By Dr Chua KF

Hypertension

Diabetes Mellitus

Heart Disease

Main causes of death in Malaysia:

Cardiovascular diseases (15.8%)

Cancer (9.34%)
Stroke (9.27%)

Diabetes Mellitus

Malaysia: 700,000 diagnosed with Type II Diabetes

1996: 18,000 diabetics aged between 30-34
From birth to 70 years old, 1 out of 5 will be diabetic
Ministry of Health predicts:
in 2025, 1.4 million Malays, 0.3 million Chinese, &
0.3 million Indians will become diabetics
In China, WHO 2002 survey: Diabetic patients
increased by 40% (1991-2001), total of 200 million

What is Diabetes Mellitus?

What is Diabetes Mellitus?

What is Diabetes Mellitus?

Pre-Diabetes

Complications of Diabetes Mellitus

Diabetic ulcer

Complications of Diabetes Mellitus

Diabetic retinopathy

Complications of Diabetes Mellitus

Kidney failure

Complications of Diabetes Mellitus

Stroke

Complications of Diabetes Mellitus

Other complications
Hypertension
Ischaemic heart disease
Diabetic neuropathy (impotence)
Hypoglycaemic attack
Infection

Hypertension
Category

Normal
High Normal

Systolic/Diastolic

Recommendation

< 130/85
130-139/85-89

Begin lifestyle modifications

Stage 1

140-149/90-99

Confirm in 2 months.
Begin lifestyle modifications

Stage 2

160-179/100-109

Medical evaluation

Stage 3

180-209/110-119

Medical evaluation

Stage 4

> 210/120

Hypertension

Immediate medical evaluation &

treatment

1996 Malaysian National Health & Morbidity Survey

33% of adults (30 years & above), or 2.6 million,
have hypertension. (And 56% of them didnt know
they have hypertension.

2002 WHO Survey: In China, HPT patients (18

years & above) increased by 31% (1991-2001) with
total of 160 million.

GOOD NEWS: Nearly 90% of HPT can be

controlled with diet, food supplements and other
lifestyle modifications.

Risk Factors of Hypertension

Family History
Smoking
Stress
Alcohol
Obesity

Complications of Hypertension

Heart Disease
Stroke
Hypertensive retinopathy
Kidney impairment

Understanding Your Heart

Cardiovascular
System

Risk Factors

Hypertension
High cholesterol
Smokers
Diabetics
Obesity
Lack of exercise
Stress
Family history

Other Risk Factors

High homocysteine
Low fibre diet
High saturated fat diet
High calorie diet

Medications
If you are already a Diabetic / Hypertensive / Heart
patient, these are medicines you may need to take:
Sugar lowering drugs
Anti-hypertensive drugs
Cholesterol lowering drugs
Anti-anginal drugs
Blood thinning drugs
Drungs for kidney impairment
Anxiolytics / anti-depressants
Others

These are the health care professionals you may

need to see:
Physician
Endocrinologist
Cardiologist
Dietitian
Nephrologist
Ophthalmologist
Orthopaedic surgeon
Dermatologist
Psychologist
Cardio-thoracic surgeon
Physiotherapist

If you are not one of them, or you are only borderline,

Health Need To Be E.A.R.N.ed:

Balanced

Nutrition

Regular

Exercise

Positive

Attitude

Adequate Rest

Fruit & Vegetable Fibres

Tulane University: eating 7g to 19g of fiber a day

led to a reduction in both systolic & diastolic
blood pressure
2 types of dietary fibres:
Soluble:
helps lower blood LDL level
lower blood sugar level
Insoluble:
found in the skin of fruits & vegetables
Helps in proper functioning of intestine
25gm to 35g of fibres daily is recommended

Natural B Complex

This group of vitamins

Help convert CHO to energy
Promote RBC production
B12 helps reduce risk of heart disease
Folic acid (a B vitamin) helps reduce
homocysteine level in the blood. Homocysteine:
an amino acid that can cause heart disease &
blood clots in blood stream
B Complex supplement reduce plasma
homocysteine by 14%, as compared to foliate rich
food (-1%)

BP Complex

Katsuobushi oligopeptide (protein

peptides from Bonito fish) has been
traditionally used as a health food in
Japan, to support circulatory health.
help support and maintain optimal
circulatory functions
Interferes with ACEs action
Relaxes arteries
Improves blood circulation
Does not lower blood pressure in
hypo-tensive people

