Cholesterol and Diabetes

Cholesterol is usually attached to the surrounding delicious food, excessive weight, and age. Cholesterol tends to be known as something negative and should be avoided.

Cholesterol is a fatty compound complexes, of which 80% is generated from within the body (liver) and 20% were from outside the body (nutrients) for a variety of functions in the body, one of which form the cell wall.
Cholesterol that is in food substances can increase blood cholesterol levels, but remain safe as far as revenue is balanced with the need.
Cholesterol does not disso Jamsi jami fermentasi lve in the blood  fluid, so that it can be sent to the whole body needs protein packed together into particles called lipoproteins, and regarded as a (carrier) of cholesterol in the blood.

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Is harmful cholesterol?

LDL (Low Density Lipoprotein)
This type of cholesterol is dangerous and is often referred to as bad cholesterol. LDL cholesterol transports cholesterol in the blood at the most. High levels of LDL lead to deposition of cholesterol in the arteries. LDL cholesterol is a major risk factor for coronary heart disease at the same time the main target in the treatment.

HDL (High Density Lipoprotein)
Cholesterol is not harmful. HDL transports cholesterol from LDL cholesterol less and is often called good cholesterol because it can remove excess cholesterol in the arteries back to the liver for processing and disposal.
HDL prevents cholesterol settle in arteries and protect blood vessels from the process of atherosclerosis (plaque formation in the blood vessel walls).

In addition to LDL and HDL, which is important to note also is Triglyceride, which is a type of fat found in the blood and various organs in the body. Increased levels of triglycerides in the blood may also increase cholesterol levels. A number of factors can affect blood triglyceride levels such as obesity, alcohol consumption, sugar and fatty foods.
High levels of triglycerides (TG) can be controlled with a low-carb diet.

Cholesterol and Diabetes Mellitus (Diabetes)
Diabetes Mellitus, or Diabetes is a condition where blood sugar levels exceed normal limits. Uncontrolled diabetes with high glucose levels tend to increase levels of cholesterol and triglycerides in the body.
LDL cholesterol in people with diabetes more vicious because the shape is more compact and smaller size (Small Dense LDL) so it is easy to get in and stick to the lining of blood vessels deeper (atherogenic).
In patients with Diabetes Mellitus death caused by disease kardioserebrovaskular. Diabetes Mellitus is very important to suppress especially LDL cholesterol to <100 mg / dL. This is because Diabetes Mellitus is a condition that is considered to be the same as the people affected by coronary heart disease. Even in patients with Diabetes Mellitus who have coronary heart disease, the target LDL its lower at <70 mg / dL.
High blood sugar levels and prolonged will lead to atherosclerosis in the coronary arteries and cause coronary heart disease. Even patients with diabetes tend to develop heart problems at a young age.

Controlling Cholesterol
High cholesterol (hypercholesterolemia) are not visible and are often asymptomatic, except by doing a check up (blood tests) regularly at least once every 6 months after medical consultation with a doctor.
However, cholesterol should be controlled by having a healthy lifestyle such as:

low-fat diet
quit smoking
balanced weight
regular exercise

If all the efforts that have been made still do not achieve the recommended LDL goal, then the drug can be used as an alternative.

Periodic inspection
To control the cholesterol levels in the blood, laboratory tests should be performed regularly, at least every 6 months. To determine levels of cholesterol in the blood, can be done by conducting tests in the laboratory after fasting +/- 10 hours. There is no need to fast (direct LDL and HDL) and there is a need to fast (TG and cholesterol).
The laboratory normal values ​​for cholesterol are as follows:

LDL cholesterol
The normal value of LDL cholesterol depends on the number of risk factors for CHD person. The more the number of risk factors, the lower the LDL cholesterol should be lowered.
– If the number of CHD risk factors 0-1, the target LDL cholesterol <160 mg / dl – If the number of risk factors for CHD> 2, then the target LDL cholesterol <130 mg / dl

– If someone is no history of CHD or diabetes, then the target LDL cholesterol <100 mg / dl HDL cholesterol:> 40 mg / dl
Triglycerides: <150 mg / dl
Total cholesterol: <200 mg / dl

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