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Sundus Siddiqui
HSC 3211: Case study #3
11/18/12

1) In light of the new results, discuss the increased importance for Patient X to start a diet, quit smoking and increase physical activity in line with his doctor’s recommendations.

It is very important for Patient X to start a diet, quit smoking, and increase physical activity. This patient has a history of hypertension, for which he is already on medication. To reduce blood pressure, it is essential to follow a diet that is low on salt intake. One of the best diet plans for people with hypertension is DASH. “The DASH diet eating plan has been proven to lower blood pressure in studies sponsored by the National Institutes of Health”. Also, every cigarette he smokes per day will increase his blood pressure, so he needs to quit smoking as soon as possible. A lack of physical activity is another factor that is increasing his risk of hypertension. Studies show that even doing some moderate exercise regularly can significantly improve a person’s blood pressure, and put them at lower risk of hypertension. Patient X is also diabetic, which makes it even more vital for him to make these changes in his life. His fasting glucose is higher than 126 mg/dL, showing that he is diabetic. Having a proper diet, along with exercise, will help him control his blood sugar levels, and decrease his weight. Right now he weighs 245 lbs, making his BMI 35.2. This puts him in the severely obese category! This is very dangerous to his health in every way and he needs to reduce weight as soon as possible. Furthermore, smoking is already harmful to any human, but for diabetics, it specifically causes his blood sugar level to go high. This is another reason why he needs to quit smoking.

Starting off with his triglycerides, 310 is considered high. This is the form in which most fat exists in our bodies, which ties in to the obesity factor. The best way to fix this is having a healthy diet, and regularly exercising. His HDL level is...
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