Effects Of CoQ10 & L-Carnitine

Hearts function deteriorates when

CoQ10 level is low, and ceases totally
when it falls by 75%
CoQ10 is helpful where heart muscles
are weakened, eg: congestive heart
disease (CHD), cardiomyopathy, etc
CoQ10 supplement takes months to
show effects

Salmon Omega-3

Cannot be produced by our body

2 types of Omega-3:
EPA (good for CVS)
DHA (good for nervous system)
Salmon Omega-3 (EPA):
Regulate irregular heart beats
Lower blood cholesterol
Prevent blood clot, blood flow
Increase elasticity of blood vessels, help BP
Help bond O2 to hemoglobin
risk of CVD by 80%

Garlic-Licorice
Helpful in:
Stimulating circulation
Lowering BP by production of
hormone that increase BP
Lowering blood cholesterol level
by stimulating production of bile
by production of cholesterol by liver
Contains anti-oxidants that inhibit
oxidation of cholesterol
also lowers triglycerides level

Lecithin-E
Vitamin E
Fat-soluble anti-oxidant
Helps remove free radicals from body
Prolong vitality of red blood cells
Work together with Vitamin C
Help prevent oxidation of Vitamin A
Protect good fatty acids
Binds with LDL, prevent it from oxidation, thus
prevent inflammatory reaction of arteries

Lecithin
1850, Maurice Gobley discovered a substance in
the egg yolk that enable oil/fat to mix with water:
Lecithin (phospholipid)
Emulsifier of fats Helps fats & cholesterol mix
together with water in blood, allows smooth flow
of blood & prevent fat deposit
Required in the transport of fat-soluble vitamins
(A & E)

CB Plus
Control further calories intake by using
CB Plus when taking meals containing carbohydrate.

Protein Powder

Benefit of soy protein on CVS was

first explained by Ignatowski (1908)
October 1999, FDA confirms that
25gm of soy protein/day significantly
risk of CVD
Soy protein blood LDL (Anderson
et al, 1995), due to the isoflavones in
soy protein
No evidence of side effect

Multi-carotene

anti-oxidants: deactivate free radicals, protect cells

from damage and the body from diseases

Bio-C Plus

Ascorbic acid
Water soluble anti-oxidants
Easily lost through perspiration
Helps remove free radicals from body
Activates Vitamin E
Increase absorption of iron
Helps prevents CVD

Double X

Contains Vitamin B1, Selenium, Calcium &

Magnesium that are important for the health of
heart muscles.
Contains B12, B6, B2, Folic Acid, Zn & Mg:
metabolism of homocysteine
Plant concentrates: Anti-oxidants that deactivate
free radicals, protect cells from damage and the
body from diseases

To Prevent CVD
Supplement

Morning

Double-X

1 set

Multi Carotene

1 sg

Afternoon

Night
1 set

Lecithin-E

2 tabs

2 tabs

2 tabs

Bio-C Plus

2 tabs

2 tabs

2 tabs

Natural B Complex

2 tabs

2 tabs

2 tabs

Iron Folic

1 tab

Calcium Magnesium

1 tab

1 tab

1 tab

CoEnzyme Q10

1 sg

1 sg

1 sg

Salmon Omega 3*

1 sg

1 sg

1 sg

1 tab

1 tab

1 tab

4 tabs

4 tabs

4 tabs

1 scp

1 scp

1 scp

Garlic Licorice*
Fruit & Veg Fibers**
Protein Powder

**: Before meal

* : With precaution

To Control Blood Pressure

Supplement

Morning

Afternoon

Night

Double X

1 set

1 set

1 set

BP complex

1 sg

1 sg

1 sg

Calcium-Magnesium

1 tab

1 tab

1 tab

Fruit & Veg Fibers**

4 tabs

4 tabs

4 tabs

Garlic-Licorice*

1 tabs

1 tabs

1 tabs

1 sg

1 sg

1 sg

Salmon Omega 3*

**: Before meal

* : With precaution

9 + 6 Programme

Preparatory Period (2 weeks):

Detox
Effective Period (9 weeks)
Maintenance Period (6 months)