Dr Manish Khokhar

  Increasing blood pressure affects one million people all over the world and comes to the top in the cause of death. blood pressure doubles the risk of heart disease, coronary disease, congestive heart disease, stroke, kidney failure, and peripheral artery disease. Though blood pressure lowering medication decrease risk. Epidemiology Blood pressure increases with age and vary among populations and even in the same country. S ystolic blood pressure increases with age >60 years and diastolic blood pressure is going to decrease after age 55. So, widening the pulse pressure. In the united-state increasing high blood pressure is due to obesity. The prevalence of blood pressure and stroke mortality is higher. Environmental and genetic factors may contribute to local and racial variations in hypertensive prevalence. Now, people are living in a more urbanized area so their lifestyle changes and leads to obesity. 60% of hypertensive are 20% overweight . High sodium intake an...

  Goals The goals management of Diabetes mellitus are to 1) stop symptoms related to hyperglycemia (increase glucose) 2) reduce the long term microvascular and macrovascular complication of diabetes mellitus, and 3) normalized lifestyle as possible. The patient with diabetes mellitus needs education and medicines to keep a normal level of glucose, and management of diabetes related complications. Symptoms of diabetes mellitus are resolved when it normalized glucose levels. The management of diabetes mellitus patients need a multidisciplinary team. Patient’s input associated with primary care providers and need subspecialists to treat complications and management of diabetes mellitus are necessary. The ongoing aspect of comprehensive diabetes care We will discuss different terminology such as intensive insulin therapy, intensive glycemic control, and comprehensive diabetes care, to focus on optimal diabetic care. The morbidity and mortality can be prevented by getting over the...