Girlfriend s Guide To A Better You

Transcription

1 Girlfriend s Guide To A Better You Angela LaSalle, MD Medical Director Integrative Medicine and Parkview Women s Health Center Michele Helfgott, MD, FACOG Board certified OB/GYN 20 years experience Fellowship in Anti-Aging and Regenerative Medicine Committed to finding the root cause of disease, Dr. Helfgott treats issues associated with: Menopause, perimenopause, Autoimmune disease Gastrointestinal issues. Bio-identical hormone replacement Assists with nutritional counseling and exercise INTEGRATIVE MEDICINE Not for focused profit, all for on you. Go Red for Women Luncheon 1

2 Objectives Understand the role of insulin in the development of heart disease Discuss dietary and exercise strategies to reduce insulin and improve risk factors for heart disease Understand the role of stress in increasing inflammation Review talking points for you and your doctor Heart Attack Survival Differences Between men and women following a heart attack: 42 percent of women who have heart attacks die within 1 year compared with 24 percent of men. Women may not be diagnosed or treated as aggressively as men. Their symptoms may be very different from those of men who are having a heart attack. Go Red for Women Luncheon 2

3 Postmenopausal Women With Metabolic Syndrome are at increased risk for a cardiovascular event. Metabolic syndrome a combination of high blood pressure, elevated blood glucose, abnormal lipid levels, and increased waist size is known to be associated with elevated risk for heart attack and stroke. Source: Brown, Vaidya, Rogers, et al., J Womens Health 17(5): , 2008 (AHRQ grant HS13852). Management of Chest Pain Differs by sex and race. More men than women received definitive diagnoses of angina, while more women than men were diagnosed with vague chest pain. Women and blacks received fewer cardiovascular medications than men and whites. Source: Hendrix, Mayhan, Lackland, and Egan, Am J Hypertens 18(8): , 2005 (AHRQ grant HS10871). Go Red for Women Luncheon 3

4 Treatment for Heart Attack and CHF Women continue to fare worse than men in treatment for heart attack and congestive heart failure. Study of gender disparities among adults age 65 and older, women with acute myocardial infarction (AMI) or congestive heart failure (CHF) do not receive the same care as men. Source: Correa-de-Araujo, Stevens, Moy, et al., Women's Health Issues 16(2):44-55, 2006 (AHRQ Publication No. 06-R042). Delays In Emergency Care Women are more likely than men to experience delays in emergency care for cardiac symptoms. On average, women arrived at the hospital 2.3 minutes slower than men. Factors increasing delay included evening rush hour travel, bypassing a local hospital, and living in a densely populated neighborhood. Source: Concannon, Griffith, Kent, et al., Circ Cardiovasc Qual Outcomes 2:9-15, 2009 (AHRQ grants HS10282, T32 HS00060). Go Red for Women Luncheon 4

5 The Role of Insulin In Heart Disease Go Red for Women Luncheon 5

6 How does Insulin Work? The results of insulin dysfunction It isn t just about the blood sugar. Higher insulin results in inflammation high blood pressure weight gain lipid disorders increase in risk of heart attack, stroke, cancer etc. Abdominal Fat is a biochemical problem! Go Red for Women Luncheon 6

7 Diabetes: What causes it? Type 2 diabetes is a miscommunication between multiple organs: Intestines Pancreas Liver Brain Cells It is not just a high blood sugar, but rather multiple biochemical abnormalities. Insulin and Altered Lipid Metabolism Elevated insulin alters the clearance of fats and sugars from the blood after meals. Increases the release of inflammatory chemicals from the fat tissue. Go Red for Women Luncheon 7

8 Recommendations to Reduce Insulin Go Red for Women Luncheon 8

9 Table Sugar Table Sugar Sugar: The Bitter Truth by Dr. Robert Lustig Pediatric Endocrinologist YouTube DVD: Sweet Suicide, A Documentary by Nancy Appleton, PhD Sweet Suicide is a 60-minute documentary produced in 2009 by Nancy Appleton, PhD, about the health dangers of sugar. Appleton is America's most well known anti-sugar expert and author of Lick the Sugar Habit, which is still selling strong after 30 years in print. Go Red for Women Luncheon 9

10 Sugar Makes Fat Study: Healthy med students were given a high fructose diet for 6 days Triglycerides doubled Free fatty acids in the blood doubled Insulin levels increased 5x more fat cells Sugar Makes You Old Sugar is implicated in all of the degenerative disease processes: Heart Disease Diabetes Auto Immune Disease Arthritis Cancer Impotence Hormone disruptions and. Wrinkles Go Red for Women Luncheon 10

11 Watch Your Fluids Recent studies have shown that drinking one soda a day increases your risk of heart disease by 20% Did you know that 4 grams of sugar equals approximately one teaspoon? Go Red for Women Luncheon 11

