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Non-Hispanic black persons were more likely than non-Hispanic white and Mexican-American persons to have at least one of the three conditions (diagnosed or undiagnosed). Non-Hispanic black and non-Hispanic white persons were more likely than Mexican-American persons to have both diagnosed or undiagnosed hypertension and hyper-cholesterolemia.
Eliminating health disparities among different segments of the population is one of two overarching goals of both Healthy People 2010 and 2020 (1). Diagnosed or undiagnosed hypertension and hypercholesterolemia are more likely to coexist in non-Hispanic black and non-Hispanic white persons than Mexican-American persons.
Consensus definitions for the diagnosis of the hypertension, hypercholesterolemia, and diabetes have been presented elsewhere and serve as the rationale for the analytic definitions used in this report as described in the following text (4-6).
Hypertension: Systolic BP a‰? 140 mm Hg or diastolic BP a‰? 90 mm Hg or currently taking medication to lower high BP. Diabetes: A self-report of a previous physician diagnosis of diabetes or having undiagnosed diabetes.
The National Health and Nutrition Examination Survey (NHANES) data were used for these analyses. The NHANES sample is selected through a complex, multistage design that includes selection of primary sampling units (counties), household segments within the counties, and finally sample persons from selected households. Sample weights, which account for the differential probabilities of selection, nonresponse, and noncoverage, were incorporated into the estimation process. Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
Diabetes is a group of diseases that affect the bodya€™s ability to produce or use insulin, a hormone that allows your body to turn glucose into energy. A poorly functioning or nonfunctioning pancreas wona€™t produce the insulin your body needs to convert sugar into energy. Breath that has a sweet scent may indicate high levels of ketones, a serious complication of diabetes. High levels of protein in the urine may mean that your kidneys have suffered some damage and arena€™t functioning well. Too much glucose can keep food in your stomach too long, causing bloating, heartburn, and nausea.
Too much glucose in your system can cause restricted blood flow, leading to a variety of symptoms. High blood pressure and damaged blood vessels put added strain on the heart, increasing the risk of cardiovascular disease. Damaged nerves can alter your perception of heat, cold, and pain, and thata€™s not a good thing. People with diabetes have a higher incidence of cataracts and glaucoma than people without diabetes.
After you eat or drink, your body breaks down the sugars in your blood and turns it into glucose. Common symptoms of diabetes include excessive thirst, frequent urination, and sluggishness. Diabetes can damage your kidneys, affecting their ability to filter waste products from your blood.
High blood glucose levels can make it hard for your stomach to completely empty (gastroparesis). High blood glucose levels can contribute to the formation of fatty deposits in blood vessel walls. Diabetes and smoking are a very bad mix, increasing risk of cardiovascular problems and restricted blood flow.
You may also be more prone to boils, infection of the hair follicles (folliculitis), sties, and infected nails. Diabetes causes damage to the nerves (peripheral neuropathy), which can affect your perception of heat, cold, and pain, making you more susceptible to injury.
Swollen, leaky blood vessels in the eye (diabetic retinopathy) can damage your vision and even lead to blindness. Get an up-close look at the increasing impact type 2 diabetes has on everything from pregnancy to healthcare costs. Connect with real patients and learn about treatments and important lifestyle considerations. People who are trying to quit smoking often become discouraged when they do not succeed at first.
See your health care provider if you wish to stop smoking, or have already done so and are having withdrawal symptoms.


