Hi doctor, I am 47 years old. I am 91 kilograms of weight, and my height is 5 feet. I have high BP and presently taking tablet Atenol 50 during the night and Losar 50 in the morning daily. I also had a gastric issue before six months. But now it is fine. I smoke two cigarettes in the morning and at night. I do not drink. But I usually drink two to three times a year, and I drink one or two bottles of beer. I have artificial teeth placed in the upper with five teeth and 12 teeth in the lower. My sugar levels, both fasting, and postprandial are fine. My cholesterol levels are within the range. I do not have the habit of jogging. The only exercise I do is walking. I tend to consume more traditional sweets (100 g per week). I eat rice mostly with dal, and fish with chicken curry. I am worried about my health issues. I want to know about the risk of heart disease. What should I need to do to change my lifestyle?
Hi. I have gone through the attachment (attachment removed to protect patient identity). Your reports are fine except the fatty liver which is due to being overweight and borderline cholesterol which is also linked to same. The most important risk factors in you are obesity and smoking. So try to reduce the weight and stop smoking. Smoking is much more injurious than alcohol. A single cigarette a day is more dangerous than a 100 ml beer a day. Also, hypertension should be under control. You should have a healthy lifestyle like avoiding fatty, oily and a high-calorie diet. Also, try to restrict taking sweets which increases weight. Have a low salt diet and monitor blood pressure regularly thrice a day for a week or twice a week. If the BP (blood pressure) is persistently more than 140/90 mmHg, then you should be on medicines for it. Do regular exercises like brisk walking, and jogging according to your capacity at least for 30 minutes a day and five days a week. Take lots of green leafy vegetables, fruits, and fish once or twice a week, and avoid taking meat. There should not be an abdominal fat deposition or obesity and try to lose weight. It is better if you get some screening test done like echo (echocardiogram) and TMT (treadmill test), although not urgent.