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The 4th highest after the 3rd high?
Hypertension, diabetes, and hyperlipidemia are commonly called “three highs” by us!
What about the three diseases of high blood pressure, diabetes and hyperlipidemia together called “three highs”? Mainly because these 3 diseases have a lot in common.
The commonality of the three highs
1. Metabolic disease
Elevated blood pressure, abnormal blood sugar, and elevated blood lipids are all metabolic diseases. Therefore, most people with three highs increase with age and reach middle age. , After the metabolism slows down, it will show increased blood pressure, blood sugar, and blood lipids.
2. Lifestyle is related
Three highs are all related to heredity, but three highs are not hereditary diseases as we traditionally think. Except that the three highs of very few people are hereditary diseases, most of the three highs are closely related to our lifestyles the day after tomorrow.
Such as unhealthy diet, obesity, inactivity, staying up late, stress, severe snoring, heavy smoking and drinking, etc., will increase the risk of the three highs.
That is, the more unhealthy lifestyles, the longer the duration, the more likely the triple highs will occur.
You may also find that high blood pressure was discovered a few years ago, but a few years later, blood sugar was found to be high, or blood lipids were also high.
This is another feature of the three highs, clustering, that is, they appear together. Therefore, after one of the three highs is found, the other two indicators also need to be monitored. At the same time, we must adhere to a healthy life, because taking medicine can only mean that the index is reduced to normal, but if you live unhealthy, the other two indicators will gradually increase.
4. Risk factors for cardiovascular and cerebrovascular diseases
More people know that the three highs are called three highs because the risk of cardiovascular and cerebrovascular diseases increases after the three highs, such as: cerebral infarction, cerebral hemorrhage, myocardial infarction, Angina pectoris and carotid plaque are closely related to the three highs.
Especially if the three highs are not found or if the three highs are not actively and formally controlled, the risk of cardiovascular and cerebrovascular diseases will be higher in the future.
In recent years, with the deepening and promotion of popular science, more and more people have paid attention to the three highs, began to monitor blood sugar, blood pressure, and blood lipids, and began to control blood pressure, blood sugar, and blood lipids.
In recent years, another indicator has been paid more and more attention by scholars in the field of medicine and cardiovascular disease, that is Homocysteine. When homocysteine is elevated, it will also increase the risk of cardiovascular and cerebrovascular diseases. Therefore, some people call high homocysteine ”the fourth highest”.
A Brief Talk on “High Blood Tongue”
1. What is “High Blood Tongue”?
Homocysteine is also an indicator through blood test. The homocysteine of our healthy people is 0-10μmol/L. If the blood test finds homocysteine Between 10-15μmol/L, we call it the critical value; if the level of homocysteine is 15μmol/L, it is called “hyperhomocysteinemia”, referred to as “high blood homocysteine”.
2. What are the dangers of high blood levels?
Studies have found that if homocysteine is elevated, the risk of high blood pressure increases by more than 3 times.
Homocysteine level>20μmol/L, compared with people with normal homocysteine, the risk of cardiovascular and cerebrovascular diseases will increase by 1.4 times, and the risk of death will increase by 2 times.
The risk of cardiovascular and cerebrovascular diseases is 12 times higher than that of healthy people; if a person has high blood pressure at the same time, the risk of stroke is higher than that of healthy people 30 times the risk!
3. How to control high blood pressure?
One cause of homocysteine is a lack of folic acid in the body. So folic acid supplementation is a direct way to control high blood pressure.
“Chinese Multidisciplinary Expert Consensus on Reasonable Folic Acid Supplementation” pointed out that a balanced diet is the first choice to improve the nutritional status of folic acid. That is, we need to supplement our folic acid through a healthy diet.
So which foods are relatively high in folic acid? You can refer to the image below:
Although chicken and pork livers are high in folic acid, they are not recommended for regular consumption due to their high cholesterol content. Other foods, mainly vegetables, fruits, whole grains, can not only supplement folic acid, but also supplement dietary fiber, potassium, vitamins and other nutrients, which are beneficial to health and the prevention of cardiovascular and cerebrovascular diseases. These are the main foods.
4. Who needs to take folic acid to reduce hyperglycemia?
But it doesn’t mean that high blood pressure can be completely reduced through diet. Some people cannot completely reduce homocysteine to normal even through diet, so they need to take folic acid tablets to control high blood levels.
“Multidisciplinary Expert Consensus on Reasonable Folic Acid Supplementation in China” recommends:
Hypertension + high blood pressure, it is recommended to take folic acid;
Hyperemia, recent ischemic cerebrovascular disease, or some family history of cardiovascular disease, this group of people can also consider folic acid supplementation.
At present, it is recommended to take 0.8mg folic acid tablets every day, which can reduce high blood pressure and reduce the risk of cardiovascular and cerebrovascular diseases.
Someone asked, is it necessary for healthy people to take folic acid tablets?
“Multidisciplinary Expert Consensus on Reasonable Supplementation of Folic Acid in China” pointed out that the use of folic acid is not recommended to prevent cardiovascular disease.
In short, while we pay attention to the three highs, we must start to pay attention to high blood levels. When we go to the hospital to test blood sugar and blood lipids, we should check the homocysteine by the way!
Source of this article: Dr. Wang, Cardiovascular
Editor in charge: Peng Jianping, Peng Sanmei