• insulin,
• exercise,
• and a diabetic diet.

• weight reduction,
• a diabetic diet,
• and exercise.

Heart disease (coronary artery disease) occurs when plaque builds up in the coronary arteries, the vessels that supply blood to the heart. Heart disease can lead to heart attack. Risk factors for heart disease include:

• Smoking
• High blood pressure
• High cholesterol
• Diabetes
• Family history
• Obesity

Angina, shortness of breath, and sweating are just a few symptoms that may indicate a heart attack. Treatment of heart disease involves control of heart disease risk factors through lifestyle changes, medications, and/or stenting or bypass surgery. Heart disease can be prevented by controlling heart disease risk factors.

Heart failure (congestive) is caused by many conditions including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart. Symptoms of heart failure include

• congested lungs,
• fluid and water retention,
• dizziness,
• fatigue and weakness, and
• rapid or irregular heartbeats.

There are two types of congestive heart failure, systolic or left-sided heart failure; and diastolic or right-sided heart failure. Treatment, prognosis, and life-expectancy for a person with congestive heart failure depends upon the stage of the disease.

High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms.

Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.

The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.

If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack.

REFERENCE: CDC. High Blood Pressure. Updated: Nov 13, 2017.

Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, or medication. Some of the renal causes of kidney failure include sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis.

Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones.Treatment options included diet, medications, or dialysis.

• paralysis of the vocal cords,
• difficulty swallowing thin liquids,
• difficulty breathing,
• and drug reactions.

• damage to the recurrent laryngeal nerve,
• bleeding or hematoma,
• problems maintaining calcium levels in the blood,
• need for further and more aggressive surgery,
• need for a limited or total thyroidectomy,
• prolonged pain,
• impaired healing,
• and recurrence of the tumor.

A stroke is an interruption of the blood supply to part of the brain caused by either a blood clot (ischemic) or bleeding (hemorrhagic). Symptoms of a stroke may include

• weakness,
• numbness,
• double vision or vision loss,
• confusion,
• vertigo, and
• difficulty speaking or understanding speech.

A physical exam, imaging tests, neurological exam, and blood tests may be used to diagnose a stroke. Treatment may include administration of clot-busting drugs, supportive care, and in some instances, neurosurgery. The risk of stroke can be reduced by controlling high blood pressure, high cholesterol, diabetes, and stopping smoking.