefits on a par with, or even superior to, those of the better known spices.

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