Prakash (Name Changed) was driving to work on a Wednesday morning. A senior executive in an Ad agency Prakash was not new to stress and deadlines. He was stuck in a jam in the peak hour but his mind was somewhere else. The week had been a rough one with 3 client deliverables due and he was already struggling to meet them. As he was sitting there planning his day, he felt his head spin and he could not see very clearly. He blinked his eyes and rubbed his eye lids hoping it was just dryness in his contact lenses due to the car AC. Soon he was having difficulty in breathing. Nauseous, he rolled down his windows and tried to loosen his shirt. Soon he was sweating profusely and there was shooting pain through his temples. Prakash knew he was in trouble but had the common sense to call out to the car next to him for help. A passerby notified the traffic police and a good Samaritan rung up the ambulance service. Prakash had little recollection of what happened next but soon he was saved in time due to the timeliness of the call and the emergency services who rushed him to hospital in time.
What Prakash experienced was a spike in his blood pressure and is sometimes fatal. If not controlled can lead to heart failure and ischaemic heart disease, stroke, and renal failure. Luckily for him it was managed properly and he was restored to nomal life and since then has managed his blood pressure well.
According to statistics almost one in three people are hypertensive in urban India. The most dangerous part of this condition is that it is non-symptomatic. So in a sense there is no warning before the spike and hence there is need for continuous monitoring and management. Normal blood pressure is 120-130/80 mm Hg. Any reading above 140/80 mm HG can be considered hypertensive.
Hypertension also increases the risk to development of Cardio Vascular Disease. The increased health risk of obesity is most marked when excess fat is mainly in abdomen rather than on hips or thighs. Asians are more prone to metabolic Syndrome with high risk of developing Diabetes and subsequently hypertension, heart disease or stroke. A waist measurement of 90 cms or above for (Asian) men and 80 cm or above for Asian (Women) is a significant health risk.
(Image Source: Steptohealth.com)
Management of Hypertension
Like adage goes “Prevention is better than Cure”. In case of Hypertension it is the only way to handle the condition. In Prakash’s case his family doctor advised him to do the following
- Lifestyle changes – Making Healthy Lifestyle changes will help improve as well as reverse the condition. These include eating fresh food, avoiding junk food, sleeping and waking up on time.
- Reduce Weight -Achieving target weight is the best treatment for treating high blood pressure -Blood pressure rises as body weight increases. To lose weight it’s best to work out combination of eating right, maintaining portion control and being more physically active. Keep a watch on his BMI (Body mass index) and WC(Waist circumference).
- To Quit or reduce smoking
- Reduce dietary salt intake
- Increase physical activity
- Reduce alcohol consumption
- Follow De-Stressing techniques especially meditation, yoga and breathing exercise.
If left controlled despite all these changes, the doctors would recommend Anti-Hypertensive drugs to control the condition. It is very important that one does not self-medicate rather they should listen to the advice of the physician.
Key Investigations that one should do include
|Key Investigations||Normal Range|
|Blood Pressure||Systolic/Diastolic range of 120-130/80 mm Hg (The Diastolic number is more critical)|
|Blood Sugar||100 or less than 100 mg/dl (Fasting)|
|HbA1c||5.6-6 % (Average of 120 days or life of RBC)|
|Total Cholesterol||< 200 mg/dL|
|HDL Cholesterol||Male: <40 mg/dL, Female: <50 mg/dL|
|LDL Cholesterol||< 100 mg/dL|
|VLDL Cholesterol||< 30 mg/dL|
(All investigations should be conducted under doctor’s prescription and from authorized laboratories only)
Interesting to read the other day that VLCC as part of the wellness solutions has introduced medically supervised “Get Well Soon “programs and packages. These are specially designed for individuals suffering from common ailments like Hypertension and related lifestyle conditions which are directly linked with Obesity. These will help individuals to not only improve their condition but may also reverse it in some cases along with desired weight loss thus improving both health and longevity.
Based on Medical, Fitness and health assessments including BCA, Anthropometry and DNA screening they include the following planned, monitored and customized solutions:
- Ongoing Medical supervision by their in-house doctor through the program
- Personalized therapeutic diet plan for specific ailment.
- Customized Exercise routine with special precautions and contraindications
- Supporting therapies and appliance in unique combination to help take care of signs and symptoms of the disease and achieve weight loss and Body shaping goals.
- Lifestyle education that focuses on practical training and achieving optimal emotional health.
For more details, we recommend visiting the VLCC Site
Inconclusion Hypertension is a silent killer an is related to stress and to obesity. It is a lifestyle condition, and luckily this is totally in your hands. It is important to look for some signs like
- Family history of hypertension
- BMI and Obesity, are you unable to manage your weight
- Habits like Smoking and Alcohol
If you have any or these then it’s time to visit your doctor and get a consultation on the same. As always comments, Suggestions and questions are welcome. Do mail us on firstname.lastname@example.org for more details.