The other test is called personal monitoring of blood glucose or SMBG (in English). Using a blood glucose monitor to do SMBG test can help you to better control their blood sugar levels. The results you get SMBG test can help you make the appropriate adjustments to your medication, diet and physical activity level. Any person who has diabetes should have a blood glucose monitor and know how to use it if you do not have a monitor can go to the lab for a calculation of glucose.

How often should I test my blood sugar?
Your family doctor will recommend how often you should have a blood sugar test. The time of the tests are performed based on the type of medicine you take and how well controlled are your blood sugar levels. At the beginning will probably have to check your blood sugar more often. So check it more often when you feel sick or stressed, when making changes in your medication or are pregnant.

What time of day should I test?
The recommendations about the best time of year to check your blood sugar depends on the drug you take, the timing of meals and blood sugar control. In the table below, your doctor will check on what time you should check your blood sugar. Your doctor may also suggest different goals, depending on your situation.

The test blood sugar can help you understand how food and exercise affect blood sugar. The test can help make daily decisions about what to eat, how much exercise to do and how much diabetes medicine may need. You can also indicate when the sugar level is too high or low, to anticipate and prevent these problems. The normal level of blood sugar is between 70 and 140 mg / dl (milligrams per deciliter).

The test for measuring blood sugar control long-term
There is a special blood test should be done at least twice a year. If your treatment for diabetes or if it fails to change levels of glucose acceptable should have this test four times a year. It’s called the glycosylated hemoglobin test or hemoglobin test A1C (HbA1C). This test is to measure the amount of sugar that has stuck to the red blood cells. Health professionals should have this test, but if you do not come together for the next A1C blood test, remind them to make an appointment. When you have this test, get results, so write them down in the record on pages 81-84.

This is harmful to health and can lead to serious problems like strokes or heart attack. It is therefore important to monitor blood pressure regularly and know how to lower blood pressure if this high.

These are the golden rules that all doctors and specialists recommend us to lower blood pressure:

Stop smoking or using any product to snuff.
Lose weight if you exceed your normal weight.
Exercise regularly
A balanced diet high in fruits and vegetables and low in fat
Minimizes the consumption of alcohol, coffee and salt
Try alternative therapies
Emotional health plays an important role in regulating blood pressure , you may raise the pressure when provoked, or perhaps suffering from stress or feeling depressed. Such problems have an impact on blood pressure and solution could be simple solution for high blood pressure.

The yoga can be helpful if the problem has its origin in emotional states. Techniques for relaxation and meditation can leave behind the stress, anxiety, fear, or perhaps simply concerns a situation in our lives.

In traditional Chinese medicine using a combined therapy of acupuncture with herbs to lower blood pressure. It is claimed to be due to improper flow of chi energy and the causes are depression, anger, obesity and poor diet.

A good recommendation for regular blood pressure is to start the day with a bowl of oatmeal , which is good for the pressure and to regulate cholesterol.

An effective homemade recipe is: one liter of water, 3 cloves garlic, 1 bunch of olive leaves and a hawthorn. Boil the leaves of olive and hawthorn for 3 minutes over low heat. You have to let it sit for 10 minutes. Strain and store in a glass container. He takes the juice of the garlic and add. He drinks a liter per day of this infusion, a period of one week, then rest one week and resume again. This will help regulate blood pressure.

To measure the pressure at home is a trick very effective and simple: a key to hang by a thread. Place the left thumb on the right wrist of the person who is going to take the pressure. It extends a tape on a table next to the arm. Bring the key to moving like a pendulum on the tape. And if you have low pressure the key is to start spinning on its axis to get the numbers 5-7. If the pressure is high the key is to turn when you reach 10.

A recipe and a trick easy to care for ourselves in our blood pressure.

To perform this procedure with a device consisting of a monitor, pressure generator, a bracelet with his Sleeve, inflatable and their respective sensor, and a long rubber hose that connects the monitor to the cuff.

Place and adjust the cuff around the patient’s arm, the hose is placed behind the patient’s neck, and face forward, connecting with the Monitor, which hangs through a belt to the waist the patient.

The Monitor is programmed to inflate the cuff and blood pressure checked every waking 15′dúrante, and each 30′durante hours of sleep.

The advantages of MAP are many: increased pressure recording, better information for daily life, evaluation of both day and night, less stress and failure due to absence of an observer, heart rate information, etc..

