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Complete
Blood Testing Capabilities For Cholesterol Meter
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Glucose.
Blood glucose is a measurement of sugar in your blood stream. It is a normal
constituent of the blood and essential for cellular metabolism. With diabetes
your blood sugar is elevated and can lead to complications such as eye disease,
nerve damage, atherosclerosis and other problems. Direct costs of treating
diabetes every year is $44 billion and indirect costs $98 billion. Blood
glucose testing is the cornerstone of good diabetes control. Glucose
testing is done by diabetics as many as 6 or more times a day.
Total Cholesterol. Cholesterol is the main lipid associated with
artheriosclerotic vascular disease. It is required
for cellular membranes. Cholesterol testing meter is to identify patients at risk for arteriosclerotic heart
disease. Total cholesterol is made up of LDL, HDL and triglycerides
and VLDL. Diabetics are prone to higher levels of blood
fats in their systems – which puts them at increased risk of heart
and blood vessel disease. Total cholesterol should be below
200. Eighty percent of diabetics die from heart and blood vessel
complications. It has been shown that a 1 percent decrease in cholesterol
levels leads to a 2 percent decrease in the risk of heart disease. Each
year coronary heart disease kills more Americans than any other cause.
More than 13 million American have heart disease.
HDL Cholesterol. (Good cholesterol). HDL is
a protein in the blood whose main purpose is to transport cholesterol,
triglycerides and other insoluble fats to the liver for excretion from
the body. HDL should be above 35 mg/dL. By dividing your total cholesterol
by your HDL cholesterol you can get a ratio indicating your risk of heart
disease, a ratio below 3.5 is desirable.
Triglycerides. Triglycerides are a form of fat in the bloodstream.
They act as a storage source for energy. Elevated
triglycerides are now thought to be an independent
risk factor for heart disease. People with diabetes are prone to elevated
triglyceride levels. Fasting triglycerides should be below 200 mg/dL.
Blood Ketone (b-hydroxybutyrate). Under normal
conditions, no ketones are present in the urine;
however, a patient with poorly controlled diabetes and elevated
blood sugar may have fat catabolism and ketones are a bi-product
of fat metabolism. Diabetics need to monitor their ketone levels
when their blood sugar is elevated, when they are sick and in times
of stress. In addition patients on high-protein (Atkin’s) diets may
want to monitor their ketone levels to verify they are in ketosis,
burning fat and therefore losing weight.
LDL Cholesterol. LDL (bad) Cholesterol is primarily cholesterol
which can be deposited in tissue and is associated
with an increased risk of atherosclerotic heart
and peripheral vascular disease. LDL levels should
be below 130 mg/dL and elevated levels are associated with increased
risk of heart disease. Diabetics are especially prone to smaller,
more adhesive LDL particles. One national survey estimated 30 percent
of American adults – about 56.6 million people – have a
high LDL cholesterol that requires diet or drug therapy. Only 34
percent of these individuals have been diagnosed with high cholesterol
– this means two out of three persons who should be treated
for high cholesterol do not even know they have it. According
to the American Heart Association, an elevated LDL cholesterol
level is a major risk factor for heart disease.
HgbA1c. When elevated glucose levels are present
the glucose attaches itself to the heme portion of the red blood cell.
The more glucose the RBC is exposed to the greater the HgbA1c is. Blood
can be drawn to test at any time and is not affected by short-term variations
such as food intake, exercise, stress, hypoglycemic agents and patient
cooperation. It provides an accurate long-term (3 months) index of the
patient’s average glucose level. Normal is < 6%, goal for diabetics
is < 7% and additional action is required for levels > 8%.
Microalbumin. Microalbumin is the term for
small amounts of protein in the urine. Protein in the urine is the first
sign of kidney disease. Kidney disease in diabetes is a result of elevated
blood sugars and often accompanied by high blood pressure. About one-third
of people with diabetes eventually develop kidney disease. Microalbumin
is measured to monitor kidney function. Treatment can help delay progression
of disease. Microalbumin should be monitored with a meter, etc. every 6 months to a year
in patients with diabetes.
Creatinine. Creatinine is a product of creatinine phosphate, which
is used in skeletal muscle contraction. Daily
production depends on muscle mass. Creatinine
is excreated entirely by the kidneys and therefore directly proportional
to renal excretory function. Elevation occurs later in disease process
and suggests chronic disease rather than acute. Measuring serum creatinine
is useful in evaluating any type of renal dysfunction or changes in disease
progression.
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