Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. This article will again be a collection of questions and answers.
Question: Is a sweet yogurt snack bad for you?
Answer: It is not sugar itself that is harmful, but its amount in the diet. If you do not convert more than 5-10% of daily calories into sugar, then this is normal.
Question: Why does hunger feel bad and you want to cry? My blood glucose is normal.
Answer: People without diabetes do not need a glucometer. It is not suitable for diagnosis. Only existing diabetes can be controlled with a glucometer. Feeling unwell may not be from a drop in sugar, but from an increase in sugar-related hormones. They are called counterinsular hormones. They are trying to raise their blood sugar even before it drops too much. We can say that these hormones raise panic in our body. From this it becomes bad, nausea appears, and the mood spoils.
Question: Why is everyone given the same advice about high blood pressure? After all, all people are different.
Answer: The pressure at rest should be approximately the same for everyone. One hour after exercise, blood pressure should return to normal. If it has not become normal, then it is hypertension, which dramatically increases the risk of death from heart attack or stroke.
Question: Is it true that cardiologists are prohibited from referring patients after 60-65 years of age for various diagnostics: Holter, stress tests, treadmill, etc.?
Answer: Not true. The last time my old grandmothers were sent to cycle ergometry was last year. I saw two grandmothers for 80 years. They walk with difficulty. They came to pedal. I think there are different distortions in the localities. There are no hard recommendations on this score. It is accepted after 80 years, after all, not to put grandmothers on bicycles. There are no longer the same joints, bones and muscles.
Question: Who established such norms? The pressure of each person changes individually, and the reasons for the change are also different. Sometimes it rises in the morning, sometimes in the evening. You need to observe yourself and take medications on time. That's all. Everyone has gone to healers, is there nothing more to do?
Answer: All people are made of the same meat. After they grow up, the pressure should be about the same. If it is above the norm, then it must be reduced. Otherwise, you can die from a heart attack or stroke. And yes, blood pressure is the most variable indicator in our body. It is constantly changing. Therefore, special conditions were chosen for measuring blood pressure. It is measured one hour after exercise or caffeine consumption, half an hour after using the toilet, and 5 minutes after sitting with a cuff on the shoulder. If the pressure rises once a day, then most likely it does not need to be treated.
Question: Why doesn't my elderly mother need to go to the resort with therapeutic mud?
Answer: Because people over 70 years old sometimes die in resorts. The various physical treatments that are used in the resorts appeal to old people, but unbalance their bodies. This is a normal effect of physiotherapy, but with senile fragility, this effect can be deadly.
Question: Before, each age had its own pressure. Why are they now operating on the same blood pressure rate for both young and old?
Answer: Pressure rates are needed to assess the forecast, risk and all that. When people measure blood pressure, they are not actually measuring blood pressure. It only seems to them that they are measuring. In fact, they listen to Korotkov's tones. Well, or the electronic tonometer hears something. Usually, you can roughly guess the blood pressure. They do not treat a person with his pressure, but the moment when knocks appear in the phonendoscope. According to statistics, if the appearance of knocks is controlled in a certain way, then people die less often. If not controlled, they die more often. Previously, there were fewer statistics, now more statistics are accumulated. Logic doesn't matter here. Statistics only.
