KNOW YOUR NUMBERS...

For a proper understanding of your health, you must know how you stand compared to the normal, healthy condition. For instance, when the nurse tells you your blood pressure is "150 over 95", what does this mean; is it normal? Or if your blood sugar is 145 mg/dL, are you diabetic? Here are some paragraphs about the most common normal numbers you should know - blood pressure, blood cholesterol (and other lipids), blood sugar, and CRP levels.
Blood Pressure
Two numbers are used to describe blood pressure:
> Systolic. The systolic pressure (the higher and first number) measures
the force that blood exerts on the artery walls as the heart contracts to pump
out the blood.
> Diastolic. The diastolic pressure (the lower and second number)
is the measurement of force as the heart relaxes to allow the blood to flow
into the heart.
Blood pressure is measured in millimeters of mercury (mm Hg). A blood pressure
reading is written like this: 120/80 mm Hg, where 120 is the systolic, and 80
is the diastolic blood pressure. Blood pressures are now categorized as normal,
prehypertension, hypertension stage 1, or hypertension stage 2. The categories
are defined in this table:
|
Category
|
Systolic
BP (mm Hg)
|
Diastolic
BP (mm Hg)
|
|
|
Normal
|
below 120
|
and
|
below 80
|
|
Prehypertension
|
120 - 139
|
or
|
80 - 89
|
|
Hypertension
Stage 1
|
140 -159
|
or
|
90 - 99
|
|
Hypertension
Stage 2
|
160 and above
|
or
|
100 and above
|
Blood Lipids, Including Cholesterol
Lipoproteins are protein spheres that transport cholesterol, triglyceride, or
other lipid molecules through the bloodstream. Most of the information about
the effects of cholesterol and triglyceride actually concerns lipoproteins.
The cholesterol-carrying lipoproteins are commonly referred to as cholesterol.
They comprise the low density lipoproteins (LDL), often called the "bad" cholesterol,
and the high-density lipoproteins (HDL), referred to as the "good" cholesterol.
The triglyceride-carrying lipoproteins are intermediate in density, and together
with very-low density proteins, carry triglycerides.
> Desirable total cholesterol: below 200 mg/dL (5.17 mmol/L)
> Optimal LDL ('bad') cholesterol: below 100 mg/dL (2.6 mmol/L)
> Optimal HDL ('good') cholesterol: over 60 mg/dL (1.56 mmol/L)
> Normal triglyceride: below 150 mg/dL (1.7 mmol/L)
Dividing the total cholesterol by the HDL cholesterol levels gives a Total/HDL
ratio: The ideal ratio is 3.5 or below. A ratio of 4.5 carries an average risk
for cardiovascular disease.
Blood Sugar Levels
Fasting Plasma Glucose: The American Diabetes Association has recommended
the sole use of the fasting plasma glucose (FPG) test. It is a simple blood
test taken after eight hours of fasting. In general, results indicate the following:
> FPG levels are considered normal up to 110 mg/dl (or 6.1 mmol/L).
> Levels between 110 and 125 (6.1 to 6.9 mmol/L) are referred to as impaired
fasting glucose. They are only slightly above normal, but are considered to
be risk factors for diabetes type 2 and its complications.
> Diabetes is diagnosed when FPG levels are 126 mg/dl (7.0 mmol/L) or higher
on two different days.
Glucose Tolerance Test: A glucose tolerance test uses the following procedure:
First, an FPG test is done. A blood test is then taken two hours later after
drinking a special glucose solution:
> In people without diabetes, blood sugar increases modestly after drinking
the glucose beverage and decreases after two hours.
> In diabetes, the initial increase is significant and the level remains
high, 200 mg/dL (11.1 mmol/L) or more.
> Measurements that fall between 140 and 200 mg/dL (7.8 to 11.1 mmol/L) put
a person at risk for diabetes and are referred to as impaired glucose tolerance.
Glycosylated Hemoglobin: This test examines blood levels of glycosylated
(or glycated) hemoglobin, also known as hemoglobin A1c (HbA1c). Measuring glycated
hemoglobin is useful for determining the severity of diabetes. The test is not
affected by food intake so it can be taken at any time. In general, measurements
suggest the following:
> Normal HbA1c levels should be below 7%.
> A level of 8% indicates diabetes, in 98% of cases.
> Levels above 11% indicate poor control of carbohydrates.
Source: Disease Digests: High Blood Pressure, Cholesterol, and Diabetes Type 2