Preparing for the road ahead. LEARN MORE ABOUT these 5 risks

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Preparing for the road ahead LEARN MORE ABOUT these 5 risks to A MAN S health 3 4 5 2 6 1 7 0 8 9

WHY DOES IT SEEM LIKE SOME MEN TAKE BETTER CARE OF THEIR CARS THAN THEIR OWN HEALTH?

When the check engine light turns on, you know what to do. But it s not always that easy when it comes to your health. Know these 5 risks to A MAN S health to keep your engine running smoothly High Cholesterol High Blood Pressure High Blood Sugar (Diabetes) High PSA Levels (Prostate Cancer) Low Testosterone Talk to your doctor about these and other risks to men s health.

High Cholesterol Your body needs cholesterol to work well. It s like the oil in your car it helps keep your engine running smoothly. But unhealthy levels of any of these fats in your blood can put you at risk for heart disease. Ask your doctor if you should have your cholesterol levels checked. Total cholesterol is a measure of all the fats (lipids) in your blood: LDL ( bad cholesterol ) may cause a buildup in your arteries and can increase your chance of heart disease HDL ( good cholesterol ) helps clean plaque from the blood Triglycerides are fats carried in the blood from the food we eat Unhealthy levels of any of these fats in your blood can put you at risk for heart disease. Ask your doctor if you should have your cholesterol levels checked. MEN S RISK FOR HIGH CHOLESTEROL INCREASES AT AGE 45 1

How do you measure up? High Cholesterol Cholesterol levels in the blood are measured with a blood test. Know the normal levels and ask your doctor to help you set goals based on your specific medical history and risk factors. Bring this guide to your next check-up to keep track of your cholesterol levels at each office visit. Normal cholesterol 1 LDL HDL Trigs Less than More than Less than 100 mg/dl 40 mg/dl 150 mg/dl Date Your cholesterol mg/dl mg/dl mg/dl Your cholesterol mg/dl mg/dl mg/dl Your cholesterol mg/dl mg/dl mg/dl Your cholesterol mg/dl mg/dl mg/dl Your cholesterol mg/dl mg/dl mg/dl

High Blood Pressure 2 As your heart pumps, it pushes blood against the walls of your blood vessels. If the pressure of the blood against the blood vessel walls rises, you will have high blood pressure. You may have high blood pressure for years with no symptoms. Uncontrolled high blood pressure may lead to heart disease, stroke, kidney failure, and other health problems. your blood pressure includes two numbers: Systolic: the pressure in your arteries when your heart beats while pumping blood Diastolic: the pressure in your arteries between beats when your heart is at rest 120 mmhg 80 mmhg

How do you measure up? Talk to your doctor about normal blood pressure levels. Be sure to keep track of your levels with each doctor s visit. Normal blood pressure Less than 120/80 mmhg* Date Your blood pressure / mmhg Your blood pressure / mmhg high blood pressure Your blood pressure / mmhg Your blood pressure / mmhg Your blood pressure / mmhg *This range applies to most healthy adults (aged 18 and older). You can tell when a car engine starts to fail, but high blood pressure alone usually has no symptoms. So, it s important that a doctor or nurse check your blood pressure. Be sure to let your doctor know if you re feeling chest pain, a fast heartbeat, or if you feel faint. About 1 in 3 U.S. adults has high blood pressure 2

high blood sugar Having high blood sugar levels means you have too much of a certain sugar in your blood, which may indicate diabetes. Your body uses blood sugar, or glucose, for energy. But when glucose levels are too high, health problems may occur. There are 2 Types of Diabetes THAT MAY AFFECT MEN TYPE 1 diabetes Common in children and young adults Signs and symptoms include: Frequent urination Excessive thirst Extreme hunger Weight loss that you can t explain Feeling very tired and irritable TYPE 2 diabetes* Common in adults Signs and symptoms include: Type 1 diabetes symptoms Cuts or bruises that don t heal quickly Frequent infections Tingling/numbness in hands or feet Blurry eyesight * Often people with type 2 diabetes have no symptoms. 13 million U.S. men over age 20 have diabetes 3

How do you measure up? If you think you have symptoms of high blood sugar, ask your doctor to check with a blood test. Be sure to track your levels to compare against normal blood glucose levels. If you don t have diabetes 4 : Normal blood glucose (after not eating) 70 99 mg/dl * (3.9 5.5 mmol/l) If you do have diabetes 5 : Normal blood glucose (after not eating) 70 130 mg/dl * (3.9 7.2 mmol/l) * Ask your doctor what these blood glucose levels mean and what your numbers mean. Work with your doctor to help you set goals based on your specific medical history and risk factors. HIGH BLOOD SUGAR Date Your blood glucose (after not eating) Your blood glucose (after not eating) Your blood glucose (after not eating) Your blood glucose (after not eating) Your blood glucose (after not eating) (or (or (or (or (or mg/dl mmol/l) mg/dl mmol/l) mg/dl mmol/l) mg/dl mmol/l) mg/dl mmol/l)

high psa levels Prostate cancer is the most common cancer in men. 6 It is the second leading cause of death in men after lung cancer. The number of new U.S. cases and deaths from prostate cancer in 2012 is estimated to be more than 241,000. 7 The Prostate In healthy men, the prostate is a gland about the size of a walnut. It makes part of the fluid that helps carry sperm out of a man s body. 8 About Prostate Cancer In its early stages, prostate cancer often has no signs and symptoms, but some men may have pain or trouble urinating. Other symptoms may include 8 : Trouble having an erection Blood in the semen or urine Pain in the hips, thighs, or lower back

