{"id":1990,"date":"2022-10-27T08:18:27","date_gmt":"2022-10-27T07:18:27","guid":{"rendered":"https:\/\/aimedicalcentre.com\/?p=1990"},"modified":"2025-02-21T08:52:03","modified_gmt":"2025-02-21T08:52:03","slug":"health-decoded-high-blood-lipids-and-high-blood-sugar-can-lead-to-heart-problems-control-your-cholesterol","status":"publish","type":"post","link":"https:\/\/aimedicalcentre.com\/en\/%e3%80%90%e5%81%a5%e5%ba%b7%e8%a7%a3%e7%a2%bc%e3%80%91%e9%ab%98%e8%a1%80%e8%84%82%e5%8a%a0%e9%ab%98%e8%a1%80%e7%b3%96%e6%98%93%e6%9c%89%e3%80%8c%e5%bf%83%e4%ba%8b%e3%80%8d-%e6%8e%a7%e5%88%b6%e8%86%bd\/","title":{"rendered":"[Health Decode] High blood lipids plus high blood sugar easily leads to \"heart matters\". Tips you need to know about controlling cholesterol"},"content":{"rendered":"
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High blood lipids and high blood sugar are two major risk factors for cardiovascular disease. However, they often go unnoticed, with some patients only discovering abnormal indicators when complications arise. Specialist doctors remind the public to undergo regular blood lipid and blood sugar tests, and to intervene early if levels are found to be excessively high, to prevent irreversible vascular damage.<\/p>\n\n\n\n

Cardiovascular health is in peril due to the double whammy of high blood pressure and high cholesterol.
Dr Fu Chiu-lai, a cardiologist, explained that high cholesterol and diabetes are very closely linked, often appearing together and causing each other. Latest data shows that approximately 30-40% of diabetic patients die from cardiovascular disease. Type 2 diabetes patients experience insulin resistance, which prevents cells from effectively using glucose through insulin. As a result, sugar remains in the blood, becoming raw material for producing cholesterol and triglycerides, leading to lipid problems. High lipids, in turn, negatively affect the liver cells' response to insulin, creating a vicious cycle.<\/p>\n\n\n\n

High cholesterol and diabetes can both cause inflammation, hardening, narrowing, and even blockage of blood vessels, leading to fatal diseases such as myocardial infarction, stroke, and kidney failure. The risk for patients suffering from both conditions is even higher. However, the symptoms of these two conditions may not be obvious. When blood vessels begin to be damaged, patients may still think they are fine, only to discover that their cholesterol and blood sugar levels are off the charts when they are admitted to hospital with an acute illness. Therefore, Dr. Fu recommends that individuals over 40 should have an annual blood test for early detection of abnormalities. If there is a family history of cardiovascular disease, diabetes, or high blood pressure, earlier screening may be necessary.<\/p>\n\n\n\n

Diabetic patients have stricter cholesterol targets.
To reduce the risk of cardiovascular disease, people with diabetes must not only manage their blood sugar properly but also strictly control their blood lipid levels. Taking \"bad\" cholesterol as an example, a level of 3.0 mmol\/L or below is generally considered acceptable for the general population. However, patients diagnosed with diabetes for ten years need to control it to 1.8 mmol\/L or below to meet the target. If the patient has already developed vascular occlusion or organ complications, the value might need to be even lower.<\/p>\n\n\n\n

Dr Fu stated that developing good dietary and exercise habits is fundamental. In terms of diet, saturated fats, trans fats, and cholesterol should be reduced, and replaced with foods rich in unsaturated fats and high dietary fibre. Regarding exercise, at least 120 to 150 minutes of moderate-intensity aerobic exercise should be undertaken each week, along with a suitable amount of muscle-strengthening exercise.<\/p>\n\n\n\n

Drug treatment to prevent \"heart concerns\"
However, many people with diabetes still have suboptimal blood lipid levels even if they lead a healthy lifestyle and have no unhealthy habits; some patients also have a risk of developing cardiovascular disease within ten years of 10% or higher. They all need to consider medication to prevent cardiovascular disease from developing.<\/p>\n\n\n\n

Currently, there are several types of cholesterol-lowering drugs in Hong Kong that reduce cholesterol synthesis and absorption by targeting the liver and intestines, thereby lowering blood cholesterol levels. Traditionally, oral statins are the first-line treatment. Studies have confirmed their effectiveness in reducing \"bad\" cholesterol and triglyceride levels. If further reduction of \"bad\" cholesterol is needed, other medications can be added based on individual patient needs, such as oral cholesterol absorption inhibitors or injectable PCSK9 inhibitors.<\/p>\n\n\n\n

Please note: The above information is for reference only. There are various treatment options, each with different efficacy, side effects, and risks. Patients should discuss with their doctor and choose the most suitable treatment plan based on their individual circumstances, including their physical condition, illness, and affordability.<\/p>\n\n\n\n

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