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Mondo Health Updated on 2024-02-01

[Fan Letters].Xiao Wang's husband Xiao Li is only 35 years old this year, and he did not expect to suffer from the so-called "three highs" of common diseases for the elderly - high blood pressure, high blood lipids, and high blood sugar. This made Xiao Wang very worried, because Xiao Li is not too old, how can he have so many health problems?

Xiao Li's work is very stressful, either working overtime or socializing, and often stays up late. This made his body worse and worse, and every time he saw his tired appearance, Xiao Wang felt distressed. She advised Xiao Li to pay attention to her body many times, but Xiao Li reluctantly told her that he didn't want to do this either, but the job was not easy, and it was really not easy to earn a salary.

Xiao Wang knew in his heart that in order for Xiao Li's body to get better, he first had to improve his lifestyle. She is worried that if Xiao Li continues like this, not only her physical health will be affected, but even her husband and wife life may be disturbed. She had heard that the three highs might have an impact on the couple's life, and she was also worried about whether Xiao Li would need to take medicine to control these problems.

Xiao Wang began to look for information about the three highs and wanted to know more. She found that high blood pressure, hyperlipidemia and hyperglycemia are common chronic diseases that can be controlled through a reasonable diet and lifestyle habits. She decided to change her eating habits with Xiao Li, reduce the intake of greasy food, eat more vegetables and fruits, drink less alcohol, and exercise more.

Although Xiao Li had some doubts, he was willing to try seeing that Xiao Wang cared so much about his health. They decided to face the "three highs" together, hoping to improve Xiao Li's physical condition and get their married life back on track. I would like to ask, do the "three highs" need drug intervention? I've heard people say before that the three highs have an impact on the life of couples, is this true? What should I pay attention to in my diet?

[Doctor's reply].Among chronic diseases, hypertension, hyperglycemia and hyperlipidemia are commonly referred to as the "three highs". These diseases are often accompanied by poor eating habits and lifestyles. This article examines the definition of the three highs, the associated food choices, and medication control strategies to help patients better manage these conditions.

1. Definition of three highs

Hypertension: Hypertension is a persistent increase in blood pressure that reaches or exceeds the level of 140 to 90 mm Hg. High blood pressure can lead to heart disease, stroke, and kidney problems.

Hyperglycemia: Hyperglycemia is when the level of glucose in the blood exceeds the normal range and is usually measured by fasting blood sugar levels. High blood sugar is a major feature of diabetes and has also been linked to cardiovascular disease, eye problems, and nerve damage.

Hyperlipidemia: Hyperlipidemia is an increase in the level of lipids (such as cholesterol and triglycerides) in the blood, particularly low-density lipoprotein (LDL) cholesterol. Hyperlipidemia is associated with atherosclerosis and cardiovascular disease.

Dietary control in patients with high 2 and 3 highs

Control salt intake: People with high blood pressure should limit salt intake and reduce salt-fortified foods and processed foods with high salt content. Choose low-sodium salts or herbs to add flavor to your food.

Low-sugar diet: People with high blood sugar need to avoid high-sugar foods such as candy, desserts, and sugar-soaked drinks. Choosing high-fiber foods, such as whole-grain bread, oats, and vegetables, can help stabilize blood sugar levels.

Healthy fats: People with hyperlipidemia should avoid saturated and trans fats and increase their intake of unsaturated fats, such as olive oil, fish oil, and nuts.

Eat more fruits and vegetables: Vegetables and fruits are rich in antioxidants and fiber, which can help control the three highs. Colorful vegetables and fruits provide a variety of vitamins and minerals.

Control alcohol consumption: Alcohol consumption should be exercised, especially in patients with hypertension and hyperlipidemia. Excessive alcohol consumption can raise blood pressure and blood lipid levels.

3. Drug control strategies

Diuretics: For people with high blood pressure, diuretics can help flush out excess sodium and water and lower blood pressure. Commonly used diuretics include hydrochlorothiazide and furosemide.

Rifampicin and statins: These drugs can lower LDL cholesterol levels and help people with hyperlipidemia control their blood lipids. Common medications include atorvastatin and simvastatin.

Insulin and oral glucose-lowering medications: People with hyperglycemia may need insulin injections or oral glucose-lowering medications to help control blood sugar levels. Commonly used oral medications include metformin and glimepiride.

Antihypertensive drugs: In addition to diuretics, antihypertensive drugs include calcium channel blockers, ACE inhibitors, and ARBS, among others, which can lower blood pressure.

Anticoagulant drugs: People with hyperlipidemia may need anticoagulant drugs, such as aspirin, to prevent thrombosis.

Patients with three highs should develop diet and medication control strategies under the guidance of a doctor. In terms of diet, limiting the intake of salt, sugar, and saturated fats, and increasing the intake of vegetables, fruits, and healthy fats can help control the three highs. In terms of medications, various medications can help patients lower blood pressure, blood sugar, and blood lipid levels, but they must be used under the supervision of a doctor to ensure safety and effectiveness. Through an integrated approach, patients with three highs can improve their health, reduce cardiovascular risk, and improve quality of life.

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