Wednesday, December 9, 2009

Routine Basic Health Maintenance

Blood Pressure 120/80 or lower is optimal
Total Cholesterol less than 200
Triglycerides less than 120
HDL 50-60
LDL 110 or lower if possible
Blood glucose 100 or less when fasting
Basal Metabolic Index 18.5-24.9 is optimal
Waist Measurement 35 inches for females, 40 inches for males

Lifestyle
Do not smoke or use tobacco products
Limit alcohol to 2 drinks a day
Exercise for 30-60 minutes a day increasing your heart rate
Reduce stress and practice relaxation
Low fat diet high in fruits and vegetables

Prevention
Annual flu vaccine (if indicated)
Pneumonia vaccine at least once as an adult
Vision exam yearly
Perform some type of weight training three times a week
Vitamin E 600-800 units a day (possible benefit) 
Fish Oil (Omega 3) tablet three times a day (possible benefit)


Screening
Colonoscopy or stool testing Over 50 years old (guidelines based on risk)
Skin cancer screening Every 3 years ages 20-39, annually after this
TB testing All patients at high risk
HIV All patients at high risk
Cholesterol Every 5 years of low risk, yearly if high risk
Diabetes Every 3 years age 45+ unless risk factors
Glaucoma Every 2-4 years 40+ years of age
Annually in people with diabetes
Women
Bone density 65+ years of age
Breast exam Physician exam 40+ years of age, self exam monthly
Mammogram Age 40-49 baseline and every 1-2 years after this
Age 50-69 annually
Pap and Pelvic At three years after first intercourse or age 21
Annually until age 65
Men
Testicular examination Self exam monthly
Prostate exam Rectal exam yearly over 40 years of age
PSA (prostate blood test) Yearly after age 50

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