AMERICA BY THE NUMBERS
SOMEONE IS NOT TELLING THE TRUTH
THE NUMBER OF PEOPLE WITH PRE DIABETES
79 million adult January 2011
57 million October 2010
25.6 million over the age of 20 have diabetes January 2011
THE NUMBER OF ADULTS WITH HYPERTENSION
68 million 2005-2008 (140/90)
48 million were receiving medications
31 million had adequate control (less than half)
THE NUMBER OF ADULTS WITH HIGH BAD (LDL) CHOLESTEROL
71 million adults had high LDL
34 million were under treatment
23 million had it controlled
All indices were poor among
Poor patients
Those with no insurance
Mexican Americans
It is incredibly difficult to find research on hga1c at a national level. NHANES studies do have HgA1c as part of the studies, looking for comparisons of A1C brings only spurious results. In one study it was noted that 2/3 of the white people had A1C less than 7 % which I find it hard to believe.
Among the Indians, the A1C of less than 7 per cent can be achieved in around 28-32 % of the patients. It has remained constant despite increase in diabetes services to the patients. It has not changed much and it does not change much across the geographical areas.
WHY IS THAT ONE IN THREE ADULTS IN THE USA HAS HIGH LDL LEVELS?
ONE IN THREE ADULTS HAVE HYPERTENSION?
ONE IN THREE ADULTS HAVE DIABETES OR PREDIABETES?
TWO IN THREE ADULTS ARE OVERWEIGHT ONE IN THREE IS OBESE?
CDC (Centre for Disease Control ) NOW BELIEVE THAT
45 % of adults had at least one of three diagnosed or undiagnosed chronic conditions—hypertension, hypercholesterolemia, or diabetes; one in eight adults (13%) had two of these conditions; and 3% of adults had all three chronic conditions. ( 2006)
We also know that only one out of 8 persons who has BP Diabetes Mellitus and Hypercholesterolemia is under control with treatment.
Perhaps most of the morbidity and mortality is in this group of people.
There are about 7 million people in USA, who has all three:
Uncontrolled BP (Blood Pressure)
Uncontrolled BS (Blood Sugar)
Uncontrolled LDL (bad) Cholesterol
Of the above, Hypercholesterolemia and High Blood sugar are Life Style Diseases, and to a good degree, Hypertension as well.
So the Doctor you go to see can tell you: Go and See a Dietitian, an Exercise Person, apart from visiting Laboratories for blood tests and Clinics to get various investigations done.
This reminds me of what a Meskwakia Indian told me: when you ask a white person in the country what is their heritage, they say: I am ¼ English, ¼ Irish, ¼ French and ¼ German. Four Quarters here do not make Whole but it amounts to Zero.
Lifestyle diseases need Lifestyle therapy and that is not accomplished by a little of dietary change, a little of exercise, a little of medication and a little of laboratory tests and 8 to 10 minutes spent with your Family Practitioner.
The Problem is identified, it is easy enough, now comes the hard part, what to do about it?
We are sick and tired of people telling us that we are sick and fat, tell us how to get rid of these? Asked a Lakota Indian Woman.
In other blogs I would be outlining various solutions based on the holistic approach to Health and the Person using American Indian and Yoga Philosophies.
I have the greatest privilege of being associated with Native cultures of many continents.. thus satisfying my curiosity and desire to travel and the chance to help them with my medical expertise. these notes are from those travels. I am a professor at the University of Havana
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