Intolerance to the study, the additional cost and the interference of exercise are some of the disadvantages of this procedure.

The most frequent indications are: suspicion of hypertension, white apron syndrome (elevated BP in the presence of the doctor), differences between BP taken at home consultorioy, evaluation of antihypertensive treatment, evaluate nocturnal BP changes, hyper-or hypotension episodic, evaluation of syncope, and so on.

The patient should be advised not to swim, stretch your arm when the cuff inflation occurs, avoid compression of the rubber hose and strenuous exercise.

The normal values ​​of BP are considered for this monitoring are different than those taken into account in the assessment office, in the waking stage should be less than or equal to 135/85 mmHg and during sleep should be less of 120/75 mmHg.

After 24 hours, remove the device, downloaded to a computer the information contained in the monitor and the doctor proceeded to analyze it. Finally, we give the conclusions and recommendations.

Treating this condition with conventional medicine can lead to aggressive treatment, expensive, besides being in constant review. Today there are many treatments to eliminate this problem, but what we can offer natural medicine ?

The functionality of any treatment for high blood pressure with natural medicine depend on the patient’s condition, the address you want to give the problem medically speaking and functionality, and patient acceptance towards it.

Natural medicine to treat these problems can be through a change in food, for food to reduce stress at the blood (such as fish oil , garlic , etc.)., a workout for the heart stronger and like all muscles of the body, taking special supplements or herbal therapy (green tea, white, etc.)

There are other natural treatments may include acupuncture, which is one of the favorite thanks to its non-aggressive media and surprising results, since it is based on traditional Chinese medicine with many centuries of study.

Another therapy is to take relaxation routines such as yoga, Pilates, among others, which help reduce stress levels , relax your muscles and help both the body such as the circulatory system work properly.

If you take a medical treatment with herbs or any supplement you are taking medication and also check with your doctor and could cause many adverse reactions.

It was found that the initial pressures were higher compared with the rest of the study of 24 h. Differ from normotensive patients with hypertension, which in the past there is a significant decrease in the occurrence of the phenomenon prevalent hypertension Dipper and waking, with increased risk for the occurrence of vascular complications. It was concluded that this monitoring method is effective for monitoring 24 h in the study of hypertensive patients who have not had the expected clinical course after diagnosis also contributes to the knowledge of how to behave novel prognostic variables in the field management of hypertension.

The MAP is a noninvasive, fully automatic and high accuracy to characterize the hemodynamic profile of a subject at different times. 1.2 Compared to conventional measures and random blood pressure (BP) to determine blood pressure, the average of its circadian variations, periods of more frequent occurrence of high values ​​and the diagnosis of the phenomenon of white coat, just to name a few possibilities. Thus, computing and digital media has revolutionized the study of hypertension with increasingly effective methods that avoid the overdiagnosis characteristic of the use of traditional media. 3

In 1733, Stephen Hales reported that blood pressure was measured in several horses by inserting a vertical glass tube into the femoral artery of these animals. He noted that in 3 animals the blood rose to 8 feet 3 inches, and reported variations in the height of the column of blood from heart and respiratory effects. 4 Almost 100 years later, in 1828, Jean L. Poiseuille repeated the experiment Hales in dogs, and used a mercury manometer instead of a glass tube filled with blood, which was more convenient, plus it was first millimeters of mercury used as units of measurement of blood pressure employed by Rive Rivocci to create the first cuff. 5

Further development is rapid with the description of the sounds of Korotkoff 6 at the beginning of the twentieth century, the rise of mercury sphygmomanometers 7 and replacing these by the aneroid, the beginning of the measurements by the oscillometric method in 1960, the which later, in 1966, Sokolow describes practical applications. 8 In our day and recommended the study of BP values ​​using oscillometric methods such as MAP and Self Blood Pressure Measurement (AMPA). 9 -11

Since the mid 80′s, and taking into account studies on hypertension held in the Hospital “Hermanos Ameijeiras” 12-15 is understood the necessity of using the program as a means of improving the quality of comprehensive patient care with this condition or suspected of it.