We pick these items based on the quality of the products, and list the pros and cons of each to help you determine which will work best for you. Please note that we are unable to respond back directly to your questions or provide medical advice. As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. Non-Hispanic black and Mexican-American persons were more likely than non-Hispanic white persons to have both diagnosed or undiagnosed hypertension and diabetes.
Non-Hispanic white persons were more likely to have only one of the three conditions compared with Mexican-American persons. Diagnosed or undiagnosed hypertension and diabetes are more likely to coexist in non-Hispanic black and Mexican-American persons than non-Hispanic white persons.
NHANES is a cross-sectional survey designed to monitor the health and nutritional status of the civilian, noninstitutionalized U.S. The sample design includes oversampling in order to obtain reliable estimates of health and nutritional measures for population subgroups. The standard errors of the percentages were estimated using Taylor Series Linearization, a method that incorporates the sample weights and sample design (8).
Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Diabetes can be effectively managed, but potential complications include heart disease, stroke, and kidney damage. Type 1, also known as juvenile diabetes or insulin-dependent diabetes, is an immune system disorder. Most of the time, gestational diabetes can be controlled through diet and exercise, and it typically resolves after the baby is delivered. If your pancreas produces little or no insulin, or if your body cana€™t use it, alternate hormones are used to turn fat into energy. Elevated amounts of protein in your urine (microalbuminuria) may be a sign that your kidneys arena€™t functioning properly. Over time, that can restrict blood flow and increase the risk of hardening of the blood vessels (atherosclerosis). Poor circulation can cause pain in the calves while youa€™re walking (intermittent claudication). According to the National Diabetes Information Clearinghouse, people with diabetes have double the risk of heart disease or stroke than people without diabetes.
People with diabetes have a higher incidence of bacterial infections, including staph (Staphylococcus), than the general population.
Youa€™re most likely to develop this type of infection between fingers and toes, the groin, armpits, or in the corners of your mouth. This also makes it more likely that youa€™ll ignore an injury, especially if ita€™s in a difficult place to see, such as between your toes, on your heels, or the bottoms of your feet. We partner with some of the companies that sell these products, which means Healthline may receive a portion of the revenues when you buy something using the links below. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. Hypertension, hypercholesterolemia, and diabetes are all chronic conditions associated with cardiovascular disease, the leading cause of death in the United States. Non-Hispanic black persons were more likely than non-Hispanic white and Mexican-American persons to have at least one of these three conditions. Non-Hispanic black persons were more likely to have two comorbid conditions compared with non-Hispanic white and Mexican-American persons. In 1999-2006, African Americans, Mexican Americans, persons with low income, persons aged 12-19 years , and persons aged 60 and over were oversampled. In Type 1 diabetes, the patienta€™s own immune system attacks the insulin-producing cells in the pancreas, destroying the ability to manufacture insulin.
This can create high levels of toxic chemicals, including acids and ketone bodies, which may lead to a condition called diabetic ketoacidosis.
People with diabetes are particularly prone to foot problems due to narrowed blood vessels in the leg and foot. Monitoring and controlling your blood glucose, blood pressure, and cholesterol can lower that risk.
In most cases, gestational diabetes is easily controlled, and glucose levels return to normal after the baby is born. People who smoked the longest or smoked a greater number of cigarettes each day are more likely to have withdrawal symptoms.
Tobacco and related chemicals can increase your risk of serious health problems such as cancer, lung disease, and heart attack.


These findings indicate that a high percentage of the population have a condition associated with heart disease, the leading cause of death in the United States. Non-Hispanic black persons were also more likely to have all three chronic conditions compared with non-Hispanic white persons. The survey consists of interviews conducted in participantsa€™ homes, standardized physical examinations conducted in mobile examination centers, and laboratory tests utilizing blood and urine specimens provided by participants during the physical examination.
Wright are with the Centers for Disease Control and Preventiona€™s National Center for Health Statistics, Division of Health and Nutrition Examination Surveys. In a person with diabetes (diabetes mellitus), the pancreas either produces too little insulin or none at all, or the insulin cana€™t be used effectively. The pancreas has to produce much higher levels of the hormone in order to manage blood glucose levels.
It usually happens to people whose diabetes is undiagnosed or who have not been able to control their diabetes.
You can use petroleum jelly or gentle creams, but be careful: creams or oils left between your toes can become so moist that it can lead to infection. Symptoms are the same as other types of diabetes, but may also include repeated infections affecting the vagina and bladder. Quitting tobacco is hard if you are trying to do it alone. To be successful, you must really want to quit. In addition, reliance on only self-reported diagnosis results in an underestimate of the prevalence of these conditions.
Each year of data collection is based on a representative sample covering all ages of the civilian, noninstitutionalized population. This allows blood glucose levels to rise while the rest of your cells are deprived of much needed energy. Over time, the insulin-producing cells in the pancreas can burn themselves out due to this overproduction.
People with diabetes should be evaluated for nephropathy in order to avoid irreversible kidney damage and kidney failure.
A condition called diabetic neuropathy causes decreased sensation in the extremities, which may prevent you from noticing an injury or infection.
Symptoms of eye trouble can be mild at first, so ita€™s important to see your eye doctor regularly. Women with gestational diabetes may have babies with higher birth weight, making delivery more complicated. Your breath may have a sweet scent that is caused by the elevated levels of ketone bodies in the blood.
Women who have had gestational diabetes should be monitored, as therea€™s an increased risk of developing diabetes within ten years. However, in earlier phases of this more common type of diabetes, the illness can be effectively managed with diet, exercise, and careful monitoring of blood sugars. High blood sugar levels and excess ketones in your urine can confirm diabetic ketoacidosis. Poor blood flow and nerve damage increase the likelihood of having a foot or leg amputated.
Smokeless tobacco products are either placed in the mouth, cheek, or lip and sucked or chewed on, or placed in the nasal passage. Some people with Type 2 diabetes may require a variety of oral medications and eventually, as described above, some will eventually need insulin.
If you have diabetes, it is critical that you take good care of your feet and inspect them often. The nicotine in these products is absorbed at the same rate as smoking tobacco, and addiction is still very strong. These programs are offered by hospitals, health departments, community centers, work sites, and national organizations. Nicotine replacement therapy may also be helpful.
It involves the use of products that provide low doses of nicotine, but none of the toxins found in smoke. The goal is to relieve cravings for nicotine and ease your withdrawal symptoms. Health experts warn that e-cigarettes are not a replacement therapy for cigarette smoking. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta GA.



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