Maurice Duggins, MD
Associate Professor Family Medicine
Associate Director VCFM Residency Program
KNOWING YOUR
NUMBERS
Knowing Your
Numbers
 Why is it important to know your numbers?
 What numbers are important?
Knowing Your
Numbers
 The number one killer in the USA is
Cardiovascular Disease(CVD).
 1 in every 3 adults has heart disease.
 Approximately 82 million people!
 CVD Kills more each year than the next two top
killer diseases.
 So what are the risk factors for CVD?
Knowing Your
Numbers
 Over 800,000 Americans die from CVD
yearly.1
 More Women from Heart Disease than Breast
Cancer.
Knowing Your
Numbers
 Major Risk Factors for CVD:
 OBESITY
 SMOKING
 HIGH CHOLESTEROL
 HIGH BLOOD SUGAR
 HIGH BLOOD PRESSURE
Cardiovascular Disease Jingle
Knowing Your
Numbers
 Life Expectancy in the USA is 78.5 years.
 Heart Disease #1
 Cancer #2
 Chronic Lung Disease #3
 Stroke #4
 Diabetes #6
Obesity(BMI)
 What is obesity?
 Epidemic in the USA
 30% Obese
 64% Overweight
 Kansas currently Rank 16th in USA
Body Mass Index (BMI)
 Optimal BMI
<24 but >18
 Normal BMI
 18 to 24 kg/m2
 Pre-Obesity
 25-29 kg/m2
 Obesity
 >30 kg/m2
Body Mass Index (BMI)
 http://nhlbisupport.com/bmi/bmicalc.htm
 This Calculates your BMI using Feet, Inches,
and Pounds .
 There’s an App for that: Fitter Fitness
calculator(free)
Hypertension(Blood Pressure)
 Silent Killer (CAD, CVA, CHF, Kidney Failure)
 High Blood Pressure(HBP)
 Primary, Essential, or Idiopathic
 Secondary
 Malignant
 Pressure is measured in mmhg
Hypertension(Blood Pressure)
 Two Components . What are they?
 Systolic Blood Pressure (top number)
 Diastolic Blood Pressure (bottom number)
 E.g. 130/80
 Both top and bottom numbers are important
.
Hypertension(Blood Pressure)
 Optimal Blood
 <120/80
Pressure
 Normal Blood
 110/75 to 120/80
Pressure
 Pre-hypertension
 121/81 to 139/89
 Hypertension
 >140/90
Hypertension(Blood Pressure)
 Check your blood pressure regularly .
 Keep a record for yourself to show your
physician.
 Remember blood pressure fluctuates through
out the day.
Diabetes(High Blood Sugar)
 About 18 million Americans diagnosed.
 About 7 million Americans Undiagnosed.
 Leading cause of adult blindness.
 Leading cause of Kidney Failure.
 Classic signs are increased hunger, thirst, and
urination.
Diabetes(High Blood Sugar)
 Optimal Blood Sugar
 <100
 Normal Blood Sugar
 80 to 100
 Pre-Diabetes
 101 to 125
 Diabetes
 > 126
Diabetes(High Blood Sugar)
 Family history is very predictive.
 Screening should start at age 20 and
sooner if risk factors or signs /symptoms
present.
Cholesterol(High Blood Lipids)
 Cholesterol is needed by everyBODY.
 Break cholesterol into its parts:
 LDL(Low density lipid)
 HDL(High density lipid)
 No signs or symptoms- Usually.
Cholesterol(High Blood Lipids)
 Optimal LDL
 70
 Normal LDL
 <130mg/dl
 Borderline LDL
 131 to 160mg/dl
 High LDL
 >160
Cholesterol(High Blood Lipids)
 Two- thirds of Americans don’t know their
cholesterol level.
 It’s a major contributor to CVD.
 Screening should be done starting at age 20
then every 1 to 5 years thereafter.
Triglycerides(Blood Fat)
 Optimal Triglycerides
 <150
 Normal Triglycerides
 150-199mg/dl
 High Triglycerides
 200-499 mg/dl
Triglycerides(Blood Fat)
 Complex of lipoproteins.
 Independent risk factor for CVD.
 Screening is done when cholesterol or lipid
panel is done.
 Triglyceride >
200 use Non-HDL Level.
 Non-HDL = Total Choles. – HDL Level.
 Non-HDL goal <130
Tachycardia(High Heart Rate)
 BMI
 <30
 Diabetes
 <100
 Hypertension
 <120
 LDL Cholesterol
 <100
 Non-HDL Level
 <130
RESPONSE
 1. Increase physical Activity most day.
 >120 minutes a week
 2. Eat Healthy most days.
 High Fiber ,Fruits, Vegetable
 3. Quit Smoking.
 # to know: ZERO cigarette
 4. Make these numbers your goal.