The relationship between BP and the likelihood of complications from cardiovascular disease is continuous, consistent and independent of other risk factors. 16 At higher pressure levels, increased risk of acute myocardial infarction, heart failure, cerebrovascular disease and neuropathies. 17

Blood pressure fluctuates spontaneously during the day. Reaches its highest values ​​in the morning upon rising, and the minimum during sleep. 5 , 18 also varies considerably depending on the physical and mental activity. It can sometimes be influenced by the presence of the attending physician, a phenomenon now known as “white-coat phenomenon.” 19

These and other aspects make a significant difference between doses of TA in consultation and outpatient basis, without detracting from what until now has been the traditional practice of medicine. The increased use of these teams has led to the emergence of new criteria for diagnosing primary hypertension. 17,20,21 Studies by Pickering 22.23 in Framingham show that 50% of patients considered hypertensive light are not .

With the possibility of using this means of diagnosis we decided to describe records in 24 h blood pressure using the oscillometric method in patients with hypertension, but with an unusual evolution of its clinical manifestations and diagnosis in doubt many of them.

Blood pressure measures of cardiac function and resistance arteries. It is very important that people report and how to keep blood pressure within normal limits. The normal pressure in an adult should be 130/85, and the optimal would be 120/80. The test is very simple, inflatable muff is placed around the upper arm, is painless, noninvasive and easy to interpret.

This test measures the systolic pressure (amount of pressure the heart generates when pumping blood through the arteries) and diastolic pressure (amount of pressure in the arteries when the heart rests between a pulse and another). Allows for early detection of high blood pressure. The more time goes undetected and untreated high blood pressure, the higher the risk of heart attack, stroke, heart failure or kidney damage. This test should be performed every time you visit a doctor for any reason or do as a check at least 2 times a year.

Stergiou of Sotiria Hospital of Athens (Greece) and colleagues assessed the automatic device in 73 people: 27 with atrial fibrillation, 23 with arrhythmia other than atrial fibrillation and 23 reference persons in sinus rhythm.

Overall, rose to 217 blood pressure measurements, all with simultaneous ECG monitoring.

The authors note that when the diagnosis of atrial fibrillation was based in a single measurement, the sensitivity of the algorithm was 93% and specificity of 89%.

Under optimal circumstances (three measurements with at least two to diagnose atrial fibrillation) the sensitivity was 100% and specificity of 89%, indicating a “near perfect match” with the electrocardiograph diagnosis.

Under these optimal circumstances (diagnosis based on two measurements at least three positive) diagnosis of atrial fibrillation was incorrect in five people.

In all these cases, patients had arrhythmia other than atrial fibrillation in the three measurements.

Dr. Stergiou told Reuters Health that long-term self-monitoring of hypertensive patients using a device equipped with an atrial fibrillation detector would allow an earlier diagnosis without additional screening costs.

He added that the “implementation of this technology should be evaluated in other devices for measuring blood pressure and for ambulatory blood pressure monitoring 24-hour blood pressure (especially in patients with intermittent atrial fibrillation), which could also contribute to Early detection of undiagnosed atrial fibrillation and therefore the prevention of stroke. ”

“Additional research is needed on the accuracy of electronic blood pressure monitors in patients with atrial fibrillation, aimed at improving the treatment of hypertension in these patients.”

In a study of 250 Danish adults stricken by a heart attack, Canadian researchers used a tensiometer to intermittently block the blood flow to an arm, an intervention that is started when the patient is transported to hospital by ambulance.

This intervention was developed by the Sick Kids Hospital in Toronto. It greatly limit the damage to heart muscle when a heart artery is blocked.

The sphygmomanometer is inflated for five minutes, then deflated for five minutes, the sequence is repeated four times. The operation lasts between 35 and 40 minutes.

Once at the hospital, the patient receives a typical treatment for a heart attack, including an angioplasty in which an inflatable balloon is used to open an artery blocked or obstructed.

The study, to be published Friday in the prestigious British medical journal The Lancet, says that patients who took the blood pressure response with the sustained 30 percent less damage to heart muscle compared to those who have not received this treatment.

The damage was even reduced by 50 per cent among patients who suffered heart attacks the most devastating.

A leading researcher, Dr. Andrew Redington of Sick Kids, said that the idea behind this technique has been circulating for about 25 years.

When tissues are deprived of blood and oxygen intermittently, he said, it seems to prepare for a more prolonged interruption and a protective substance began to circulate in the body. And as the substance spreads throughout the body, it protects all the organs including the heart.

If Dr. Redington was encouraged by these results, it warns that further studies should be conducted even before the intervention becomes common practice.

His team is developing a particular automated blood pressure monitor that would make intervention easier and more efficient for staff health.