12 Nutrition Label Coca Cola Sober Thought Some brands of baby formula contain up to 43% corn syrup and 10.3% sucrose Coca Cola contains 10.5% sucrose Go Red for Women Luncheon 12

13 Sweeteners Nutrition Label Diet Nestea Go Red for Women Luncheon 13

14 Diet Soda and Weight Gain University of Texas Health Science Center in San Antonio San Antonio Longitudinal Study of Aging (SALSA) 70% greater increase in waistline (9.5 yrs later) 2 or more sodas a day resulted in 500% more weight gain than non soda drinkers Results adjusted for diabetes status, physical activity and age. Artificial Sweeteners Hundreds of times more sweet than sugar Body preps for sweets and releases excess insulin Blunts the neurotransmitters in brain that help you feel full Result is you feel less satisfied, take in more calories and the body stores more fat due to higher insulin levels. Implicated in inflammatory symptoms in some people Go Red for Women Luncheon 14

15 Overhaul Your Fluids Eliminate all soda Look for any artificial sweeteners in your beverages Increase your water intake Limit coffee to no more than 2 cups a day Eliminate juices eat the fruit instead Go Red for Women Luncheon 15

16 Eliminate the Sweets Remember that flour also breaks down to sugar decrease the baked goods Try keeping a food diary to learn your habits Evaluate what you put in your beverages creamers, flavors and look for sugars and sweeteners. Start reading food labels for hidden sugars/sweeteners Remember 4 grams of sugar equals a teaspoon Balance any sugar intake with protein or fiber Increase Your Vegetables Good source of nutritients: antioxidants, phytonutrients, minerals Good source of fiber Helps hydration Good source of carbs without high insulin response Balance your plate with lean proteins (fish, chicken, lean cuts beef) Go Red for Women Luncheon 16

17 Watch Your Grains Definition of Whole Grains Consider eating non gluten grains Avoid Processed flour Exercise Go Red for Women Luncheon 17

18 Exercise 30 minutes daily Decreases insulin resistance in skeletal muscle Decreases inflammation Rehearses the neurovascular connections of the body All disease preventative There is no substitute for the benefits of exercise! Women and Exercise Oregon State University, April 2012 Women averaged 18 minutes of exercise VS Men averaged 30 minutes exercise daily Best exercise Interval Training for aerobics with resistance training Go Red for Women Luncheon 18

19 Stress and Heart Disease Stress causes increase in inflammatory chemicals Affects on clotting Constricts blood vessels Increases heart rate and blood pressure Job Stress Lack of control and low sense of reward associated with two fold increase in new coronary events. High stress, high reward/purpose less problematic. Bosma et al. Two alternative job stress models and risk of coronary heart disease. American Journal of Public Health. Jan 1998, Vol 88, no 1. Go Red for Women Luncheon 19

20 Stress Management Breathing Positive internal dialogue Journaling Defined sense of purpose Social connections Important to make stress management a regular habit Talking Points with Your Doctor Measurements: Weight Blood Pressure BMI Waist to hip ratio 0.8 or below, is normal Go Red for Women Luncheon 20

21 Talking Points with Your Doctor Ask for Testing: 25-OH Vitamin D Fasting Glucose < 95 is normal > 110, then glucose intolerant > 126 Diabetes Fasting Insulin Fasting Lipids Talking Points with Your Doctor Testing considerations: EKG Stress testing Coronary imaging (HeartSmart Scan or CCTA) Go Red for Women Luncheon 21

22 There is in every true woman's heart, a spark of heavenly fire, which lies dormant in the broad daylight of prosperity, but which kindles up and beams and blazes in the dark hour of adversity. Angela LaSalle, MD Angela LaSalle is board certified in Family Medicine with a fellowshipinintegrativemedicine. She is a guest and keynote speaker on a variety of medical topics and women s health issues and provides interviews for radio and print media. A graduate of Indiana University School of Medicine, she received her fellowship in Integrative Medicine through the University of Arizona, a program founded by Andrew Weil, M.D. Her practice includes assessment of thyroid, adrenals, treatment of metabolic syndrome, bioidentical hormone replacement as well as comprehensive nutritional assessments. She provides integrative health care services for patients with thyroid, diabetes, metabolic and menopausal issues. A strong believer that inflammation is the underlying cause of many diseases, she also incorporates nutrition and stress management into her treatment arsenal. Dr. Angela LaSalle is Medical Director of Parkview Physician s Group Integrative Medicine clinical division and Medical Director of the Parkview Women's Health Center located at the new Parkview Regional Medical Center on its Parkview North Campus. Visit her web site: Go Red for Women Luncheon 22