HOW DO YOU MEASURE UP? Talk to your doctor about prostate cancer screening to learn more about detecting prostate cancer. Prostate cancer screening may include a blood test and a prostate exam. Here is a tool to help you track the blood test results of your prostate specific antigen (PSA) test(s). Date Your PSA level: Your PSA level: Your PSA level: Your PSA level: Your PSA level: ng/ml ng/ml ng/ml ng/ml ng/ml HIGH PSA LEVELS The Goal of Screening for Prostate Cancer is to find it Early 9

Low Testosterone Testosterone is a hormone made in the body and produced by the testicles. Low Testosterone Can Be Overlooked Low testosterone, or hypogonadism, happens when levels fall below normal. Millions of American men are estimated to have low testosterone, but it may be overlooked because the symptoms are subtle and similar to those caused by other medical conditions. Low Testosterone and erectile dysfunction Are Not the Same Thing Erectile dysfunction, or ED, means you are not able to keep an erection during sexual activity. It s possible for low testosterone to cause ED, but ED can also be caused by other conditions. Talk to your doctor if you are experiencing ED. Signs and Symptoms of Low Testosterone 10 Reduced sex drive Sexual dysfunction Depressed mood Fatigue or decreased energy Loss of body hair, reduced shaving Increased body fat Decrease in bone strength Reduced muscle mass and strength If you think you may have low testosterone, ask your doctor if you should be tested. low testosterone is often called low T

Low testosterone can be overlooked HOW DO YOU MEASURE UP? Talk to your doctor about your symptoms. Ask if you should be tested for low testosterone. Make note of your levels below. If you have low testosterone, talk to your doctor about treatment options. Normal total testosterone level 10 ~ 300-1,000 ng/dl Your testosterone level ng/dl Date Your testosterone level ng/dl Your testosterone level ng/dl Your testosterone level ng/dl Your testosterone level ng/dl low testosterone

stay ahead of the curve Keep in mind that these 5 risks to a man s health high blood sugar, high cholesterol, high blood pressure, high PSA levels, and low testosterone are just a few concerns men should know about. Talk to your doctor about these and other risks to men s health. Prepare to talk to your doctor about your health Get plenty of rest, eat right, and exercise often Check with your doctor before starting any diet or exercise program Know your family s health history See your doctor at least once a year, and ask him to explain your test results and what it all means Make sure you follow the treatment plans that you have worked out with your doctor KEEP A RECORD At each office visit, ask your doctor or nurse to help you fill in your test results using the spaces in this guide to help you keep track of your numbers. You will be able to see how your levels change over time.

Don t wait until something goes wrong. Be ready for the road ahead References: 1. National Institutes of Health, US Department of Health and Human Services. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Bethesda, MD: National Institutes of Health; 2002. NIH Publication 02-5215. 2. National Heart Lung and Blood Institute Web site. What is high blood pressure? http://www.nhlbi.nih. gov/health/health-topics/topics/hbp/. Accessed November 30, 2011. 3. Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011. Accessed March 12, 2012. 4. WebMD Web site. Blood glucose. http://diabetes.webmd.com/blood-glucose. Accessed February 8, 2012. 5. American Diabetes Association Web site. Checking your blood glucose. http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/ checking-your-blood-glucose.html. Accessed November 30, 2011. 6. Men s Health Network Web site. Prostate Health Guide. About the prostate. http://www.prostatehealthguide.com/ about.html. Accessed December 1, 2011. 7. National Cancer Institute Web site. Prostate cancer. http://www.cancer.gov/cancertopics/types/prostate. Accessed February 8, 2012. 8. National Cancer Institute Web site. What you need to know about prostate cancer. http://www.cancer. gov/cancertopics/wyntk/prostate.pdf. Accessed December 1, 2011. 9. American Cancer Society Web site. Prostate cancer: early detection. http://www.cancer.org/cancer/prostatecancer/ MoreInformation/ProstateCancerEarlyDetection/prostate-cancer-early-detection-pdf. Accessed December 1, 2011. 10. Bhasin S, Cunningham GR, Hayes FJ, et al. Testosterone therapy in adult men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2010;95:2536-2559. the road ahead

Men s Health Resources: Visit these Web sites for more information International Society of Men s Health www.ismh.org/en Men s Health from the NIH www.nlm.nih.gov/medlineplus/menshealth.html Men s Health Network www.menshealthnetwork.org WebMD Men s Health men.webmd.com 2012 Abbott Laboratories Abbott Park, IL 60064 400-769702 March 2012 Printed in U.S.A.